摘要
目的:比较关节镜下经肌腱修补法和转化为全层后修补法治疗冈上肌腱关节侧部分撕裂(PASTA)的临床效果。方法:选取我院2017年1月至2018年12月因PASTA损伤接受手术治疗的患者47例,男31例,女16例,年龄49.7±4.4岁,右肩27例,左肩20例。所选患者均为Ellman 3度,分为经肌腱修补组(24例)和转化为全层后修补组(23例)。比较术前、术后6月和末次随访时两组Constant-Murley肩关节评分(Constant评分)、美国肩肘外科协会评分(ASES评分)。结果:术后随访时间15.0±7.4个月(12~36个月)。两组患者末次随访的Constant评分、ASES评分较术前明显改善,差异有统计学意义(P<0.001)。两组间术前、术后6个月、末次随访的Constant评分、ASES评分比较,差异均无统计学意义(P>0.05)。结论:对于Ellman 3度PASTA损伤患者,在关节镜下经肌腱修补法和转化为全层后修补法均可获得满意的临床效果,术者可以根据自己的习惯及技术水平选择合适的手术方式。
Objective To compare the clinical outcome of an anthroscopic trans-tendon repair and arthroscopic repair after conversion to a full thickness tear for patients with partial articular surface tendon avulsion(PASTA) lesion of the Ellman grade 3.Methods Forty-seven patients(31 males and 16 females) with PASTA injury and treated between January 2017 and December 2018 in our hospital were selected.Their average age was(49.7 ± 4.4) years,ranging from 34 to 70,with 27 injuries in the right shoulder and 20 in the left.All patients were of Ellman grade 3 lesions and randomized into a transtendon repair group(n=24) and an arthroscopic repair after conversion to a full thickness tear group(n=23).Before and 6 months after the operation,as well as during the last follow-up,the two groups were compared their Constant and American Shoulder and Elbow Surgeons(ASES) scores.Results The follow-up time was 12~36 months,with an average of 15.0 ± 7.4 months.Significant improvement was observed in the average Constant and ASES scores during the last follow-up(P<0.001)in both groups.There was no significant difference between the two groups in the average Constant and ASES scores at different time points(P>0.05).Conclusions For patients with PASTA lesions of the Ellman grade 3,both an anthroscopic trans-tendon repair and arthroscopic repair after conversion to a full thickness tear can achieve satisfactory clinical results.Surgeons can choose the appropriate surgical method according to their habits and technical levels.
作者
戴金良
马健
杜庚衡
康立新
Dai Jinliang;Ma Jian;Du Gengheng;Kang Lixin(Department of Joint Surgery,Tengzhou Center People's Hospital,Tengzhou 277599,China)
出处
《中国运动医学杂志》
CAS
CSCD
北大核心
2021年第1期7-11,共5页
Chinese Journal of Sports Medicine
关键词
冈上肌腱
肩袖部分损伤
经肌腱修补
转化为全层后修补
关节镜
upraspinatus tendon
partial rotator cuff tear
transtendon repair
repair after conversion to a full thickness tear
arthroscopy
