A modified arthroscopic en masse suture bridge repair is effective for delaminated rotator cuff tears

被引:0
作者
Fang, Sheng [1 ,2 ]
Wang, Xianfeng [3 ]
Xu, Peng [1 ,2 ]
Sun, Han [1 ,2 ]
Jiang, Zhecheng [1 ,2 ]
Yan, Litao [1 ,2 ]
Wang, Yiming [1 ,2 ]
Liu, Jinbo [1 ,2 ]
Li, Huan [1 ,2 ]
机构
[1] Soochow Univ, Affiliated Hosp 3, Dept Articular Orthoped, 185 Ju Qian Rd, Changzhou 213000, Jiangsu, Peoples R China
[2] Nanjing Med Univ, Peoples Hosp Changzhou 1, Changzhou Med Ctr, Nanjing, Peoples R China
[3] Beijing Jishuitan Hosp, Guizhou Hosp, Dept Orthoped Surg, Guiyang, Peoples R China
关键词
delamination; retear; rotator cuff tear; shoulder arthroscopy; SUPERIOR CAPSULE; SHOULDER; SUPRASPINATUS; INTEGRITY; STABILITY; INSERTION;
D O I
10.1002/ksa.12412
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose: This study aimed to clarify the characteristics of delaminated rotator cuff tears (RCTs) and evaluate the clinical outcomes of a modified arthroscopic en masse suture bridge repair for delaminated RCTs. Methods: Patients with full-thickness RCTs, who underwent arthroscopic suture bridge repair with a minimum 2-year follow-up, were retrospectively reviewed. Patients were categorized into two groups based on the presence of delamination. Delaminated RCTs were treated using a modified en masse suture bridge technique, while nondelaminated RCTs received a conventional suture bridge technique. Preoperative and postoperative Constant scores and American Shoulder and Elbow Surgeons (ASES) scores were determined to evaluate clinical outcomes. Postoperative magnetic resonance imaging (MRI) was carried out to identify the integrity and retear of the repaired rotator cuff. Results: A total of 172 patients were included in our study cohort, in which 67 (39%) delaminated RCTs were confirmed intraoperatively. The prevalence of delamination was significantly higher in large tears (53/102, 52%) compared to medium tears (14/70, 20%) (p < 0.001). No significant differences in age (n.s.) or gender (n.s.) were observed between the two groups. Both groups showed significant improvements in Constant and ASES scores postoperatively (both p < 0.001), with no significant differences between the groups (n.s.). The retear rates were 2/67 (3.0%) in the delamination group and 3/105 (2.9%) in the nondelamination group, showing no significant difference (n.s.). Conclusions: The modified arthroscopic en masse suture bridge technique was effective for repairing delaminated RCTs, yielding favourable clinical outcomes comparable to those of nondelaminated tears.
引用
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页码:1062 / 1069
页数:8
相关论文
共 32 条
[1]   The Rotator Cuff and the Superior Capsule: Why We Need Both [J].
Adams, Christopher R. ;
DeMartino, Angelica M. ;
Rego, George ;
Denard, Patrick J. ;
Burkhart, Stephen S. .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2016, 32 (12) :2628-2637
[2]   The Effect of Tendon Delamination on Rotator Cuff Healing [J].
Boileau, Pascal ;
Andreani, Olivier ;
Schramm, Martin ;
Baba, Mohammed ;
Barrett, Hugo ;
Chelli, Mikael .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2019, 47 (05) :1074-1081
[3]   Separate double-layer repair versus en masse repair for delaminated rotator cuff tears: a systematic review and meta-analysis [J].
Chen, Jia ;
Zheng, Zhen-Yang ;
Ren, Yi-Ming .
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2020, 15 (01)
[4]   Test-retest reliability of isometric shoulder muscle strength during abduction and rotation tasks measured using the Biodex dynamometer [J].
Croci, Eleonora ;
Born, Patrik ;
Eckers, Franziska ;
Nusch, Corina ;
Baumgartner, Daniel ;
Muller, Andreas Marc ;
Mundermann, Annegret .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 2023, 32 (10) :2008-2016
[5]   A Modified Arthroscopic Triple-row Repair Technique for L-shaped Delaminated Rotator Cuff Tears [J].
Fang, Yushun ;
Zhang, Shaohua ;
Xiong, Jun ;
Zhang, Qingsong .
ORTHOPAEDIC SURGERY, 2024, 16 (05) :1117-1126
[6]   Is Posterior Delamination in Arthroscopic Rotator Cuff Repair Hidden to the Posterior Viewing Portal? [J].
Han, Yung ;
Shin, Jin-Hyup ;
Seok, Chang-Woo ;
Lee, Chang-Hyun ;
Kim, Seung-Ho .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2013, 29 (11) :1740-1747
[7]   Delaminated Rotator Cuff Tears Showed Lower Short-term Retear Rates After Arthroscopic Double-Layer Repair Versus Bursal Layer-Only Repair: A Randomized Controlled Trial [J].
Heuberer, Philipp R. ;
Pauzenberger, Leo ;
Gruber, Michael S. ;
Ostermann, Roman C. ;
Hexel, Michael ;
Laky, Brenda ;
Anderl, Werner .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2020, 48 (03) :689-696
[8]   The knotless cinch-bridge technique for delaminated rotator cuff tears leads to a high healing rate and a more favorable short-term clinical outcome than suture-bridge repair [J].
Heuberer, Philipp R. ;
Pauzenberger, Leo ;
Gruber, Michael S. ;
Kriegleder, Bernhard ;
Ostermann, Roman C. ;
Laky, Brenda ;
Anderl, Werner .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2019, 27 (12) :3920-3928
[9]   Nonlinear stress analysis of the supraspinatus tendon using three-dimensional finite element analysis [J].
Inoue, Atsushi ;
Chosa, Etsuo ;
Goto, Keisuke ;
Tajima, Naoya .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2013, 21 (05) :1151-1157
[10]   Role of the superior shoulder capsule in passive stability of the glenohumeral joint [J].
Ishihara, Yoko ;
Mihata, Teruhisa ;
Tamboli, Mallika ;
Lauren Nguyen ;
Park, Kyoung Jin ;
McGarry, Michelle H. ;
Takai, Shinro ;
Lee, Thay Q. .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 2014, 23 (05) :642-648