全关节镜下与开放式肩袖修复的结果

M. Saleh, M. Fadel
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引用次数: 1

摘要

背景与目的肩袖损伤对患者的生活质量和整体健康有显著影响。对肩袖疾病的手术治疗已被发现可以改善整体健康和肩部不适。肩袖撕裂的手术修复可分为三大类:开放、小开放和关节镜。从袖带完整性和临床结果方面比较关节镜下修复袖带损伤的长期成功的独立研究发现,关节镜下修复的袖带损伤的成功率与小切开和切开手术相当。因此,本研究的目的是比较开放与关节镜下肩袖修复手术的结果。患者和方法经当地伦理委员会批准,于2019年1月至2020年6月对40例肩袖修复病例进行了为期18个月的前瞻性队列研究。所有纳入的患者分为两组:A组包括20例单关节镜下肩袖修复的患者,B组包括20例通过锚钉缝合和肩峰成形术进行开放式肩袖修复的患者。所有患者的肩侧、入院日期、出院日期、住院时间、术后镇痛、手术时间、术中术后并发症、视觉模拟评分(VAS)、简单肩部测试等数据。结果两组患者术前、术后疼痛评分、术中、术后并发症无明显差异。结论关节镜修复术与开放性修复术的临床效果相似。两组术后单纯肩测试评分、疼痛评分及并发症无统计学差异。
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Outcomes of all arthroscopic versus open rotator cuff repair
Background and aim A rotator cuff injury has a significant effect on the quality of life and overall health of patients. Surgical treatment for rotator cuff disease has been found to enhance general health and shoulder discomfort. The surgical repair of rotator cuff tears can be divided into three categories: open, mini-open, and arthroscopic. Independent studies comparing the long-term success of arthroscopically repaired rotator cuff injuries in terms of cuff integrity and clinical outcomes found that arthroscopically repaired rotator cuff injuries have success rates comparable to mini-open and open operations. As a result, the goal of this study was to compare the outcomes of open versus arthroscopic rotator cuff repair operations. Patients and methods A prospective cohort study was performed on 40 rotator cuff repair cases over a period of 18 months from January 2019 to June 2020 after obtaining approval from the local ethics committee. All included patients were divided into two groups: group A included 20 patients who had a single raw, arthroscopic rotator cuff repair, and group B included 20 patients who had an open rotator cuff repair by anchor sutures and acromioplasty. Data of shoulder side, admission date, discharge date, hospital stay duration, postoperative analgesia, procedure duration, intraoperative and postoperative complications, visual analog scale (VAS), and simple shoulder test were obtained for all patients. Results There were no significant changes in pain score VAS preoperatively and postoperatively or intraoperative and postoperative complications between the groups tested. Conclusion Arthroscopy repair and open repair are associated with similar clinical outcomes. No statistically significant differences were found in outcomes of postoperative simple shoulder test score, pain score VAS, and complications.
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