[关节镜下改良Mason-Allen技术修复肩袖的临床结果]。

Acta ortopedica mexicana Pub Date : 2022-09-01
A García-Cacho Lascurain, M González-Sánchez, F J Martínez-Ruiz, O Acosta-Escalona, G Camarena-López, W A Trujillo-Rangel, L M Cervantes-Valencia
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引用次数: 0

摘要

简介:肩袖撕裂是最常见的肩部损伤之一。治疗的选择是关节镜下使用锚钉修复。改良的Mason-Allen技术结合了缝合桥和床垫缝合的优点,显示出令人满意的结果。本研究旨在报告和分析使用这些缝合技术治疗肩袖撕裂的临床结果。结果:术前平均主动屈曲1260,3个月1690,12个月1750 (p < 0.0001),主动外展980,3个月1590,12个月1670 (p < 0.0001),内旋4.4±3,3个月7.1±1.7 (p < 0.05), 12个月7.6±1.1 (p < 0.001)。3个月时评分为87.27±10.94,12个月时评分为91.30±6.00 (p < 0.0001)。SSV为41.30±20.89,三个月为81.43±18.31,12个月为94.37±6.90 (p = 0.0001)。初始平均VAS 6.6±1.6,12个月平均VAS 0.63±1.02 (p < 0.0001)。结论:在肩袖撕裂中,使用改良Mason-Allen技术的单排是一种可重复的推荐选择,在术后3个月和12个月的临床改善具有统计学意义。
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[Clinical results in arthroscopic rotator cuff repair with the modified Mason-Allen technique].

Introduction: rotator cuff tears are one of the most common shoulder injuries. The treatment of choice is arthroscopic repair with the use of anchors. The modified Mason-Allen technique, which combines the benefits of suture bridge and mattress sutures, has shown satisfactory results. This study aims to report and analyze the clinical results using these suture techniques in rotator cuff tears.

Results: preoperative mean active flexion 126o, 169o at three months, 175o at 12 months (p < 0.0001), active abduction 98o, 159o at three months and 167o at 12 months (p < 0.0001), internal rotation preoperative value 4.4 ± 3, at three months 7.1 ± 1.7 (p < 0.05) and 12 months 7.6 ± 1.1 (p < 0.001). Constant score 45.76 ± 16.35 (p < 0.0001) at three months 87.27 ± 10.94 and 12 months 91.30 ± 6.00. SSV 41.30 ± 20.89, three months 81.43 ± 18.31 and 12 months 94.37 ± 6.90 (p = 0.0001). Initial mean VAS 6.6 ± 1.6 and 12 months 0.63 ± 1.02 (p < 0.0001).

Conclusion: in rotator cuff tears, using a single row with the modified Mason-Allen technique is a recommended and replicable option with satisfactory results and statistically significant clinical improvement at three and 12 months post-surgery.

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