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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Minimum Five-Year Outcomes and Clinical Survivorship Following Arthroscopic Double-Row Repair for Full-thickness Supraspinatus Tears
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Minimum Five-Year Outcomes and Clinical Survivorship Following Arthroscopic Double-Row Repair for Full-thickness Supraspinatus Tears

机译：关节镜双行修复全厚度Supraspinatus眼泪后的最低五年结果和临床存活率

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Objectives: Rotator cuff tears lead to significant morbidity due to pain and decreased function. Despite the prevalence of cuff repairs, mid-term outcomes have been scarcely reported. The purpose of this study is to report minimum 5-year outcomes and clinical survivorship after double-row rotator cuff repair for full-thickness supraspinatus tendon tears. Methods: Patients at least five years out from arthroscopic double-row repair for a full-thickness cuff tear involving the supraspinatus tendon were included. Pre- and postoperative ASES, SF-12 PCS, QuickDASH, SANE, and satisfaction scores were collected. The relationship between outcomes and (1) tear chronicity, (2) number of tendons involved, (3) type of repair, and (4) primary versus revision procedure, was also evaluated. Kaplan-Meier survivorship analysis was conducted defining failures as progression to revision rotator cuff surgery. Results: From November 2005 to February 2012, a total of 189 shoulders were eligible for inclusion. Fifteen shoulders (7.9%) underwent revision rotator cuff repair and were considered failures. Outcomes data were reported at a mean follow-up of 6.6 (range, 5.0-11.0) years. All outcome scores significantly improved from pre- to postoperative time point, including mean ASES (57.9 to 92.9, P < 0.001), SF-12 PCS (43.4 to 52.0, P < 0.001), QuickDASH (35.2 to 10.5, P < 0.001), and SANE scores (61.5 to 86.5, P < 0.001). Acute tears demonstrated significantly better ASES and SANE scores than chronic tears (ASES 95.1 ± 8.9 versus 91.7 ± 11.2, P = 0.025; SANE 89.6 ± 19.9 versus 85.7 ± 21.3, P = 0.042). No other analyzed variable had a significant association with outcomes scores ( P > 0.05). Survivorship analysis demonstrated a postoperative clinical survivorship of the repair of 96.5% at two years and 93.8% at five years (Figure 1). Conclusion: Patients can expect excellent clinical outcomes and a low failure rate following arthroscopic double-row repair of full-thickness supraspinatus tears at mid-term follow-up. The repair of acute tears and primary repairs were associated with better postoperative outcomes.
机译：目的：由于疼痛和功能下降，肩袖撕裂导致严重的发病。尽管袖带修补术很普遍，但几乎没有中期结果的报道。这项研究的目的是报告双行肩袖修复后全壁上棘肌腱撕裂的最低5年结果和临床生存率。方法：包括至少5年因关节上上肌腱全层套囊撕裂而接受关节镜双排修复的患者。收集术前和术后ASES，SF-12 PCS，QuickDASH，SANE和满意度评分。还评估了结局与（1）泪液慢性，（2）涉及的肌腱数量，（3）修复类型以及（4）初次与翻修程序之间的关系。进行了Kaplan-Meier生存分析，将失败定义为翻修肩袖手术的进展。结果：从2005年11月到2012年2月，共有189个肩膀符合纳入条件。十五个肩部（7.9％）接受翻修肩袖修复，被认为是失败的。报告的结果数据平均随访6.6年（范围5.0-11.0）。术前至术后各时间点的所有结局评分均明显改善，包括平均ASES（57.9至92.9，P <0.001），SF-12 PCS（43.4至52.0，P <0.001），QuickDASH（35.2至10.5，P <0.001） ，以及SANE得分（61.5至86.5，P <0.001）。急性眼泪表现出比慢性眼泪好得多的ASES和SANE评分（ASES 95.1±8.9对91.7±11.2，P = 0.025; SANE 89.6±19.9对85.7±21.3，P = 0.042）。没有其他分析变量与结果评分有显着相关性（P> 0.05）。生存率分析表明，术后两年的修复术后临床生存率为96.5％，五年为93.8％（图1）。结论：在中期随访中，患者在关节镜双行全层上棘突撕裂修复后，可以期待出色的临床结果和较低的失败率。急性眼泪的修复和初步修复与术后效果更好相关。

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