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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Is acromioplasty necessary in the setting of full-thickness rotator cuff tears? A systematic review
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Is acromioplasty necessary in the setting of full-thickness rotator cuff tears? A systematic review

机译：在全厚度肩袖撕裂的情况下需要行肩峰成形术吗？系统评价

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class="Heading">Background id="Par1" class="Para">The benefits of acromioplasty in treating rotator cuff disease have been debated. We systematically reviewed the literature regarding whether acromioplasty with concomitant coracoacromial(CA) release is necessary for the successful treatment of full-thickness rotator cuff tears. class="Heading">Materials and methods id="Par2" class="Para">We identified randomized controlled trials that reported on patients who underwent rotator cuff repair with or without acromioplasty and used descriptive statistics to summarize the findings. class="Heading">Results id="Par3" class="Para">Four studies fulfilled the inclusion criteria. They reported on 354 patients (mean age, 59?years; range 3–81?years) with a mean follow-up of 22?months (range 12–24?months). There were two level-I and two level-II studies. Two studies compared rotator cuff repair with versus without acromioplasty, and two studies compared rotator cuff repair with versus without subacromial decompression (acromioplasty, CA ligament resection, and bursectomy). The procedures were performed arthroscopically, and the CA ligament was released in all four studies. There were no statistically significant differences in clinical outcomes between patients treated with acromioplasty compared with those treated without acromioplasty. class="Heading">Conclusions id="Par4" class="Para">This systematic review of the literature does not support the routine use of partial acromioplasty or CA ligament release in the surgical treatment of rotator cuff disease. In some instances, partial acromioplasty and release of the CA ligament can result in anterior escape and worsening symptoms. Further research is needed to determine the optimum method for the operative treatment of full-thickness rotator cuff tears. class="Heading">Level of evidence id="Par5" class="Para">Level I, systematic review of level I and II studies.
机译：class =“ Heading”>背景 id =“ Par1” class =“ Para”>顶肢成形术在治疗肩袖疾病中的益处已引起争议。我们系统地回顾了关于成功治疗全厚度肩袖撕裂是否需要伴行肩峰成形术（CA）的肩峰成形术的文献。 class =“ Heading”>材料和方法 id =“ Par2” class =“ Para”>我们确定了随机对照试验，该试验报告了接受或不进行肩峰成形术的肩袖修复患者，并使用描述性统计数据总结了发现。 class =“ Heading”>结果 id =“ Par3” class =“ Para”>四个研究均符合纳入标准。他们报告了354例患者（平均年龄59岁;范围3–81岁），平均随访22个月（范围12-24个月）。有两项I级和两项II级研究。两项研究比较了肩峰囊修补术与不进行肩峰成形术，以及两项研究比较了肩峰囊修补术与不进行肩峰下减压（肩峰成形术，CA韧带切除术和滑囊切除术）。该过程在关节镜下进行，并且在所有四项研究中均释放了CA韧带。与未行肩部成形术的患者相比，行肩部成形术的患者的临床结局无统计学差异。 class =“ Heading”>结论 id =“ Par4” class =“ Para” >对文献的系统综述不支持在肩袖疾病的手术治疗中常规使用部分肩峰成形术或CA韧带释放。在某些情况下，部分肩峰成形术和CA韧带的释放可导致前路逃脱和症状加重。需要进一步研究以确定手术治疗全厚度肩袖撕裂的最佳方法。 class =“ Heading”>证据水平 id =“ Par5” class =“第“> I级，对I级和II级研究进行系统回顾。

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