• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Suture Slippage After Arthroscopic Cuff Repair: Medial Displacement of Suture Knots on Follow-up Ultrasonography
【24h】

Suture Slippage After Arthroscopic Cuff Repair: Medial Displacement of Suture Knots on Follow-up Ultrasonography

机译：关节镜袖带修复后的缝合滑动：随访超声检查缝合结的内侧位移

获取原文
       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: Compared with the single-row technique, the double-row rotator cuff repair technique is known to have a higher load to failure and a lower frequency of gap formation, leading to a lower retear rate. There are some patients with poor clinical outcomes or poor muscle strength without radiologic retear. Purpose/Hypothesis: To assess the postoperative position of suture knots via serial ultrasonography in patients who had undergone arthroscopic rotator cuff repair with the suture-bridge technique. Our hypothesis was that the suture would pull out of the lateral anchor (suture slippage), changing the positions of the medial suture knots during healing. Study Design: Case series; Level of evidence, 4. Methods: This study included 53 patients (55 shoulders) who underwent arthroscopic suture-bridge repair and were evaluated for a minimum of 24 months. On serial ultrasonography, a straight line was drawn between the top of the greater tuberosity and the medial cortex of the anchor hole. The distances between the knots of the medial rows and the perpendicular line through the center of the anchor hole were measured in longitudinal plane images of the supraspinatus. Follow-up ultrasonography was performed at 2, 3, and 6 months postoperatively as well as at the final visit. The visual analog scale, the American Shoulder and Elbow Surgeons score, the Constant score, and the University of California, Los Angeles shoulder score were recorded preoperatively and on the final follow-up. Results: Of the 55 shoulders, 6 developed retears at repaired sites. The mean follow-up duration was 37.5 months (range, 24-65 months). Slippage distance increased significantly over time ( P & .001). The slippage at the final visit did not differ between patients with retear and no retear (13.4 mm for retear group; 10.6 mm for no retear group [ P = .096]). Conclusion: Suture knots of the medial row migrated medially via a suture pullout from the lateral row anchor of suture-bridge technique. Suture slippage distance did not differ significantly between retear and no retear groups.
机译：背景技术与单排技术相比，已知双排旋转箍修复技术具有更高的负荷和较低的间隙形成频率，导致保持率较低。有一些患者临床结果不佳或肌肉强度差而没有放射学耐菌。目的/假设：评估患者通过缝合桥技术经过关节镜旋转器袖带修复的患者通过连续超声检查缝合缝合术的术后位置。我们的假设是缝合线将从侧向锚（缝合滑动）中拉出，在愈合期间改变内侧缝合结的位置。研究设计：案例系列;证据水平，4.方法：本研究包括53名患者（55名肩部），接受关节镜缝合线桥修复，并评估至少24个月。在串行超声检查中，在较大结节的顶部和锚孔的内侧皮质之间绘制直线。在Supraspinatus的纵向平面图像中测量内侧行的结和通过锚洞中心的垂直线之间的距离。随访超声检查术后2,3和6个月，并在最后一次访问中进行。视觉模拟规模，美国肩部和肘部外科医生得分，不断的分数和加州大学，洛杉矶肩部得分被术前和最后的后续行动记录。结果：55个肩部，修复网站的6个发达的病症。平均随访时间为37.5个月（范围，24-65个月）。随着时间的推移，滑动距离显着增加（P＆amp; .001）。在最终访问的可滑行在患者之间没有不同的患者，没有固定性（固定组13.4mm; 10.6毫米，无reter组[P = .096]）。结论：中间行的缝合节短通过缝合桥技术的横行锚固型通过缝合线拉出迁移。缝线滑动距离在固定和没有固定组之间没有显着差异。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号