• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA >Improved outcomes with arthroscopic repair of partial-thickness rotator cuff tears: a systematic review
【24h】

Improved outcomes with arthroscopic repair of partial-thickness rotator cuff tears: a systematic review

机译：利用关节镜修复改进的部分厚度转子袖口撕裂的结果：系统评价

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Abstract Purpose The optimum treatment strategy for the surgical management of partial-thickness rotator cuff tears (PTRCT) is evolving. In this study, two research questions were sought to be answered: “Does the repair technique for PTRCTs involving >50% of the tendon thickness have an effect on structural and functional outcomes of arthroscopic repair?” and “Is there a difference in outcomes of arthroscopically treated articular- and bursal-sided PTRCTs?”. Methods A systematic review according to the PRISMA statement was conducted to identify all literature published reporting on outcomes of arthroscopic treatment of PTRCTs classified with the Ellman classification with minimum 2-year follow-up. Prospective randomized trials were eligible for quantitative synthesis. A total of 19 studies, published between 1999 and 2015, met the inclusion criteria of this systematic review. Two studies reporting outcomes of articular-sided PTRCTs with prospective randomized study design were included in quantitative synthesis calculations. Results Arthroscopic repair of PTRCTs >50% thickness results in significant pain relief and good to excellent functional outcomes. When in situ repair was compared with repair of the tendon after completion to full-thickness RCT, there were no significant differences in functional or structural outcomes or complication rates. The best treatment method for low-grade PTRCTs remains unclear. Conclusions The repair technique (in situ repair versus repair of the tendon after completion to full-thickness RCT) did not significantly affect the outcomes for arthroscopic repair of PTRCTs >50% thickness. The current literature contains evidence for inferior outcomes and higher failure rates after arthroscopic debridement of bursal-sided compared to articular-sided PTRCTs, and some evidence suggests that repair of lower-grade bursal-sided tears may be beneficial over debridement. Level of evidence IV.
机译：摘要目的，部分厚度转子箍泪（PTRCT）外科管理的最佳处理策略正在进行。在这项研究中，寻求两项研究问题得到回答：“涉及肌腱厚度的Ptrct的修复技术是否有对关节镜修复的结构和功能性结果有影响？” “在关节诊断的关节和卷曲偏心的关节和Bursal侧重的结果存在差异？”。方法对根据PRISMA声明进行系统审查，以确定所有文献公布的报告报告归类于埃尔曼分类的Ptrcts的关节镜治疗结果，最低2年后续随访。前瞻性随机试验有资格进行定量合成。 1999年至2015年间公布的19项研究总计符合本系统审查的纳入标准。两项研究报告具有前瞻性随机研究设计的关节术部位的结果均包含在定量合成计算中。结果Ptrcts的关节镜修复> 50％的厚度导致显着的疼痛缓解和良好的功能性结果。与肌腱修复相比，在完成全厚度RCT后，功能或结构结果或并发症率没有显着差异。低级别PTRCTS的最佳处理方法仍不清楚。结论修复技术（原位修复与肌腱完成到全厚度RCT后的修复）并没有显着影响Ptrcts的关节镜修复的结果> 50％的厚度。目前的文献含有与关节枢纽的关节线相比，与关节术搏击相比，与关节诊断的关节诊断后的劣质结果和更高的失败率的证据，有些证据表明，较低等级的Bursal撕裂的修复可能是有益的。证据IV水平。

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