实用临床医药杂志2024,Vol.28Issue(5) :85-88.DOI:10.7619/jcmp.20240052

三线锚钉结合改良Mason-Allen技术在肩袖中大型撕裂修复中的应用

Application of three-line anchors combined with modified Mason-Allen technique in repair of moderate to massive rotator cuff tear

时代 陈昊 杜建伟 武亚飞 吕飞
实用临床医药杂志2024,Vol.28Issue(5) :85-88.DOI:10.7619/jcmp.20240052

三线锚钉结合改良Mason-Allen技术在肩袖中大型撕裂修复中的应用

Application of three-line anchors combined with modified Mason-Allen technique in repair of moderate to massive rotator cuff tear

时代 1陈昊 1杜建伟 1武亚飞 1吕飞1
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作者信息

  • 1. 扬州大学附属医院骨科,江苏扬州,225100
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摘要

目的 观察三线锚钉结合改良Mason-Allen缝合技术在关节镜肩袖中大型撕裂修复手术中的治疗效果.方法 回顾性分析收治的48例患者(使用改良Mason-Allen技术修复中大型肩袖撕裂)的临床资料.依据使用的锚钉将患者分为对照组(双线锚钉,n=23)和观察组(三线锚钉,n=25).记录2组患者年龄、性别、手术时间、术中使用锚钉数量和术后并发症发生情况.比较2组术前及术后(末次随访)的美国肩肘外科医师(ASES)评分、Constant-Murley肩功能评分和视觉模拟评分法(VAS)评分.随访期间,采用磁共振成像(MRI)评估肩袖有无再撕裂.结果 末次随访时,2组肩关节VAS评分低于术前,Constant-Murley肩功能评分及ASES评分高于术前,差异有统计学意义(P<0.05).对照组使用锚钉数量多于观察组,差异有统计学意义(P<0.05).结论 三线锚钉结合改良Mason-Allen技术修复中大型肩袖撕裂的临床效果较好,与传统双线锚钉一致,但锚钉用量更少.

Abstract

Objective To investigate the therapeutic effect of three-line anchors combined with modified Mason-Allen technique in repair of moderate to massive rotator cuff tear under arthroscopy.Methods The clinical data of 48 patients(repair of moderate to massive rotator cuff tear using modi-fied Mason-Allen technique)were analyzed retrospectively.According to the anchors used,patients were divided into control group(double-wire anchors,n=23)and observation group(three-wire an-chors,n=25).Age,gender,operation time,the number of anchors used during operation and postop-erative complications were recorded in the two groups.American shoulder and elbow surgeon(ASES)scores,Constant-Murley shoulder function scores and Visual Analogue Scale(VAS)scores were com-pared between the two groups before and after surgery(last follow-up).During follow-up,magnetic resonance imaging(MRI)was used to evaluate rotator cuff retear.Results At the last follow-up,VAS score of the shoulder in the two groups was significantly lower than before surgery,constant-Mur-ley shoulder function score and ASES score were significantly higher than before surgery(P<0.05).The number of anchors used in the control group was significantly higher than that in the observation group(P<0.05).Conclusion The clinical effect of three-line anchor combined with the modified Mason-Allen technique in repair of moderate to massive rotator cuff tear is better,which is consistent with the traditional two-wire anchors,but the amount of anchors is less.

关键词

改良Mason-Allen技术/三线锚钉/肩袖中大型撕裂/关节镜/单排缝合/肩袖修补

Key words

modified Mason-Allen technique/three-line anchor/moderate to massive rotator cuff tear/arthroscopy/single row suture/shoulder sleeve repair

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基金项目

江苏省基础研究计划(自然科学基金)面上项目(BK20211326)

出版年

2024
实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
参考文献量10
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