PDF(Pubmed)
Abstract：
OBJECTIVE: Patch technology has been the new technique in the treatment of partial thickness of the rotator cuff tear (PTRCTs) to address the limitation of traditional techniques. Compared with allogeneic patches and artificial materials, coracoacromial ligament is obviously closer to their own biology. The purpose of the study was to evaluate the functional and radiographic outcomes following arthroscopic autologous coracoacromial ligament augment technique for treatment of PTRCTs.
METHODS: This study included three female patients with PTRCTs who underwent arthroscopy operation in 2017 with an average age of 51 years (range from 50 to 52 years). The coracoacromial ligament implant was attached to the bursal side surface of the tendon. The clinical results were evaluated by American Shoulder and Elbow Surgeons (ASES) score, Simple Shoulder Test (SST), acromiohumeral distance (AHD) and muscle strength before and 12 months after operation. Magnetic resonance imaging (MRI) was performed 24 months after operation to assess the integrity of the anatomical structure of the original tear site.
RESULTS: The average ASES score improved significantly from 57.3 preoperatively to 95.0 at 1-year follow-up. The strength improved significantly from grade 3 preoperatively to grade 5 at 1 year. Two of three patients underwent the MRI at 2-year follow-up. Radiographic released the complete healing of rotator cuff tear. No implant-related serious adverse events were reported.
CONCLUSIONS: The new technique of using autogenous coracoacromial ligament patch augment provides good clinical results on patients with PTRCTs.
METHODS: This study included three female patients with PTRCTs who underwent arthroscopy operation in 2017 with an average age of 51 years (range from 50 to 52 years). The coracoacromial ligament implant was attached to the bursal side surface of the tendon. The clinical results were evaluated by American Shoulder and Elbow Surgeons (ASES) score, Simple Shoulder Test (SST), acromiohumeral distance (AHD) and muscle strength before and 12 months after operation. Magnetic resonance imaging (MRI) was performed 24 months after operation to assess the integrity of the anatomical structure of the original tear site.
RESULTS: The average ASES score improved significantly from 57.3 preoperatively to 95.0 at 1-year follow-up. The strength improved significantly from grade 3 preoperatively to grade 5 at 1 year. Two of three patients underwent the MRI at 2-year follow-up. Radiographic released the complete healing of rotator cuff tear. No implant-related serious adverse events were reported.
CONCLUSIONS: The new technique of using autogenous coracoacromial ligament patch augment provides good clinical results on patients with PTRCTs.
摘要：
目的：修补技术已成为治疗肩袖部分厚度撕裂（PTRCT）的新技术，以解决传统技术的局限性。与同种异体斑块和人工材料相比，喙肩峰韧带明显更接近自身生物学。该研究的目的是评估关节镜下自体喙肩峰韧带增强技术治疗PTRCT后的功能和影像学结果。
方法：本研究包括3名女性PTRCT患者，他们在2017年接受了关节镜手术，平均年龄为51岁（50至52岁）。将喙肩峰韧带植入物附着在肌腱的囊侧表面。通过美国肩肘外科医师（ASES）评分评估临床结果，简单肩部测试(SST),术前和术后12个月肩关节距离(AHD)和肌力。术后24个月进行磁共振成像（MRI），以评估原始撕裂部位解剖结构的完整性。
结果：平均ASES评分从术前的57.3显著提高到1年随访时的95.0。从术前的3级到1年的5级，强度显着提高。在2年的随访中，三名患者中有两名接受了MRI检查。射线照相释放了肩袖撕裂的完全愈合。未报告植入物相关严重不良事件。
结论：使用自体喙肩峰韧带补片的新技术对PTRCT患者具有良好的临床效果。
方法：本研究包括3名女性PTRCT患者，他们在2017年接受了关节镜手术，平均年龄为51岁（50至52岁）。将喙肩峰韧带植入物附着在肌腱的囊侧表面。通过美国肩肘外科医师（ASES）评分评估临床结果，简单肩部测试(SST),术前和术后12个月肩关节距离(AHD)和肌力。术后24个月进行磁共振成像（MRI），以评估原始撕裂部位解剖结构的完整性。
结果：平均ASES评分从术前的57.3显著提高到1年随访时的95.0。从术前的3级到1年的5级，强度显着提高。在2年的随访中，三名患者中有两名接受了MRI检查。射线照相释放了肩袖撕裂的完全愈合。未报告植入物相关严重不良事件。
结论：使用自体喙肩峰韧带补片的新技术对PTRCT患者具有良好的临床效果。
