关键词: Arthroscopic repair Functional outcomes Mini-open Radiological healing Rotator cuff Rotator cuff repair Shoulder arthroscopy

来  源:   DOI:10.1016/j.jor.2024.01.005   PDF(Pubmed)

Abstract:
UNASSIGNED: In an era where arthroscopic rotator cuff repair is dominant in the United States (77.9 % preference) compared to open surgery (53.33 %), a shift towards minimally invasive All-Arthroscopic (AA) techniques over classical Mini-Open (MO) repair is emerging. This study explores current trends in shoulder procedures in India and compares functional outcomes and radiological repair integrity between AA and MO techniques, which are understudied in the Indian context.
UNASSIGNED: In this prospective study, 60 patients (30 in the AA group and 30 in the MO group) with rotator cuff tears underwent assessment. Pre/post-operative clinical evaluations and 12-month follow-ups using UCLA and Oxford Shoulder Score, along with preoperative MRI and postoperative USG, were conducted.
UNASSIGNED: At one-year follow-up, the AA group showed better functional outcomes (53.3 % excellent/good vs. 30.0 % in MO). No significant radiological differences (Sugaya grading) were found. Tear size was comparable with no association with functional/radiological outcomes.
UNASSIGNED: The AA group demonstrated favourable functional outcomes, matched to MO group findings, which is in accordance with global studies. Despite higher costs, the increasing popularity of AA in India is justified by enhanced results and reduced postoperative discomfort.
摘要:
在美国,与开放手术(53.33%)相比,关节镜肩袖修复在美国占主导地位(优先比例为77.9%)的时代,相对于经典的迷你开放(MO)修复,正在向微创全关节镜(AA)技术转变。这项研究探讨了印度肩部手术的当前趋势,并比较了AA和MO技术之间的功能结果和放射学修复完整性。在印度的背景下研究不足。
在这项前瞻性研究中,对60例肩袖撕裂患者(AA组30例,MO组30例)进行了评估。使用UCLA和牛津肩评分进行术前/术后临床评估和12个月随访,术前MRI和术后USG,进行了。
在一年的随访中,AA组表现出更好的功能结果(53.3%优秀/良好vs.MO中30.0%)。没有发现显着的放射学差异(Sugaya分级)。泪液大小相当,与功能/放射学结果无关。
AA组表现出良好的功能结果,与MO组的发现相匹配,这符合全球研究。尽管成本较高,AA在印度的日益普及是有理由的,因为结果得到了提高,术后不适减少。
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