Abstract：
BACKGROUND: Bone marrow stimulation (BMS), a procedure involving the creation of multiple channels in the greater tuberosity, is often performed alongside arthroscopic rotator cuff repair (ARCR). This study evaluated the effect of BMS on clinical and structural outcomes following ARCR.
METHODS: This study involved 204 patients with small, medium, and large full-thickness rotator cuff tears. In all, 103 patients who underwent BMS and ARCR made up the BMS group, while the 101 patients who only had ARCR made up the control group with randomization. Clinical and functional outcomes were assessed before and at 3 months, 6 months, 1 year, and 2 years after surgery, using parameters such as range of motion, functional scores (ASES and constant score), and clinical scores (VAS). Tendon integrity was also examined postoperatively via ultrasound at 6 months and 2 years.
RESULTS: There were no significant differences between the two groups concerning range of motion, functional scores (ASES score and constant score), and clinical score (VAS) during the 2-year post-surgery period (all p>0.05). Similarly, the rotator cuff retear rate, as assessed using ultrasonographic tendon integrity checks over 2 years post-surgery, did not significantly vary between the groups (all p>0.05).
CONCLUSIONS: There were no significant disparities in functional scores and clinical outcomes between the BMS and control groups. Further, no significant differences were observed in tendon integrity post-surgery. Therefore, the inclusion or exclusion of BMS is not anticipated to influence the postoperative outcome in ARCR for patients with small, medium, or large rotator cuff tears.
METHODS: This study involved 204 patients with small, medium, and large full-thickness rotator cuff tears. In all, 103 patients who underwent BMS and ARCR made up the BMS group, while the 101 patients who only had ARCR made up the control group with randomization. Clinical and functional outcomes were assessed before and at 3 months, 6 months, 1 year, and 2 years after surgery, using parameters such as range of motion, functional scores (ASES and constant score), and clinical scores (VAS). Tendon integrity was also examined postoperatively via ultrasound at 6 months and 2 years.
RESULTS: There were no significant differences between the two groups concerning range of motion, functional scores (ASES score and constant score), and clinical score (VAS) during the 2-year post-surgery period (all p>0.05). Similarly, the rotator cuff retear rate, as assessed using ultrasonographic tendon integrity checks over 2 years post-surgery, did not significantly vary between the groups (all p>0.05).
CONCLUSIONS: There were no significant disparities in functional scores and clinical outcomes between the BMS and control groups. Further, no significant differences were observed in tendon integrity post-surgery. Therefore, the inclusion or exclusion of BMS is not anticipated to influence the postoperative outcome in ARCR for patients with small, medium, or large rotator cuff tears.
摘要：
背景：骨髓刺激（BMS），涉及在大结节中创建多个通道的程序，通常与关节镜肩袖修复（ARCR）一起进行。本研究评估了BMS对ARCR后临床和结构结果的影响。
方法：本研究纳入204例患者，中等,和大的全厚度肩袖撕裂。总之,103名接受BMS和ARCR的患者组成了BMS组，而仅接受ARCR的101例患者随机组成对照组。在3个月前和3个月时评估临床和功能结果，6个月,1年,手术2年后,使用诸如运动范围之类的参数，功能评分(ASES和恒定评分)，和临床评分（VAS）。术后6个月和2年也通过超声检查肌腱完整性。
结果：两组在活动范围方面无显著差异，功能评分(ASES评分和恒定评分)，术后2年的临床评分（VAS）（均p>0.05）。同样，肩袖再撕裂率,使用超声检查评估术后2年以上的肌腱完整性检查，组间无显著差异(均P>0.05)。
结论：BMS组和对照组在功能评分和临床结局方面没有显著差异。Further,术后肌腱完整性无显著差异.因此,纳入或排除BMS预计不会影响ARCR患者的术后结局,中等,或大的肩袖撕裂。
方法：本研究纳入204例患者，中等,和大的全厚度肩袖撕裂。总之,103名接受BMS和ARCR的患者组成了BMS组，而仅接受ARCR的101例患者随机组成对照组。在3个月前和3个月时评估临床和功能结果，6个月,1年,手术2年后,使用诸如运动范围之类的参数，功能评分(ASES和恒定评分)，和临床评分（VAS）。术后6个月和2年也通过超声检查肌腱完整性。
结果：两组在活动范围方面无显著差异，功能评分(ASES评分和恒定评分)，术后2年的临床评分（VAS）（均p>0.05）。同样，肩袖再撕裂率,使用超声检查评估术后2年以上的肌腱完整性检查，组间无显著差异(均P>0.05)。
结论：BMS组和对照组在功能评分和临床结局方面没有显著差异。Further,术后肌腱完整性无显著差异.因此,纳入或排除BMS预计不会影响ARCR患者的术后结局,中等,或大的肩袖撕裂。
