PDF(Pubmed)
Abstract：
This study aimed to assess the effect of the status of the tendon and patient factors on patient satisfaction after rotator cuff repair. Forty-six patients treated for tears with a minimum of 5-year follow-up were included. Gender, age, and active smoking status were recorded. Pain visual analogue scale, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, Simple Shoulder Test, and Single Assessment Numeric Evaluation were recorded preoperatively and at the last follow-up. Patients were divided into groups of highly satisfied (HS) and vaguely satisfied (VS) patients. Patients were evaluated with MRI both preoperatively and at their last follow-up. Of the 46 patients, 17 were HS and 29 were VS. The HS group had 7 re-ruptures, 4 of which were progressed tears, whereas the VS group had 15 re-ruptures, 4 of which were progressed tears. There was no difference in the rate of re-ruptures or progressed tears between groups. The HS group had a higher frequency of males. However, frequencies of active smoking or osteoarthritis of grade 2 or higher were lower in the HS group. It was shown that patient satisfaction after repair depends on patient-related factors like gender and smoking rather than tendon healing or degeneration.
摘要：
本研究旨在评估肌腱状态和患者因素对肩袖修复后患者满意度的影响。包括46例接受至少5年随访的泪液治疗的患者。性别,年龄,并记录主动吸烟状况。疼痛视觉模拟量表，美国肩肘外科医师标准化肩关节评估表,简单的肩部测试,术前和最后一次随访时记录单一评估数字评估。将患者分为高度满足（HS）和隐约满足（VS）患者组。术前和最后一次随访时都对患者进行了MRI评估。46名患者中,17为HS，29为VS。HS组有7次再破裂,其中4个是进步的眼泪，而VS组有15次再破裂，其中4个是眼泪。两组之间的破裂率或撕裂进展率没有差异。HS组男性频率较高。然而,HS组主动吸烟或2级或更高级别骨关节炎的频率较低.研究表明，修复后的患者满意度取决于患者相关因素，例如性别和吸烟，而不是肌腱愈合或退化。
