肩关节镜下Anchor锚钉结合Orthocord线缝合修复肩袖损伤的疗效.pdf

40 ● 临床研究● 《中国医学前沿杂志 （电子版）》2012年第4卷第11期 肩关节镜下Anchor锚钉结合Orthocord线 缝合修复肩袖损伤的疗效 吴星火，王洪，孟春庆，王小红，汤明，邵增务，杨述华 （华中科技大学同济医学院附属协和医院 骨 科，武汉 430022） 【摘要】 目的 探讨全关节镜技术治疗肩袖损伤的手术方法及其临床疗效。方法 本组13例肩袖损伤 患者均在关节镜辅助下，采用Anchor锚钉结合Orthocord线和PDS线修复损伤的肩袖，通过临床随访， 采用美国肩肘外科医师 （ASES）评分进行肩关节功能评估，观察其疗效。结果 本组13例病例均获得 随访，随访时间12～24个月，平均16.5个月。根据ASES评分标准进行评分，术后一年患者肩关节功 能评分由术前的47.7 ±3.7分提升到87.8 ±1.1分，手术优 良率为84.8% 。结论 全关节镜技术能够有效地 修复重建肩袖，恢复肩关节功能，获得满意的临床疗效，是当前治疗肩袖损伤的较好地治疗方法。 【关键词】 关节镜；肩关节；肩袖损伤；修复，缝合锚钉 Therapeutic effect of Arthroscope in treating rotator cuff injury using anchor suture and Orthocord suture WU Xing-huo, WANG Hong, MENG Chun-qing, WANG Xiao-hong, TANG Ming, SHAO Zeng-wu, YANG Shu-hua. Union hospital Tongji Medical Collage of Huazhong University of Science and Technology, Wuhan, 430022, China. Corresponding author: WANG Hong, Email: wanghwh@126.com Abstract Objective To explore the surguical technique and clinical effect of Arthroscope in treating 【 】 rotator cuff injury. Methods 13 cases of rotator cuff injury as were included in the study. All the patients were treated with anchor suture and Orthocord suture under Arthroscope ．In preoperative and fi nal follow- up ，shoulder and elbow score Medical Association (ASEs) was used for functiona1 evaluation. Results All the patients were followed up. The average follow-up was 16.5 months, range from 12 to 24 months. According to the ASES rating, the postoperative score at one year follow-up was improved to 87.8±1.1 from 47.7±3.7 (basal line, preoperative). The excellent and good rate of ASES score was 84.8%. Conclusions The endoscopic surgical technique is a good method for the treatment of rotator cuff injury, which could reconstruct rotator cuff, restore shoulder joint function ,and obtain a satisfactory clinical curative effect. Key words Arthroscope; Shoulder joint; Rotator cuff injury; Repair, anchor suture 【 】 近年来 ，