肩袖修复术后再撕裂：当前概念综述
Re-tears after rotator cuff repair: Current concepts review.
作者信息
Mandaleson Avanthi
机构信息
Austin Health, Department of Orthopaedic Surgery, 145 Studley Road, Heidelberg, Victoria, 3084, Australia.
出版信息
J Clin Orthop Trauma. 2021 May 21;19:168-174. doi: 10.1016/j.jcot.2021.05.019. eCollection 2021 Aug.
Abstract
Re-tear following rotator cuff repair is common and has been reported to range from between 13 and 94% despite satisfactory clinical outcomes following rotator cuff surgery. Various risk factors have been associated with an increased tear rate, including patient factors, tear and shoulder morphology, repair technique, and rehabilitation regimes. Different modes of rotator cuff failure have been described. The management of re-tear in patients following rotator cuff repair is challenging and depends on the age, functional status and requirements of the patient, and re-tear size and residual tendon length. This article aims to review the factors associated with rotator cuff re-tear. It describes which of these are associated with poor clinical outcomes, and discusses the long-term outcomes of re-tear and treatment options.
摘要
肩袖修复术后再撕裂很常见，尽管肩袖手术后临床效果良好，但据报道再撕裂率在13%至94%之间。多种风险因素与撕裂率增加有关，包括患者因素、撕裂和肩部形态、修复技术以及康复方案。已经描述了肩袖失败的不同模式。肩袖修复术后患者再撕裂的处理具有挑战性，取决于患者的年龄、功能状态和需求，以及再撕裂的大小和残余肌腱长度。本文旨在综述与肩袖再撕裂相关的因素。描述其中哪些与不良临床结果相关，并讨论再撕裂的长期结果和治疗选择。
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本文引用的文献
1
Surgical Options for Failed Rotator Cuff Repair, except Arthroplasty: Review of Current Methods.
Clin Shoulder Elb. 2020 Feb 21;23(1):48-58. doi: 10.5397/cise.2019.00416. eCollection 2020 Mar.
2
Delay to Arthroscopic Rotator Cuff Repair Is Associated With Increased Risk of Revision Rotator Cuff Surgery.
Orthopedics. 2020 Nov 1;43(6):340-344. doi: 10.3928/01477447-20200923-02. Epub 2020 Oct 1.
3
Patient Factors Associated With Clinical Failure Following Arthroscopic Superior Capsular Reconstruction.
Arthroscopy. 2021 Feb;37(2):460-467. doi: 10.1016/j.arthro.2020.09.038. Epub 2020 Sep 28.
4
The effect of age on risk of retear after rotator cuff repair: a systematic review and meta-analysis.
JSES Int. 2020 Jun 10;4(3):625-631. doi: 10.1016/j.jseint.2020.03.014. eCollection 2020 Sep.
5
Combination of risk factors affecting retear after arthroscopic rotator cuff repair: a decision tree analysis.
J Shoulder Elbow Surg. 2021 Jan;30(1):9-15. doi: 10.1016/j.jse.2020.05.006. Epub 2020 Jun 9.
6
Patch Augmentation in Rotator Cuff Repair.
Curr Rev Musculoskelet Med. 2020 Oct;13(5):561-571. doi: 10.1007/s12178-020-09658-4.
7
Factors Related to Symptomatic Failed Rotator Cuff Repair Leading to Revision Surgeries After Primary Arthroscopic Surgery.
Arthroscopy. 2020 Aug;36(8):2080-2088. doi: 10.1016/j.arthro.2020.04.016. Epub 2020 Apr 25.
8
Current Concepts in Rotator Cuff Repair Techniques: Biomechanical, Functional, and Structural Outcomes.
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9
Revision rotator cuff repair: a systematic review.
J Shoulder Elbow Surg. 2020 Mar;29(3):624-633. doi: 10.1016/j.jse.2019.06.023. Epub 2019 Aug 28.
10
The Clinical Effect of Arthroscopic Rotator Cuff Repair techniques: A Network Meta-Analysis and Systematic Review.
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