CAJ | 학술논문

目的观察关节镜下单排、双排固定治疗肩袖损伤的近期效果. 方法对8例肩袖损伤采用单排固定,7例肩袖损伤进行双排固定,观察术后功能恢复情况,进行UCLA评分. 结果双排固定术后恢复时间短,功能恢复快,UCLA评分明显优于单排固定.单排固定组2例锚钉拔出,行再次手术固定;2例术后锻炼时出现疼痛和术前症状,再次手术时发现缝合线断裂,予再次固定. 结论肩袖损伤的关节镜下双排固定效果明显优于单排固定,双排固定不仅增加了固定强度,同时使肩袖肌腱断端与肱骨大结节的接触面积大大增加,更有利于腱骨愈合.
목적 관찰관절경하단배、쌍배고정치료견수손상적근기효과. 방법 대8례견수손상채용단배고정,7례견수손상진행쌍배고정,관찰술후공능회복정황,진행UCLA평분. 결과 쌍배고정술후회복시간단,공능회복쾌,UCLA평분명현우우단배고정.단배고정조2례묘정발출,행재차수술고정;2례술후단련시출현동통화술전증상,재차수술시발현봉합선단렬,여재차고정. 결론 견수손상적관절경하쌍배고정효과명현우우단배고정,쌍배고정불부증가료고정강도,동시사견수기건단단여굉골대결절적접촉면적대대증가,경유리우건골유합.
Objective To compare the treatment effects of artbroseopie single and double-row fixa-tions for rotator cuff injury. Methods Eight patients with rotator cuff injury were treated by arthro-seopie single-row fixations, and 7 patients by arthroscopie double-row fixation. Functional recovery of shoulder joint was observed and evaluated by University of California-Los Angels (UCLA) scoring system after operation. Results Double-row fixation was better than single-row fixation in functional recovery and UCLA score after operation. In the single-row fixation group, 2 patients experienced pull-out of anchors and had to undergo re-operation; 2 patients suffered from shoulder pain after operation due to breakage of suture and thus also had to undergo re-fixation. Conclusion Arthroscopic double-row fixation is better than single-row fixation in treating rotator cuff injury because the former increases fixation security and contact area between the broken tendon and humeral trochanter.