[1]孙风凡,吴良金,周晓成,等.肩关节镜下单双排锚钉修复术治疗肩胛下肌腱损伤的临床研究[J].中国中医骨伤科杂志,2025,33(08):43-49.[doi:10.20085/j.cnki.issn1005-0205.250808]
　SUN Fengfan,WU Liangjin,ZHOU Xiaocheng,et al.Clinical Study on Arthroscopic Single-Row and Double-Row Repair Techniques for Lafosse Type Ⅲ/Ⅳ Subscapularis Tendon Injuries[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(08):43-49.[doi:10.20085/j.cnki.issn1005-0205.250808]
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肩关节镜下单双排锚钉修复术治疗肩胛下肌腱损伤的临床研究()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年08期
页码:
43-49
栏目:
临床研究
出版日期:
2025-08-15

文章信息/Info

Title:
Clinical Study on Arthroscopic Single-Row and Double-Row Repair Techniques for Lafosse Type Ⅲ/Ⅳ Subscapularis Tendon Injuries
文章编号:
1005-0205(2025)08-0043-07
作者:
孙风凡1; 吴良金1; 周晓成1; 项杰1; 罗成1; 付如意1; 夏晓斌1△; 胡柏松1
1杭州市富阳中医骨伤医院(杭州,311000)
Author(s):
SUN Fengfan1; WU Liangjin1; ZHOU Xiaocheng1; XIANG Jie1; LUO Cheng1; FU Ruyi1; XIA Xiaobin1△; HU Baisong1
1Hangzhou Fuyang Hospital of Traditional Chinese Medicine Orthopedics and Traumatology,Hangzhou 311000,China.
关键词:
肩关节镜;  单排锚钉修复术;  双排锚钉修复术;  肩胛下肌腱损伤
Keywords:
shoulder arthroscopy;  single-row anchor fixation;  double-row anchor fixation;  subscapularis tendon injury
分类号:
R686
DOI:
10.20085/j.cnki.issn1005-0205.250808
文献标志码:
A
摘要:
目的:比较肩关节镜下单排(SR)与双排(DR)锚钉修复术治疗Lafosse Ⅲ/Ⅳ型肩胛下肌腱损伤的临床疗效。方法:回顾性收集2018年6月至2024年3月收治的38例患者,根据手术技术分为单排锚钉修复术组(21例)和双排锚钉修复术组(17例)。采用视觉模拟量表(VAS)评分、美国肩肘外科医师(ASES)评分及Constant-Murley肩关节评分量表(CMS)评分评估术前及术后功能恢复,磁共振成像(MRI)评估结构愈合及肌肉萎缩情况。结果:双排锚钉修复术组术后1个月VAS评分显著低于单排锚钉修复术组(4.05±0.74比4.53±0.52,P=0.029),优势持续至术后12个月(0.43±0.60比0.31±0.50,P<0.001)。双排锚钉修复术组术后3个月ASES评分(11.57±0.66比10.65±0.89,P=0.003)及CMS评分(88.91±3.23比81.52±2.41,P=0.039)均优于单排锚钉修复术组。术后1年MRI显示,双排锚钉修复术组Sugaya Ⅰ型愈合率(82.4%比47.6%,P=0.032)及无肌萎缩率(82.4%比19.0%,P=0.002)显著更高,差异有统计学意义(P<0.05)。结论:双排锚钉修复术通过增强生物力学稳定性及优化腱-骨愈合质量,在疼痛控制、功能恢复及结构完整性方面优于单排锚钉修复术,推荐用于高功能需求患者。
Abstract:
Objective:To compare the clinical efficacy of arthroscopic single-row(SR)and double-row(DR)anchor fixation techniques in treating Lafosse type Ⅲ/Ⅳ subscapularis tendon injuries.Methods:38 patients admitted between June 2018 and March 2024 were randomly allocated to single-row anchor fixation techniques group(n=21)and double-row anchor fixation techniques group(n=17).Functional recovery was evaluated preoperatively and postoperatively using the visual analogue scale(VAS)score,American Shoulder and Elbow Surgeons(ASES)score,and Constant-Murley shoulder assessment(CMS)score.Structural healing and muscle atrophy were assessed via MRI.Results:The double-row anchor fixation techniques group exhibited significantly lower VAS scores at 1 month postoperatively(4.05±0.74 vs 4.53±0.52,P=0.029),with sustained superiority at 12 months(0.43±0.60 vs 0.31±0.50,P<0.001).At 3 months,the double-row anchor fixation techniques group demonstrated superior ASES scores(11.57±0.66 vs 10.65±0.89,P=0.003)and CMS scores(88.91±3.23 vs81.52±2.41,P=0.039).One-year MRI revealed higher Sugaya type Ⅰ healing rates(82.4% vs 47.6%,P=0.032)and reduced muscle atrophy(82.4% vs 19.0%,P=0.002)in the double-row anchor fixation techniques group.Conclusion:Double-row repair outperforms single-row repair in pain control,functional recovery,and structural integrity by enhancing biomechanical stability and optimizing tendon-to-bone healing,making it preferable for patients with high functional demands.

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备注/Memo

备注/Memo:
基金项目:浙江省医药科技计划项目(2023KY1020)
△通信作者 E-mail:936294580@qq.com
更新日期/Last Update: 2025-08-15