肩袖
医学
接收机工作特性
逻辑回归
外科
眼泪
高压
切断
内科学
复合材料
材料科学
物理
量子力学
作者
Yoshitsugu Takeda,Koji Fujii,Naoto Suzue,Katsutoshi Miyatake,Yoshiteru Kawasaki,Kenji Yokoyama
出处
期刊:Arthroscopy
[Elsevier BV]
日期:2021-04-20
卷期号:37 (9): 2735-2742
被引量:26
标识
DOI:10.1016/j.arthro.2021.03.069
摘要
Purpose This study aimed to examine the correlation of repair tension during arthroscopic rotator cuff repair (ARCR) with preoperative factors and to evaluate whether measuring tension during ARCR is effective for predicting rotator cuff integrity after ARCR. Methods Patients who underwent ARCR from May 2014 to June 2017 were enrolled in this study. Inclusion criteria were patients with medium or larger-sized tears and with a minimum of 6 months’ follow-up. Patients with a partial repair were excluded. Intraoperative repair tension was measured according to Davidson’s method. Correlation of repair tension with preoperative factors was evaluated with Pearson and Spearman correlation coefficient tests. Logistic regression analysis was performed on intraoperative factors, including repair tension, to identify independent predictors of retear after ARCR. Receiver operating characteristic (ROC) curve was used to determine the cutoff value of repair tension for retear. Results One-hundred twenty patients met the inclusion criteria. Mean repair tension was 26.6 ± 12.6 N, and retear was found in 29 shoulders (24.2%). Among the preoperative factors, tear size in the mediolateral (P Conclusion This study demonstrated that intraoperative repair tension is strongly correlated with tear size in the mediolateral direction based on preoperative magnetic resonance imaging and that measuring tension during ARCR is effective for predicting rotator cuff integrity after ARCR. Level of Evidence Level IV, prognostic study.
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