Objective To compare the clinical effects of arthroscopic total arthroscopy of rotator cuff repair and small incision rotator cuff repair on rotator cuff injury. Methods A study of 56 patients with rotator cuff injury treated in Sanshui District People's Hospital from February 2015 to December 2017 was retrospectively divided into two groups: an observation group (27 cases) and a control group (29 cases). The observation group was given arthroscopic rotator cuff repair under arthroscopy, the control group was given arthroscopic assisted small incision rotator cuff repair. The pain visual analogue scale (VAS), the American Elbow Surgeon (ASES), and the University of California, Los Angeles (UCLA) shoulder joint function scores, shoulder joint mobility, and shoulder joint muscle strength grading of the two groups patients were compared. Results After treatment, the observation group [VAS (1.14±0.28), ASES (91±5), UCLA (34.8±2.7)] was significantly better than the control group [VAS (1.36±0.43), ASES (88±5), UCLA (32.5±3.1)], the difference was statistically significant (t=2.250, 2.544, 2.956, all P<0.05). After treatment, the observation group [internal rotation (67±6)°, external rotation (45 ± 16)°, abduction (133 ± 12)°] was higher than the control group [internal rotation (64±5)°, external rotation (62±6)° and abduction (133±12)°], the difference was statistically significant (t=2.040, 2.027, 2.064, P<0.05); and the observation group [internal rotation (4.62±0.64), external rotation (4.81±0.62), abduction (4.87±0.56)] was superior to the control group [internal rotation (4.26±0.67), external rotation (4.47±0.60), abduction (4.51±0.62)], the difference was statistically significant (t=2.053, 2.085, 2.274, all P<0.05). Conclusions Arthroscopic total arthroscopic rotator cuff repair is more effective in the treatment of rotator cuff injury, which has rapid postoperative recovery and high value in promotion and application.
Key words
/
Rotator cuff injury /
Arthroscopy /
Rotator cuff repair /
Clinical efficacy
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 张磊, 马佳, 刘劲松, 等. 老年人肩袖损伤特点及关节镜手术中期疗效[J]. 中国微创外科杂志, 2016, 16(6): 525-528, 537.
[2] 李嘉, 徐丛, 常乾坤, 等. 肩关节镜下辅助小切口治疗肩袖撕裂的长期疗效研究[J]. 中国矫形外科杂志, 2017, 25(6): 508-512.
[3] Makhni EC, Swart E, Steinhaus ME, et al. Cost-effectiveness of reverse total shoulder arthroplasty versus arthroscopic rotator cuff repair for symptomatic large and massive rotator cuff tears[J]. Arthroscopy, 2016, 32(9): 1771-1780.
[4] 李晓, 谭海涛, 陆俭军. 开放式与关节镜下肩袖修补术治疗肩袖损伤的临床效果对比[J]. 广西医学, 2016, 38(2): 194-197.
[5] 魏海清, 陆金荣, 金文孝, 等. 关节镜辅助下小切口修补术与全关节镜下修补术治疗肩袖损伤的病例对照研究[J].中国骨伤,2017,30(8):711-715.
[6] 朱以明, 姜春岩, 鲁谊, 等. 关节镜下修复巨大肩袖损伤的临床研究[J]. 中华骨科杂志, 2017, 37(21): 1318-1325.
[7] Parnes N, Bartoszewski NR, Defranco MJ. Arthroscopic repair of full-thickness rotator cuff tears in active patients younger than 40 years: 2- to 5-year clinical outcomes[J]. Orthopedics, 2018, 41(1): e52-e57.
[8] 陈波, 邵长青, 王涛. 肩关节镜下缝线桥技术治疗修复全层肩袖损伤的临床疗效及随访结果观察[J]. 临床和实验医学杂志, 2017, 16(22): 2255-2258.
[9] 田昕, 吴红娟, 刘时璋. 全高清肩关节镜肩袖损伤修补术后康复护理的临床研究[J]. 中国数字医学, 2017, 12(7): 11-13,24.
[10]Dornan GJ, Katthagen JC, Tahal DS, et al. Cost-effectiveness of arthroscopic rotator cuff repair versus reverse total shoulder arthroplasty for the treatment of massive rotator cuff tears in patients with pseudoparalysis and nonarthritic shoulders[J]. Arthroscopy, 2017, 33(4): 716-725.
[11] 解金三，陈锋，李振威. 全关节镜下肩袖修补术的疗效观察[J]. 安徽医药, 2017, 21(7): 1270-1272.
[12] 周晓波, 梁军波, 陈忠义. 关节镜下3种方式修补肩袖损伤的疗效分析[J]. 中国骨伤, 2017, 30(8): 689-694.
[13]Carr A, Cooper C, Campbell MK, et al. Effectiveness of open and arthroscopic rotator cuff repair (UKUFF): a randomised controlled trial[J]. Bone Joint J, 2017, 99-B(1): 107-115.
[14]戴海峰, 李嘉, 王智慧, 等. 关节镜下手术治疗老年肩袖损伤的临床效果[J]. 中国医药导报, 2017, 14(27): 89-92.
[15]王毅, 赵其纯. 全关节镜与小切口修复肩袖撕裂损伤的荟萃分析[J]. 中国组织工程研究, 2016, 20(20): 3022-3031.
[16]Miyazaki AN, Santos PD, da Silva LA, et al. Are the good functional results from arthroscopic repair of massive rotator cuff injuries maintained over the long term[J]. Rev Bras Ortop, 2016, 51(1): 40-44.
[17]傅仰攀, 黄长明, 尹宗生. 全肩关节镜与关节镜辅助治疗肩袖损伤的比较[J]. 中国矫形外科杂志, 2016, 24(20): 1839-1843.
[18]唐炬, 朱伟. 肩袖损伤经关节镜辅助小切口和全关节镜肩袖修补的疗效比较[J]. 生物骨科材料与临床研究, 2016, 13(1): 17-20.
