Effect of Arthroscopic Double Pulley Combined with Double Row Suture Bridge Technique on Rotator Cuff Tear and Its Influence on Shoulder Function Recovery
ZHANG Xiaoyu, MA Jingzu, YU Jia, et al
The People's Hospital of Ningxia Hui Autonomous Region, Ningxia Yinchuan750012, China
摘要目的: 探究关节镜下双滑轮和双排缝线桥联合技术治疗肩袖损伤(rotator cuff tears,RCT)的效果及对肩关节功能恢复的影响。方法: 回顾性分析2018年7月至2022年6月于我院接受传统缝线桥技术治疗的52例RCT患者临床资料,纳入对照组,回顾性分析同期于我院接受关节镜下双滑轮结合双排缝线桥技术治疗的53例RCT患者临床资料,纳入观察组。比较两组患者手术指标,随访6个月后,比较两组患者治疗效果[愈合率、再撕裂率、视觉模拟评分(visual Analogue Scale,VAS)],术前和术后6个月关节活动度(前屈上举、体侧外旋、体侧内旋)、肩关节功能[美国肩肘外科协会评分(american Shoulder and Elbow Surgeons,ASES)、Constant-Murley评分(constant-Murley Score,CMS)、加州大学洛杉矶分校评分(university of California at Los Angeles,UCLA)],统计术后并发症发生情况。结果: 两组患者手术时间、手术出血量、住院时间及疼痛缓解时间均差异无统计学意义(P均>0.05);术后6个月,两组患者VAS评分较术前降低,观察组低于对照组(P<0.05);前屈上举、体侧外旋、体侧内旋度数、ASES评分、UCLA评分及CMS评分均较术前升高,观察组高于对照组(P均<0.05)。结论: 关节镜下双滑轮结合双排缝线桥技术在RCT治疗中效果显著,可加强RCT患者关节灵活度,有利于RCT患者肩关节功能恢复。
Abstract：Objective: To explore the effect of combined technique of arthroscopic double pulley and double row suture bridge in the treatment of rotator cuff tear (RCT) and its influence on shoulder function recovery. Methods: The clinical data of 52 patients with RCT who received traditional suture bridge technique in the hospital from July 2018 to June 2022 were retrospectively analyzed and the patients were included in control group. The clinical data of 53 patients with RCT who received arthroscopic double pulley combined with double row suture bridge technique in the hospital during the same period were retrospectively analyzed and the patients were enrolled as observation group. The surgical indicators, therapeutic effects [healing rate, re-tear rate, Visual Analogue Scale (VAS)] after 6 months of follow-up, the joint range of motion (forward flexion and upward lift, lateral external rotation, lateral internal rotation) and shoulder function [American Shoulder and Elbow Surgeons (ASES), Constant-Murley Score (CMS), University of California at Los Angeles (UCLA)] before surgery and at 6 months after surgery were compared between the two groups, and the postoperative complications were counted. Results: There were no significant differences in surgical time, surgical blood loss, hospital stay, and pain relief time between both groups (all P>0.05). At 6 months after surgery, VAS score in both groups was reduced compared to before the surgery, and the score in observation group was lower than that in control group (P<0.05). Forward flexion and upward lift, lateral external rotation, lateral internal rotation, ASES score, UCLA score and CMS score were enhanced compared with those before surgery, and the above indicators were higher in observation group than those in control group (all P<0.05). Conclusion: Arthroscopic double pulley combined with double row suture bridge technique has a significant effect in the treatment of RCT, and it can enhance the joint flexibility of patients with RCT and is beneficial to shoulder function recovery in patients with RCT.
2023, Vol. 29 
冀公网安备13080202000677号