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| 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 |
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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.
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2023, Vol. 29 
