Clinical Effects of Two Types of Arthroscopic Surgery for Incomplete Rotator Cuff Tears
Objective To comparative the clinical effects of arthroscopic direct suture versus arthroscopic debridement for incomplete rotator cuff tears followed by suture.Methods A retrospective analysis was conducted on the clinical data of 108 patients with incomplete rotator cuff tear admitted to the Pingdingshan Medical District,the 989th Hospital of the People's Liberation Army Joint Logistics Support Force from April 2016 to April 2019.They were divided into two groups.The observation group(54 cases)underwent thorough arthroscopic cleaning of the worn and degenerative tendon tissue,resulting in a full layer tear before undergoing suturing surgery.The control group received simple arthroscopic cleaning and direct suture surgery.The surgical time and recurrence rate during the postoperative follow-up period between the two groups of patients were recorded and compared.The visual analogue scale(VAS)of shoulder pain was used to evaluate the improvement of shoulder pain,the University of California at Los Angeles(UCLA)shoulder score and shoulder range of motion(abduction Angle)were used to evaluate the recovery of shoulder joint function,and the Pittsburgh sleep quality index(PSQI)was used to evaluate the sleep recovery.Results Both groups of patients were followed up as required,with a duration of 1-36 months and an average follow-up of(24.7±2.3)months.All cases had no postoperative infections,shoulder joint adhesions,or nerve injuries.The control group had a shorter surgical time,while the observation group had a longer surgical time.After 1 month,6 months,1 year,and 3 years of follow-up,the VAS scores of the shoulder joints in the two groups showed a decreasing trend over time,and there was no difference between the groups.The UCLA shoulder rating scale showed an upward trend,and there was no difference between groups.The range of motion(abduction angle)of the shoulder joint was on the rise,and there was no significant difference between groups.The PSQI score showed a downward trend,and there was no difference between groups.The postoperative recurrence rate was 3.7％(2/54)in the observation group and 18.5％(10/54)in the control group,and the difference was statistically significant(P＜0.05).Conclusion Compared with direct suture,arthroscopic debridement for full-thickness tear can prolong the operation time,but can reduce the recurrence rate,and does not affect the shoulder pain relief,sleep improvement and shoulder joint function recovery.
incomplete tear of shoulder sleevefull shoulder arthroscopyshoulder peak shaping
万方数据
维普
