Comparison of the effects of arthroscopic repair of double-row suture bridge with and without knot on elderly rotator cuff injury
Objective To compare the effects of arthroscopic knotted and no-knotted double-row suture-bridge repair on rotator cuff tears in the elderly.Methods One hundred elderly patients with rotator cuff injury admitted to Pingmei Shenma Medical Group General Hospital from October 2019 to October 2022 were selected as the study objects,and they were randomly divided into the control group and the study group,with 50 cases in each group.All patients were treated with arthroscopic double-row suture bridge technique.The control group was repaired with knots,and the study group was repaired without knots.The operation time,Visual analog scoring(VAS),UCLA,Constant-Murley and AESE scores,the incidence of joint stiffness and rotator cuff retear were compared between the two groups.Results The operation time of the study group was shorter than that of the control group(P＜0.05).The VAS scores of the two groups decreased significantly at 1 week and 3 months after operation,and the VAS scores of the study group were lower than those of the control group(P＜0.05).Compared with preoperative scores,the UCLA,Constant-Murley and AESE scores of the two groups were significantly improved after operation(P＜0.05).The UCLA,Constant-Murley and AESE scores of patients with severe-giant tears in the study group were higher than those in the control group(P＜0.05).The incidence of postoperative rotator cuff retear in the study group was lower than that in the control group(P＜0.05).Conclusions Arthroscopic double-row suture-bridge knotless repair is effective on rotator cuff tears in the elderly,which can shorten the operation time,relieve postoperative pain,improve joint function,and reduce the risk of rotator cuff retear.
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