Effect and risk factors of arthroscopic rotator cuff repair and release on shoulder joint function in patients with rotator cuff injury combined with joint adhesion
Objective:To investigate the efficacy of arthroscopic rotator cuff repair and release on shoulder joint function in patients with rotator cuff injury combined with joint adhesion,and identify risk factors contributing to postoperative rotator cuff retears.Methods:The clinical data of patients who underwent arthroscopic rotator cuff repair and release for rotator cuff injury combined with joint adhesion in our department were retrospectively analyzed.Independent sample t-test or one-way ANOVA analysis of variance was used for efficacy analysis,and Logistic regression was used for risk factor analysis.Results:A total of 383 patients were included.The postoperative rotator cuff retear rate was 10.2％.The UCLA score and quality of life score were significantly increased at 3 and 6 months after operation.Logistic regression analysis showed that age,size of rotator cuff tear,degree of fat infiltration around rotator cuff and postoperative rehabilitation were independent risk factors for postoperative rotator cuff retear.The risk of postoperative rotator cuff retear increased with age,size of rotator cuff tear,degree of fat infiltration around rotator cuff,and with patients who had not conducted postoperative rehabilitation.Conclusion:Arthroscopic rotator cuff repair and release are effective for rotator cuff injury combined with adhesive arthritis.The findings of our study have some application value in accurately assessing the adverse risks of patients before surgery,reducing the risk of postoperative rotator cuff retear,and crafting personalized treatment plans and rehabilitation exercises
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