Observation of the therapeutic effect of arthroscopic rotator cuffrepair for rotator cufftears with osteoporosis
Objective To investigate the effects of arthroscopic rotator cuffrepair on shoulder function and bone mineral density of greater tubercle of humerus in patients with rotator cufftear and osteoporosis.Methods A retrospective analysis was performed on 70 patients with rotator cufftear complicated with osteoporosis who were treated in Changzhou Second People's Hospital Affiliated to Nanjing Medical University from June 2021 to April 2023,and they were divided into control group and observation group according to actual surgical methods.A total of 34 cases in the control group were treated with open surgery,and 36 cases in the observation group were treated with shoulder arthroscopic surgery.The length of operation,blood loss and total length of hospital stay were compared between the two groups.The shoulder joint function,bone mineral density of greater tubercle of humerus and postoperative complications were compared between the two groups before and 1 year after operation.Results The blood loss and total length of hospital stay in the observation group were significantly lower than those in the control group(P<0.05).One year after surgery,the scores of American Association for Shoulder and Elbow Surgery and shoulder joint function of both groups were increased,and in the comparison one year after surgery,the scores of American Association for Shoulder and Elbow Surgery and shoulder joint function of the observation group were higher than those of the control group(P<0.05).There was no significant change in bone mineral density of the greater tubercle of humerus in both groups before and 1 year after operation(P>0.05).Within 1 year after operation,the complication rate of observation group was lower than that of control group(P<0.05).Conclusion For patients with rotator cuffinjury associated with osteoporosis,arthroscopic shoulder repair has advantages in reducing blood loss,reducing surgical trauma,shortening hospital stay and improving shoulder joint function,and has relatively little effect on bone mineral density of the greater tubercle of humerus.
ArthroscopyRotator cufftearOsteoporosisShoulder joint functionBone mineral density
万方数据
维普
