Clinical effect of single-row re-modified Mason-Allen procedure versus double-row suture bridge in the treatment of medium-sized rotator cuff injuries
Objective To compare the clinical effects of shoulder arthroscopic single-row re-modified Mason-Allen procedure and double-row suture bridge procedure for the treatment of medium-sized rotator cuff injury.Methods The clinical data of 48 pa-tients with medium rotator cuff injury undergoing arthroscopic surgery treated in Lianyungang First People's Hospital from February 2021 to June 2022 were retrospectively analyzed.The patients were divided into 2 groups according to the treatment methods:single row re-modified group(25 patients)and double row suture bridge group(23 patients).The functional recovery of shoulder joint be-tween the two groups was compared by the American Society for Shoulder-to-elbow Surgery(ASES),Constant-Murley scores,visual an-alogue scores(VAS)and shoulder range of motion scores(anterior flexion,abduction,internal rotation,external rotation).Results All 48 patients were followed up for 6-24 months.There were no significant differences in the scores of ASES,Constant-Murley,VAS and shoulder motion(anterior flexion,abduction,internal rotation and external rotation)between the two groups before and at the last follow-up(P>0.05).The ASES,Constant-Murley scores and shoulder mo-tion(anterior flexion,abduction,internal rotation and external rota-tion)scores in the single-row re-modified group and the double row suture bridge group were significantly higher than those before sur-gery at the last follow-up,and the VAS scores were lower than those before surgery,with statistical significance(P<0.05).Both proce-dures significantly improved shoulder joint function.Conclusion For medium-sized rotator cuff injuries,both single-row re-modi-fied Mason-Allen and double-row suture bridge procedures are significantly effective,emphasizing the importance of choosing a surgi-cal approach that is appropriate for the patient's specific situation.This strategy will help to optimize postoperative recovery and im-prove patient quality of life.
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