A comparative study on the treatment of rotator cuff injury with total shoulder arthroscopic and arthroscopic assisted small incision surgery
Objective To explore the difference in therapeutic effects between total shoulder arthroscopic surgery and arthroscopic assisted small incision surgery for the treatment of rotator cuff injuries,and their impact on postoperative joint function.Methods 93 patients with rotator cuff injury admitted to a hospital from January 2020 to December 2022 who underwent surgical treatment were randomly divided into group A and group B,with 47 cases in group A and 46 cases in group B.Group A underwent arthroscopic assisted small incision surgery,while group B underwent total shoulder arthroscopic surgery.Compared the blood loss in surgery,surgical time,hospitalization time,visual analogue pain score(VAS),shoulder joint function score(UCLA),and overall efficacy between the two groups.Results Before surgery,there were no statistically significant difference in the VAS score and UCLA score between the two groups(P>0.05).1 month,3 months,6 months after surgery,the VAS score of group B was lower than that of group A at all time points(P<0.05),and the UCLA score of group B was higher than that of group A(P<0.05);the surgical blood loss and hospitalization time in group B were lower than those in group A,and the surgical time was higher than that in group A(P<0.05);there was no statistically significant difference in the total excellent and good rates between the two groups(P>0.05).Conclusion The overall efficacy of the two surgeries is similar;arthroscopic small incision surgery has low trauma and short surgical time;total shoulder arthroscopic surgery has lower blood loss,shorter hospitalization time,and higher postoperative pain and joint function recovery efficiency.
Rotator cuff injuriesArthroscopic small incision surgeryTotal shoulder arthroscopic surgeryJoint function