[Objective]To investigate the medium-term clinical efficacy of autologous fascia lata patch used to bridge unrepairable gi-ant rotator cuff tear.[Methods]A retrospective study was done on 12 patients who underwent autologous fascia lata bridging for unrepair-able giant rotator cuff tear from January 2017 to December 2019.According to the results of doctor-patient communication,6 patients re-ceived open surgery(open group),while other 6 patients received arthroscopic fascia lata patch bridging(arthroscopic group).The clinical and imaging documents of the two groups were compared.[Results]All patients in both groups were successfully operated on.The open group proved significantly superior to the arthroscopic group in term of operation time[(120.0±6.6)min vs(174.1±7.3)min,P＜0.001],while the former was significantly inferior to the latter in terms of incision length[(16.5±1.0)cm vs(11.5±1.2)cm,P＜0.001]and intraoperative blood loss[(31.6±7.5)ml vs(14.1±4.9)ml,P＜0.001].At the latest follow-up lasted for(43.1±6.4)months in an average,the VAS,ASES and Constant-Murley scores were significantly improved compared with those before surgery in both groups(P＜0.05),however,there were no significant differences in the above items between the two groups at any corresponding time points(P＞0.05).Regarding imaging,the sub-acromial space(SAS)was significantly increased postoperatively in both groups compared with that before operation(P＜0.05),whereas there was no significant difference in SAS between the two groups at any time points accordingly(P＞0.05).MRI showed that the fascia lata patch healed well with the supraspinatus tendon stump and the greater tubercle of humerus.[Conclusion]Fascia lata patch bridging for huge unrepairable rotator cuff tear has good medium-term efficacy,and there is no significant difference between the open surgery and the arthroscopic counterpart.
huge rotator cuff tearautologous fascia latapatch bridgeopen surgeryarthroscopy
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