Clinical effect of"Chinese way"for arthroscopic treatment of shoulder dislocation combined with massive rotator cuff tear in the elderly
Objective To evaluate the clinical effect of arthroscopic"Chinese way"in the treatment of shoulder dislocation combined with massive rotator cuff tear in the elderly by using long head of biceps tendon(LHBT)transfer for superior capsule reconstruction.Methods From May 2019 to January 2022,36 patients of shoulder dislocation with massive rotator cuff tear treated in the second affiliated hospital of Soochow University were retrospectively analyzed.Total of 16 males and 20 females were involved,with an average age of(62.3±4.7)years(range,52 to 73).Arthroscopic repair of massive rotator cuff tear was augmented by LHBT transposition.The difference of the VAS scores,range motion and the shoulder function scores between before operation and the last follow-up were analyzed.The rate of cuff re-tear was evaluated by MR.Results All patients were followed up data for(17.6±4.5)months.The motion of shoulder joint flexion,abduction,lateral rotation and lateral rotation at the last follow-up were significantly improved compared to those of before operation(P＜0.05).The VAS,ASES,Constant-Murley and UCLA scores of the last follow-up were also improved compared to those before operation(P＜0.05).There were no shoulder re-dislocation occurred.According to the Sugaya standard,5 cases(13.9％)of rotator cuff re-tear were indicated by MR.UCLA score was excellent in 9 cases,good in 23 cases,poor in 4 cases,and the excellent and good rate was 88.9％.Conclusions In the arthroscopic treatment of elderly shoulder dislocation combined with massive rotator cuff injury,the"Chinese way"technique is used to reconstruct the rotator cuff tissue,which can effectively avoid rotator cuff retearing,relieve shoulder pain,restore shoulder joint function and prevent re-dislocation.
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