Comparison of effects of double-row suture anchor fixation and single-row suture anchor fixation under shoulder arthroscopy in treatment of patients with massive rotator cuff injury
Objective:To compare effects of double-row suture anchor fixation and single-row suture anchor fixation under shoulder arthroscopy in treatment of patients with massive rotator cuff injury. Methods:The clinical data of 87 patients with massive rotator cuff injury admitted to this hospital from March 2021 to October 2022 were retrospectively analyzed. According to different surgical methods,they were divided into control group (n=43) and observation group (n=44). The control group was treated with single-row suture anchor fixation,while the observation group was treated with double-row suture anchor fixation. The treatment effects,the shoulder joint function[Constant-Murley score (CMS)]scores,the pain degree[numerical rating scale (NRS)]score,the shoulder range of motion (external rotation,anteflexion,abduction,posterior extension,adduction) before and 3 months after the surgery,and the incidence of rotator cuff re-injury 1 year after the surgery were compared between the two groups. Results:Six months after the surgery,the treatment effect of the observation group was better than that of the control group,and the difference was statistically significant (P<0.05). Three months after the surgery,the CMS scores of the two groups were higher than those before the surgery,and that in the observation group was higher than that in the control group;the NRS scores of the two groups were lower than those before the surgery,and that in the observation group was lower than that in the control group;and the differences were statistically significant (P<0.05). Three months after the surgery,the ranges of external rotation,anteflexion,abduction,posterior extension,adduction of shoulder joint in the two groups were higher than those before the surgery,those in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05). Further,1 year after the surgery,the incidence of rotator cuff re-injury in the observation group was lower than that in the control group,and the difference was statistically significant (P<0.05). Conclusions:Double-row anchor fixation and suturing surgery can improve the treatment effect for patients with huge rotator cuff injuries,reduce the pain,improve the shoulder joint function and range of motion,and reduce the incidence of rotator cuff reinjury. Moreover,it is superior to single row suture anchor fixation.
Shoulder arthroscopyDouble-row suture anchor fixationSingle-row suture anchor fixationMassive rotator cuff injuryShoulder joint functionShoulder range of motion
万方数据
维普
