Observation on efficacy of arthroscopic double row anchor suture bridge technique on rotator cuff injury in elderly patients with osteoporosis
Objective To observe the efficacy of arthroscopic double row anchor suture bridge technique on rotator cuff injury in elderly patients with osteoporosis.Methods 260 elderly patients with arthroscopic rotator cuff injury and osteoporosis for arthroscopic rotator cuff repair were selected,and the patients were divided into single row group and double row group according to the different arthroscopic repair methods,with 130 cases in each group.The single row group was treated with single row anchor suture bridge technique,and the double row group was treated with double row anchor suture bridge technique.Patients in both groups were compared in terms of excellent rate of postoperative shoulder joint recovery,American Shoulder and Elbow Surgeons(ASES)score before and after surgery,visual analogue scale(VAS)score before and after surgery,shoulder range of motion of abduction and upward lifting before and after surgery,incidence of surgery-related complications,and incidence of rotator cuff retear.Results The excellent rates of shoulder joint recovery at 3,6 and 12 months postoperatively in double row group were 76.15% ,87.69% and 94.62% ,which were higher than 64.62% ,70.00% and 78.46% in single row group(P<0.05).Preoperatively,there was no significant difference in ASES score between the two groups(P>0.05).At 3,6 and 12 months postoperatively,ASES scores in both groups were significantly higher than those preoperatively;ASES scores of patients in double row group were(77.64±5.37),(84.73±5.24)and(90.16±4.75)points,which were significantly higher than(72.82±4.93),(79.38±5.01)and(82.04±4.98)points in single row group(P<0.05).At 3,6 and 12 months postoperatively,VAS scores in both groups were significantly lower than those preoperatively,and showed a decreasing trend(P<0.05).At 3 months postoperatively,VAS score of(3.45±0.72)points in double row group was significantly lower than(4.02±0.65)points in single row group(P<0.05).There was no significant difference between the two groups at 6 and 12 months postoperatively(P>0.05).At 3,6 and 12 months postoperatively,the shoulder range of motion of abduction and upward lifting in both groups was significantly greater than that preoperatively,and showed an upward trend(P<0.05).At 3 months postoperatively,the shoulder range of motion of abduction and upward lifting in double row group was(95.03±7.81)°,which was significantly greater than(89.48±7.62)° in single row group(P<0.05).There was no significant difference between the two groups at 6 and 12 months postoperatively(P>0.05).There was no significant difference in the incidence of surgical related complications between the two groups(P>0.05).After 12 months follow-up,the incidence of rotator cuff retear in double row group was 2.31% ,which was significantly lower than 10.00% in single row group(P<0.05).Conclusion Arthroscopic double row anchor suture bridge technique is safe and reliable,and its application in elderly patients with rotator cuff injury and osteoporosis can speed up the healing of rotator cuff,promote the recovery of shoulder joint function,reduce the pain,and reduce the incidence of rotator cuff retear.The near-and long-term therapeutic efficacy is significantly better than that of the single row anchor suture bridge technique,and it has a higher value of clinical application.
ArthroscopeDouble row anchor suture bridge techniqueOsteoporosisRotator cuff injury in the elderly
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