摘要
目的 探讨肩关节镜辅助双滑轮无结缝线桥技术对肩袖撕裂患者肩功能恢复及关节活动度的影响。方法 将78例肩袖撕裂患者随机分为对照组与观察组,每组39例。对照组实施传统关节镜下缝线桥固定术治疗,观察组实施关节镜下双滑轮无结缝线桥固定术治疗。比较2组患者治疗前后肩关节功能及关节活动度的恢复情况。结果 2组患者术后1年肩关节Constant评分、疼痛视觉模拟评分(VAS)、加州大学洛杉矶分校肩关节评分(UCLA)均较术前显著改善(P<0.05),但2组术后1年上述评分比较无显著差异(P>0.05)。2组患者术后肩关节前屈与外旋活动度均较术前显著改善(P<0.05),但组间比较差异无统计学意义(P>0.05)。观察组术后关节僵硬发生率仅为5.12%(2/39),且无1例患者发生肩袖再撕裂的情况;对照组术后关节僵硬发生率为28.2%(11/39),肩袖再撕裂发生率为23.1%(9/39),2组差异有统计学意义(P<0.05)。结论 关节镜下双滑轮无结缝线桥固定术与传统缝线桥固定术均能较好的恢复肩袖撕裂患者肩关节功能,但关节镜下双滑轮无结缝线桥固定术安全性更好,患者预后更佳。
Objective To explore the effect of shoulder arthroscopy-assisted double pulley knotless suture bridge technique on shoulder function recovery and joint mobility of patients with rotator cuff tear. Methods Totally 78 patients with rotator cuff tear were randomly divided into control group and observation group, with 39 cases in each group. The control group was treated with traditional arthroscopic suture bridge fixation, while the observation group was treated with shoulder arthroscopy-assisted double pulley knotless suture bridge technique. The recovery of shoulder joint function and joint mobility were compared between the two groups before and after treatment. Results The shoulder Constant score, pain visual analogue score (VAS) and UCLA score of the two groups at 1 year after operation were significantly better than those before operation ( P <0.05), but there were no significant difference in these indexes at 1 year after operation between the two groups ( P > 0.05). Postoperative shoulder flexion and external rotation were significantly improved in both groups ( P <0.05), but there were no significant difference between the two groups ( P >0.05). The incidence rate of joint stiffness was only 5.12%(2/39) in the observation group, and there was no case of rotator cuff re-tearing in the observation group. The incidence rate of joint stiffness in the control group was 28.2%(11/39), and the incidence rate of rotator cuff re-tearing was 23.1%(9/39),and there were significant differences between the two groups ( P <0.05). Conclusion Both shoulder arthroscopy-assisted double pulley knotless suture bridge technique and traditional suture bridge fixation can improve the shoulder function and joint mobility of patients withrotator cuff tear, but shoulder arthroscopy-assisted double pulley knotless suture bridge technique is better in safety and prognosis.
作者
张辉
庄万强
骆勇刚
陈俊
田鹏
雷海
唐旭
唐毅
魏庆华
ZHANG Hui;ZHUANG Wanqiang;LUO Yonggang;CHEN Jun;TIAN Peng;LEI Hai;TANG Xu;TANG Yi;WEI Qinghua(Second Department of Orthopedics,Jianyang People′s Hospital,Jianyang,Sichuan,641400)
出处
《实用临床医药杂志》
CAS
2019年第9期31-33,37,共4页
Journal of Clinical Medicine in Practice
关键词
肩袖撕裂
外科手术
缝线桥技术
关节镜
rotator cuff tear
surgery
suture bridge technology
arthroscopy
