摘要
目的探究关节镜下双滑轮无结缝线桥固定术治疗肩袖撕裂损伤的价值。方法选取80例肩袖撕裂损伤患者(均为中型和大型撕裂患者),随机分为2组,各40例。对照组选取传统关节镜下缝线桥技术治疗,观察组选取关节镜下双滑轮无结缝线桥固定术治疗。分析术前1 d、术后2周疼痛和肩关节功能相关评分以及肩袖再撕裂概率等。结果术前1 d,2组视觉模拟评分(visual analog scale,VAS)分、美国加州大学肩关节评分(the University of California at Los Angeles Shoulder rating scale,UCLA)评分比较差异无统计学意义(P>0.05)。术后2周,2组VAS评分低于术前1 d,UCLA评分高于术前1 d,观察组VAS评分低于对照组,UCLA评分高于对照组(P<0.05)。术前1 d,2组肩关节活动度比较差异无统计学意义(P>0.05)。术后2周,2组肩关节活动度优于术前1 d,观察组肩关节活动度优于对照组(P<0.05)。观察组平均恢复时间与患手负重时间短于对照组(P<0.05)。与对照组比,观察组肩袖再撕裂、关节僵硬发生率更低(P<0.05)。结论肩袖撕裂选取关节镜下双滑轮无结缝线桥固定术修复治疗,肩关节功能改善显著,活动度增大,避免再撕裂情况发生,其具有操作简便优势,在临床治疗中适应范围更广。
Objective To investigate the value of knotless double-row suture bridge fixation for rotator cuff tear under arthroscope.Methods A total of 80 patients with rotator cuff tears(all patients with medium and large tears)were selected and divided into two groups according to random number table method,with 40 patients in each group.The control group was treated with traditional arthroscopic suture bridge technique,and the observation group was treated with arthroscopic knotless double-row suture bridge fixation.Pain and shoulder joint function scores and rotator cuff retear probability were analyzed at 1 d before surgery and at 2 weeks after surgery.Results There was no significant difference in visual analogue scale(VAS)score and the university of California at Los Angeles shoulder rating scale(UCLA)score between two groups at 1 d before surgery(P>0.05).At 2 weeks after surgery,the VAS score of the two groups was lower than that at 1 d before surgery,while the UCLA score was higher than that at 1 d before surgery.The VAS score of the observation group was lower than that of the control group,while the UCLA score was higher than that of the control group(P<0.05).There was no significant difference in shoulder joint mobility between two groups at 1 d before surgery(P>0.05).At 2 weeks after surgery,the shoulder joint mobility of the two groups was better than that at 1 d before surgery,which was better in the observation group than in the control group(P<0.05).The average recovery time and weight bearing time of the affected hand in the observation group were shorter than those in the control group(P<0.05).Compared with the control group,the observation group had a lower incidence of rotator cuff retearing and joint stiffness(P<0.05).Conclusion The rotator cuff tear can be repaired with arthroscopic knotless double-row suture bridge fixation,which can significantly improve the shoulder joint function,increase the range of motion,and avoid the occurrence of retear.It has the advantages of simple operation,and has a wider range of adaptation in clinical treatment.
作者
刘伟
宁仁德
方闰
郑瀚林
陶训勋
潘良春
LIU Wei;NING Ren-de;FANG Run;ZHENG Han-lin;TAO Xun-xun;PAN Liang-chun(Department of Joint Orthopedics,the First People′s Hospital of Hefei City,Anhui Province,Hefei 230069,China)
出处
《河北医科大学学报》
2023年第12期1408-1412,共5页
Journal of Hebei Medical University
基金
安徽省重点研究与开发计划(202104j07020057)。
关键词
回旋套损伤
关节镜
双滑轮无结缝线桥固定术
rotator cuff injuries
arthroscopy
knowless double-row suture bridge fixation
