关节镜下改良Mason-Allen法与缝线桥法在肩袖损伤中的应用效果对比

Comparison of Arthroscopic Modified Mason-Allen Technique and Suture Bridge Technique in the Treatment of Rotator Cuff Injury

目的 对比分析关节镜下改良Mason-Allen法与缝线桥法在肩袖损伤中的应用效果。方法 选取2019年5月至2021年5月驻马店市魏道德骨科医院收治的82例肩袖损伤患者作为研究对象,按照不同治疗方法将其分为改良组(41例)和常规组(41例)。改良组患者采用关节镜下改良Mason-Allen法进行肩袖修复,常规组患者采用关节镜下缝线桥法进行肩袖修复,对比观察两组患者患侧肩关节活动度、加利福尼亚大学洛杉矶分校肩关节评分系统(UCLA)评分以及疼痛程度。结果 术后6个月,改良组患者患侧肩关节前屈上举角度与体侧外旋角度均明显大于常规组(t=3.136、3.919,P=0.002、P <0.001),UCLA评分明显高于常规组(t=5.912,P<0.001),视觉模拟评分法(VAS)评分明显低于常规组(t=2.721,P=0.008)。结论 与关节镜下缝线桥法相比,关节镜下改良Mason-Allen法更能明显提高肩袖损伤患者术后肩关节活动度,促进肩关节功能恢复,减轻肩部疼痛。

Objective To compare the effect of arthroscopic modified Mason-Allen technique and suture bridge technique in treating rotator cuff injury.Methods 82 patients with rotator cuff injury admitted into Zhumadian Weidaode Orthopedic Hospital between May 2019 and May 2021 were enrolled as research subjects,and divided into modified group(n=41) and routine group(n=41) based on different treatments they received.Patients in the modified group were treated with modified Mason-Allen technique under arthroscopy,while patients were treated with suture bridge technique under arthroscopy in the routine group.The range of motion of the affected shoulder joint,the University of California at Los Angeles shoulder rating scale(UCLA) score and pain degree of patients were compared between the two groups.Results Six months after operation,the range of motion of anteflexion and raising,and range of motion of external rotation of the affected shoulder joint were obviously larger in the modified group compared with the routine group(t=3.136 and 3.919,P=0.002,P 0.001),the UCLA score was significantly higher(t=5.912,P 0.001) and the visual analogue scale(VAS) score was markedly lower(t=2.721,P=0.008) in the modified group.Conclusion Compared with the suture bridge technique under arthroscopy,the arthroscopic modified Mason-Allen technique is more effective in elevating the range of motion of the affected shoulder joints of patients with rotator cuff injury,promoting the functional recovery of shoulder joint,and alleviating shoulder pain.