Objective.To investigate the clinical effect of single-row fixation and non-conjunction compression in the treatment of post small and medium rotator cuff injuries under arthroscopy.Methods.Forty-five patients admitte...Objective.To investigate the clinical effect of single-row fixation and non-conjunction compression in the treatment of post small and medium rotator cuff injuries under arthroscopy.Methods.Forty-five patients admitted to our department from June 2018 to May 2019 were enrolled in the study.32 patients in the single-row fixed-group and 13 patients in the non-conjunctival group were randomly assigned.The VAS,ASES,and UCLA scores of the two groups were compared before surgery,one month,three months,and six months after surgery[1].Results.The VAS,ASES,and UCLA scores were significantly higher in those two groups other than the preoperative group.The scores of the two groups were gradually improved from one month,three months,and six months respectively after surgery.At one month,the scores of those two groups were statistically significant(P<0.05),but there was no significant difference between the two groups at three months and six months(P>0.05).Conclusion.Under arthroscopy,the single-row fixation technique and the non-conjunction compression method were used to treat post small and medium rotator cuff injuries.The effect is very significant.In particular,the no-knot sputum method has a significant improvement in restoring postoperative pain,joint activity and joint strength.展开更多
目的 探讨肩关节镜下缝线桥技术治疗巨大肩袖损伤的临床效果。方法 选取我科2018年1月至2020年9月收治的肩袖巨大撕裂病人120例,随机纳入单排缝合组、双排缝合组和缝线桥组,每组40例。比较三组病人治疗前后肩关节疼痛视觉模拟量表(visua...目的 探讨肩关节镜下缝线桥技术治疗巨大肩袖损伤的临床效果。方法 选取我科2018年1月至2020年9月收治的肩袖巨大撕裂病人120例,随机纳入单排缝合组、双排缝合组和缝线桥组,每组40例。比较三组病人治疗前后肩关节疼痛视觉模拟量表(visual analogue scale,VAS)评分、肩关节Constant-Murley功能评分、加州大学洛杉矶分校(University of California at Los Angeles,UCLA)肩关节评分和美国肩肘外科协会(American Shoulder and Elbow Surgeons,ASES)评分及术后并发症发生情况。结果三组病人术后3个月时VAS评分未见明显统计学差异,但是缝线桥组术后6个月及9个月时VAS评分较单排缝合及双排缝合组明显降低,差异具有统计学意义(P<0.05);术后3、6、12、24个月,缝线桥组的Constant-Murley功能评分、UCLA评分和ASES评分均较单排缝合组及双排缝合组明显增高,差异具有统计学意义(P<0.05);缝线桥组病人再撕裂发生率较单排缝合组及双排缝合组明显降低,差异具有统计学意义(P<0.05)。结论 肩关节镜下利用缝线桥技术修复巨大肩袖全层撕裂,能够取得良好的疗效,更有利于腱骨愈合,是一种合理有效的治疗手段。展开更多
文摘Objective.To investigate the clinical effect of single-row fixation and non-conjunction compression in the treatment of post small and medium rotator cuff injuries under arthroscopy.Methods.Forty-five patients admitted to our department from June 2018 to May 2019 were enrolled in the study.32 patients in the single-row fixed-group and 13 patients in the non-conjunctival group were randomly assigned.The VAS,ASES,and UCLA scores of the two groups were compared before surgery,one month,three months,and six months after surgery[1].Results.The VAS,ASES,and UCLA scores were significantly higher in those two groups other than the preoperative group.The scores of the two groups were gradually improved from one month,three months,and six months respectively after surgery.At one month,the scores of those two groups were statistically significant(P<0.05),but there was no significant difference between the two groups at three months and six months(P>0.05).Conclusion.Under arthroscopy,the single-row fixation technique and the non-conjunction compression method were used to treat post small and medium rotator cuff injuries.The effect is very significant.In particular,the no-knot sputum method has a significant improvement in restoring postoperative pain,joint activity and joint strength.
文摘目的 探讨肩关节镜下缝线桥技术治疗巨大肩袖损伤的临床效果。方法 选取我科2018年1月至2020年9月收治的肩袖巨大撕裂病人120例,随机纳入单排缝合组、双排缝合组和缝线桥组,每组40例。比较三组病人治疗前后肩关节疼痛视觉模拟量表(visual analogue scale,VAS)评分、肩关节Constant-Murley功能评分、加州大学洛杉矶分校(University of California at Los Angeles,UCLA)肩关节评分和美国肩肘外科协会(American Shoulder and Elbow Surgeons,ASES)评分及术后并发症发生情况。结果三组病人术后3个月时VAS评分未见明显统计学差异,但是缝线桥组术后6个月及9个月时VAS评分较单排缝合及双排缝合组明显降低,差异具有统计学意义(P<0.05);术后3、6、12、24个月,缝线桥组的Constant-Murley功能评分、UCLA评分和ASES评分均较单排缝合组及双排缝合组明显增高,差异具有统计学意义(P<0.05);缝线桥组病人再撕裂发生率较单排缝合组及双排缝合组明显降低,差异具有统计学意义(P<0.05)。结论 肩关节镜下利用缝线桥技术修复巨大肩袖全层撕裂,能够取得良好的疗效,更有利于腱骨愈合,是一种合理有效的治疗手段。
