| With the improvement of people’s understanding of rotator cuff tears,the diagnostic rate of rotator cuff tear in middle-aged and elderly people with shoulder diseases is getting higher and higher.However,for the treatment of middle and large rotator cuff tears,duing to the complications of high postoperative tear rate,there is still a lack of uniform optimal fixation.Arthroscopic speed-bridge technique belongs to the "knotless" suture bridge technique,and the operation is more convenient,which provides a new method for reducing the re-tearing of the medium and large rotator cuff.Objective:To study the clinical effect of arthroscopic speed-bridge technique and conventional suture-bridge technique for the treatment of middle to large type rotator cuff tears.Methods:A retrospective analysis of 60 patients diagnosed as rotator cuff tears from December 2015 to October 2017.According to the different treatment methods,they are divided into arthroscopic speed-bridge technique(experimental group)and conventional arthroscopic suture bridge technique group(control group).The postoperative UCLA score,ASES score,visual analogue scale(VAS),shoulder constant score,shoulder joint mobility and postoperative rotator cuff retears were compared between the two groups tearing incidence.Result:The 2 groups were comparable with no significant difference in age,gender,tear type,and preoperative function or range of motion of the shoulder joint(P>0.05,Table 1).At 1 year postoperatively,in the experimental group the UCLA score(33.4±1.9)points,ASES score(84.8±1.1)points,VAS score(0.5±0.8)points,Constant score(89.0±7.2)points,flexion(161.6°±13.1°)and external rotation(44.7 ° ± 0.5 °),which were significantly improved than the preoperative UCLA score(9.7 ± 3.2)points,ASES score(47.4 ± 1.9)points,VAS score(6.3 ± 1.4)points,Constant score(32.5 ± 7.7)points,flexion(79.3°±1.6°)and external rotation(19.6°±1.5°),there were no significant difference(P<0.05,Table 2);At 1 year postoperatively,in the control group the UCLA score(33.9±1.3)points,ASES score(84.8±0.8)points,VAS score(0.4±0.7)points,Constant score(90.9±3.3)points,flexion(159.0°±9.4°),external rotation(44.6°±0.5°),which were significantly improved than the preoperative UCLA score(10.4 ± 1.8)points,ASES score(46.9 ± 1.5)points,VAS score(6.9 ± 1.2)points,Constant score(29.7 ± 6.7)points,flexion(79.4 ° ± 1.6 °)and external rotation(19.8°±1.3°),there were no significant difference(P<0.05,Table 2);At 1 year postoperatively,there was no significant difference in the function or range of motion of the shoulder joint between the experimental group and the control group(P>0.05,Table 3);The rate of the postoperative rotator cuff retear in two groups was respectively 0% and 13.7%,the rate of postoperative rotator cuff retear was significantly different(P<0.05,Table 3).Conclusions:compared with the conventional suture bridge,the shoulder-arthroscopy speed-bridge does not improve the shoulder joint function score and improve the mobility of the shoulder joint,but the short-term efficacy is worthy of recognition,the incidence of rotator cuff retear is significantly reduced,and the surgical procedure is easier to learn,but its long-term efficacy needs further observation. |
