Arthroscopic single row and double row suture bridge repair in the treatment of elderly rotator cuff injuries

doi:10.3877/cma.j.issn.2096-0263.2019.06.007

Abstract

Abstract:

Objective

To explore the clinical effect of double-row and single-row suture bridge repair for rotator cuff injury in elderly patients.

Methods

118 patients with rotator cuff injury were randomly divided into control group (single row anchor fixation under arthroscopy) and observation group (double row suture bridge repair under arthroscopy). The ASES score, Constant-Murley score and CLA score before and after operation were compared between the two groups. The incidence of re-tear after surgery between two groups were compared.

Results

There was no significant difference in the Constant-Murley, UCLA and ASES scores of the four tear degrees before treatment (P>0.05), there was no significant difference in the three scores of mild tear between the two groups after treatment (P>0.05), but there were significant differences in the three scores of large, severe and moderate tear between the two groups (P<0.05). It is better than the control group. The rate of re-tearing in the control group (17 cases) (28.81%) was significantly higher than that in the observation group (6/59) (10.17%) (χ²=6.535, P=0.011).

Conclusion

Both double-row and single-row suture bridges are feasible for rotator cuff injury in the elderly, but double-row suture bridges are widely used and can be used to treat huge, severe and moderate tears.

Key words: Aged, Rotator cuff injury, Suture bridge technique, Shoulder, Arthroscopy

hui Zhang, Wanqiang Zhuang, Yonggang Luo, Hai Lei, Qinghua Wei, Xu Tang, Yi Tang. Arthroscopic single row and double row suture bridge repair in the treatment of elderly rotator cuff injuries[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2019, 05(06): 337-341.

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References 15

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组别	例数	例数		平均年龄（岁，±s）	撕裂部位		撕裂程度
组别	例数	男性	女性	平均年龄（岁，±s）	左肩	右肩	轻度撕裂	中度撕裂	重度撕裂	巨大撕裂
对照组	59	31	28	69±3	25	34	11	26	14	9
观察组	59	32	27	69±3	26	33	12	25	12	10
统计值		χ²=0.034		t=0.480	χ²=0.035		χ²=0.261
P值		0.854		0.632	0.853		0.967

组别	例数	例数		平均年龄（岁，±s）	撕裂部位		撕裂程度
组别	例数	男性	女性	平均年龄（岁，±s）	左肩	右肩	轻度撕裂	中度撕裂	重度撕裂	巨大撕裂
对照组	59	31	28	69±3	25	34	11	26	14	9
观察组	59	32	27	69±3	26	33	12	25	12	10
统计值		χ²=0.034		t=0.480	χ²=0.035		χ²=0.261
P值		0.854		0.632	0.853		0.967

组别		例数	UCLA		ASES		Contant-Murley
组别		例数	术前	术后2个月	术前	术后2个月	术前	术后2个月
轻度撕裂
	对照组	11	28.4±2.8	33.2±1.0*	75.6±3.8	94.7±2.7*	60.5±3.4	93.1±3.6*
	观察组	12	28.2±3.0	33.7±1.0*	76.2±4.1	95.0±2.6*	60.8±3.2	94.2±3.7*
	t值		0.221	1.334	0.296	0.287	0.209	0.732
	P值		0.827	0.197	0.771	0.777	0.836	0.472
中度撕裂
	对照组	26	21.8±2.2	29.8±0.5*	67.3±3.5	81.7±5.9*	57.9±2.9	80.5±5.3*
	观察组	25	21.6±2.3	32.1±0.8*	67.5±3.0	87.9±4.6*	58.1±3.0	88.8±5.4*
	t值		0.202	7.912	0.133	4.168	0.266	5.577
	P值		0.842	<0.01	0.895	<0.01	0.791	<0.01
重度撕裂
	对照组	14	16.4±2.2	26.6±3.1*	62.3±3.4	73.7±4.4*	51.3±3.1	65.3±3.2*
	观察组	12	16.6±2.2	30.3±4.0*	63.2±3.3	80.2±4.2*	51.6±3.2	75.0±3.5*
	t值		0.255	2.464	0.643	3.567	0.193	7.380
	P值		0.802	0.022	0.527	0.002	0.849	<0.01
巨大撕裂
	对照组	9	12.7±1.9	22.1±1.8*	58.8±2.6	70.7±3.3*	47.3±2.8	61.4±3.1*
	观察组	10	12.1±1.2	26.8±2.2*	58.8±2.8	76.0±4.5*	47.2±2.8	70.3±3.2*
	t值		0.921	5.470	0.009	3.202	0.146	6.108
	P值		0.367	<0.01	0.993	0.004	0.885	<0.01

组别		例数	UCLA		ASES		Contant-Murley
组别		例数	术前	术后2个月	术前	术后2个月	术前	术后2个月
轻度撕裂
	对照组	11	28.4±2.8	33.2±1.0*	75.6±3.8	94.7±2.7*	60.5±3.4	93.1±3.6*
	观察组	12	28.2±3.0	33.7±1.0*	76.2±4.1	95.0±2.6*	60.8±3.2	94.2±3.7*
	t值		0.221	1.334	0.296	0.287	0.209	0.732
	P值		0.827	0.197	0.771	0.777	0.836	0.472
中度撕裂
	对照组	26	21.8±2.2	29.8±0.5*	67.3±3.5	81.7±5.9*	57.9±2.9	80.5±5.3*
	观察组	25	21.6±2.3	32.1±0.8*	67.5±3.0	87.9±4.6*	58.1±3.0	88.8±5.4*
	t值		0.202	7.912	0.133	4.168	0.266	5.577
	P值		0.842	<0.01	0.895	<0.01	0.791	<0.01
重度撕裂
	对照组	14	16.4±2.2	26.6±3.1*	62.3±3.4	73.7±4.4*	51.3±3.1	65.3±3.2*
	观察组	12	16.6±2.2	30.3±4.0*	63.2±3.3	80.2±4.2*	51.6±3.2	75.0±3.5*
	t值		0.255	2.464	0.643	3.567	0.193	7.380
	P值		0.802	0.022	0.527	0.002	0.849	<0.01
巨大撕裂
	对照组	9	12.7±1.9	22.1±1.8*	58.8±2.6	70.7±3.3*	47.3±2.8	61.4±3.1*
	观察组	10	12.1±1.2	26.8±2.2*	58.8±2.8	76.0±4.5*	47.2±2.8	70.3±3.2*
	t值		0.921	5.470	0.009	3.202	0.146	6.108
	P值		0.367	<0.01	0.993	0.004	0.885	<0.01

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