| 1Objective Through retrospective analysis and comparison, analyze clinicalcurative effect and clinical pragmatism in single and double-row treating rotator cuff injuryin its early period provide realistic basis for selecting single-row or double-row for clinicaltreatment on rotator cuff injury.2Methods Collect rotator cuff injury patients with complete clinical data, whorequire surgical treatment in our hospital during June2010to April2012, operatearthroscopic shoulder rotator cuff repair by the same surgeon, fix prosthesis by single-ordouble-row on rotator cuff tears randomly by throwing the coins during the operation. Upto present, We have collected43cases, including21cases of single row treatment,22casesdouble-row treatment. Divide patients into three types according to the max tear distanceof rotator cuff injury respectively: mild tear, moderate tear, and severe tear. Record indetails, and follow up shoulder joint pain, function, motion and muscle strength in the timeof pre-operation,1month after operation,3months after operation, postoperative6months,postoperative1year. Then evaluate according to internationally recognized UCLA andASES(American shoulder and elbow surgeons scoring criteria). To each group of data,adopt SPSS18.0software and T tests of different treatment methods for the same tearclassification in the same period to carry out statistical analysis comparison, markingmeasuring data asX±s. If P <0.05, it is statistically significant, confirming the clinicaleffect of single rivet and double-row rivets treating rotator cuff injury. 3Result Results from ASES score and UCLA score are basically the same,further proving that the research is scientific.3.1Compare according to AESE scoring index, comparing P values of mild patientsapplying single and double row at the same time after surgery are: pre-operation is0.639,postoperative one month is0.797,3months after surgery is0.399,6months after operationis0.565,12months after surgery is1.000.Patients of moderate tears applying the first methods at the same time are:pre-operation is0.682,1month after surgery is0.008,3months after surgery is0.004,6months after surgery is0.045,12months after surgery is0.095. For comparing P of severepatients applying the fist method at the same time are: pre-operation is0.460,1month aftersurgery is0.018,3months after surgery is0.016,6months after surgery is0.000,12months after surgery is0.010.3.2Comparing according to UCLA scoring index; comparing P values of mildpatients applying single and double row at the same time after surgery are: pre-operation is1.000, postoperative one month is0.138,3months after surgery is0.230,6months afteroperation is0.602,12months after surgery is0.599. Comparing P values of moderatepatients applying the second method at the same time are: pre-operation is0.532,1monthafter surgery is0.015,3months after surgery is0.025,6months after surgery is0.504,12months after surgery is0.566. For comparing P values of severe patients applying thesecond method at the same time are: pre-operation is0.584,1month after surgery is0.002,3months after surgery is0.004,6months after surgery is0.012,12months after surgery is0.011.4Conclusions After evaluating shoulder joints of patients With rotator cuffinjury through two different criterias, we find all preoperative P values>0.05. This showsthat shoulder joint function and disease of all patients have no obvious difference beforeoperations.4.1For patients with mild rotator cuff tear, after single-row and double-row treatment,compare the scores based on AESE and UCLA standards at different time respectively, Pvalues>0.05, showing that there is no difference in curative effects of two methods on treating mild patients.4.2For patients with moderate rotator cuff tear, after single-row and double-rowtreatment, compare the scores based on AESE and UCLA standards at different timerespectively, the results are: there is no obvious difference before operation, but thereappears differences in the middle of recovery, the differences disappear in later recovery.This indicates that the1year’s curative effects of two methods on treating mild patients isthe same, only in the middle period, double-row is superior to single-row.4.3For patients with severe rotator cuff tear, after single-row and double-row rivettreatment, there are clear differences in every periods, double-row rivet is much better thansingle-row rivet. |
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