The Clinical Efficacy Of Arthroscope-assisted Small Incision Repair And Total Arthroscopic Repair In The Treatment Of Rotator Cuff Injury Was Compared

Objective: to compare the clinical efficacy of arthroscope-assisted small incision repair and total arthroscopic repair in the treatment of rotator cuff injury.Methods: 53 patients with rotator cuff injuries who were treated between December 2016 and August 2018 were enrolled.Among them,25 cases were treated with arthroscopically-assisted small incision rotator cuff repair(group A),including 15 males and 10 females,with an average age of 53.4(41~70)years.The duration of the disease was 1 week to 2 years,with an average of 4 months.Twenty-eight cases were treated with total arthroscopic rotator cuff repair,including 17 males and 11 females in the total arthroscopic repair group(group B),with an average age of 49.9(43~72)years.The duration of the disease was 3 weeks to 3 years,with an average of 8 months.Patients in the two groups were compared for operation time,hospitalization time,incision length,intraoperative blood loss,and shoulder joint activity before and after treatment,ASES,UCLA and VAS scores.Results: all patients were followed up for more than 6 months.Patients in group A were followed up for the last time after treatment,as follows: patients' ASES score(89.40±3.71),UCLA score(31.96±2.04),and VAS score(0.88±1.81).Group B patients' ASES score(88.46±3.85),UCLA score(32.21±1.73),VAS score(1.25±0.84);VAS,ASES and UCLA scores of patients in the two groups were significantly improved at the last follow-up compared with that before surgery,and no statistically significant difference was found between the two groups(P >0.05).At the last follow-up,the abduction Angle,external rotation Angle and internal rotation Angle of the patients in the two groups were significantly improved compared with those before the surgery,and the differences between the two groups were not statistically significant(P > 0.05).Conclusion: both arthroscope-assisted small incision repair and total arthroscopic repair for rotator cuff injury can achieve satisfactory clinical therapeutic effects,and a reasonable surgical plan should be developed according to the actual comprehensive consideration.