The Influence Of Diabetes On Rehabilitation After Rotator Cuff Repair

Objects To detect the effects of diabetes on recovery after rotator cuff injury repair surgery,this study compares the function of shoulder and magnetic resonance imaging(MRI)between diabetes and control groups in before and after surgery,in order to provide references for clinical treatment and post-surgery rehabilitation projects.Methods According to the inclusion and exclusion criteria,we analyze patients with rotator cuff injury treated in our hospital between January 2017 and January 2018,and choose patients with general data no statistical differences,in which 29 patients with diabetes(diabetes group)and 31 without(control group).Both groups undertook arthroscopic repair of rotator cuff injury and postoperative rehabilitation training.Recording and comparing the age and sex between two groups;and four scales to evaluate shoulder function,including VAS,ASES,CMS and UCLASS before surgery,post-surgery thirteen weeks,six months,twelve months;and MRI before surgery,post-surgery six months and twelve months,according to Sugaya classification to evaluate shoulder recovery status between two groups.Comparing variation of scales and MRI classification between post-operation and pre-operation in two groups,respectively;and the variation between two groups in different post-operative time.Applying student's t test to measurement data and chi-square test to enumeration data.Results(1)Diabetes group includes 16 males and 13 females,with an average age 58.34±11.88;control group includes 13 males and 18 females,with an average 59.90±13.15.Age and sex between two groups show no statistical difference(P>0.05).(2)Recovery of shoulders function: compared to pre-surgery,VAS decrease,ASES,CMS and UCLAS increase statistically in both groups after surgery at thirteen weeks,six months and twelve months(P<0.05).The variations between two groups exhibit statistical difference at all the four evaluation scores post-surgery thirteen weeks and six months(P<0.05),but not post-surgery twelve months(P>0.05).(3)MRI classification: compared to pre-surgery,the number of patients of Sugaya III type decrease,II type first increase then decrease,I type increase in both groups.The distribution of three Sugaya types of both groups show significant differences at post-surgery six months(P<0.05),but not at pre-surgery and post-surgery twelve months.Conclusion(1)Rotator cuff repair surgery could significantly improve patients' shoulder function and life quality.(2)Diabetes could delay the recovery after rotator cuff repair surgery,but the rehabilitation after surgery one year exhibit no significant difference.