Treatment of massive rotator cuff tears with modified Chinese-way technique
10.12200/j.issn.1003-0034.20230131
- VernacularTitle:应用改良Chinese-way技术治疗巨大肩袖撕裂
- Author:
Wen-Yi MING
1
;
Xu-Dong WU
;
Hai-Dong DAI
;
Zhe-Ming LI
;
Lin CHEN
;
Hong-Ming LIN
;
Jia-Yi ZHAO
Author Information
1. 舟山市中医院关节科,浙江 舟山 316000
- Keywords:
Massive rotator cuff tears;
Long head of biceps tendon;
Shoulder arthroscopy
- From:
China Journal of Orthopaedics and Traumatology
2024;37(9):921-924
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical effect of modified Chinese-way technique under shoulder arthroscopy in treating massive rotator cuff tears.Methods From January 2019 to June 2022,22 patients with massive rotator cuff tears who underwent arthroscopic rotator cuff repair with improved Chinese-way technique,including 10 males and 12 females,aged from 46 to 76 years old with an average of(64.14±7.45)years old;the courses of disease ranged from 5 to 14 months with an average of(8.32±2.42)months;19 patients were complete repaired,and 3 patients were partial repaired.Visual analogue scale(VAS)and University of California at Los Angeles(UCLA)scale were used to evaluate pain and function of shoulder joint preopera-tively and 1 year postoperatively.Postoperative complications,the integrity of reconstructed tissue structure and the size of sub-acromial space were observed.Results All patients were followed up from 12 to 34 months with an average of(17.14±5.93)months.Re-tear were occurred in 4 patients during MRI follow-up,but clinical symptoms of patients were improved significant-ly and they were satisfied with the treatment,the others were no complications such as incision infection,peripheral nerve in-jury,loosening and falling off of internal fixation anchors.Preoperative and 1 year after operation VAS were(8.05±1.12)and(1.82±1.50),UCLA scores were(7.45±1.65)and(31.41±2.87)respectively,and the difference was statistically significant(P＜0.05).Conclusion The modified Chinese-way technique under shoulder arthroscopy for the massive rotator cuff tear could relieve pain obviously and recovery postoperative function well,with satisfactory curative effect.
