Clinical evaluation of arthroscopic rotator cuff repair using improved-press-ift double-row technique for patients of large rotator cuff tear
10.3969/j.issn.1007-1989.2017.02.012
- VernacularTitle:关节镜下改良压配式双排缝合技术治疗肩袖大型撕裂早期疗效分析
- Author:
Jieen PAN
;
Chenglong HUANG
;
Zhenhai CAI
;
Gang CHEN
;
Suiliang GONG
- Keywords:
arthroscopy;
double-row;
rotator cuff tears
- From:
China Journal of Endoscopy
2017;23(2):49-52
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical outcomes of arthroscopic rotator cuff repair using improved-press-ift double-row technique for patients of large rotator cuff tear.Methods From December 2013 to November 2014, 52 patients (20 males, 32 females) with a full-thickness large rotator cuff tear underwent arthroscopic improved-press-ift double-row repair were retrospectively analyzed. The mean age of the patients was 65.6 years (range 51 to 76 years). The visual analog pain scale scores (VAS), the range of motion (ROM), University of California at Los Angeles (UCLA), and American Shoulder and Elbow Surgeons (ASES) were used for clinical and functional evaluations before surgery and at the time of 6 months after arthroscopy.Results The mean duration of follow-up was 10.9 months (range 6 to 17 months). At the time of 6 months after arthroscopy, the mean subjective pain score (VAS) was (1.6 ± 0.9), the mean active forward flexion was (145.6 ± 10.7)°, whereas the mean external rotation at the side was (30.8 ± 8.5)°. The mean UCLA score improved to (32.3 ± 3.5), the mean ASES score improved to (81.8 ± 8.7). There was significant difference postoperatively (P < 0.05). No re-tear occurred.Conclusion The improved-press-ift DR technique is effective in arthroscopic large rotator cuff repairing. Compared with suture-bridge technique, this technique can decrease operation time, costs, and is much easier to process.