中国骨伤2024，Vol.37Issue(9)：921-924,4.DOI:10.12200/j.issn.1003-0034.20230131
应用改良Chinese-way技术治疗巨大肩袖撕裂
Treatment of massive rotator cuff tears with modified Chinese-way technique
摘要
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.关键词
巨大肩袖撕裂/肱二头肌长头腱/肩关节镜Key words
Massive rotator cuff tears/Long head of biceps tendon/Shoulder arthroscopy分类
医药卫生引用本文复制引用
明文义,吴旭东,戴海东,李哲明,陈林,林红明,赵嘉懿..应用改良Chinese-way技术治疗巨大肩袖撕裂[J].中国骨伤,2024,37(9):921-924,4.基金项目
浙江省医药卫生科技计划(编号:2021KY1172)Medical and Health Technology Program of Zhejiang Province(No.2021KY1172) （编号:2021KY1172）
