单纯关节镜下铆钉固定与关节镜辅助小切口铆钉固定技术 修复肩袖损伤的疗效比较.

Objective: To compare the clinical effects of simple arthroscopic rivet fixation and arthroscopic assisted small incision rivet fixation in the treatment of rotator cuff injury. Methods: A total of 78 patients with rotator cuff injury admitted to our hospital from February 2018 to February 2021 were selected. The patients were divided into two groups according to the random number method, with 39 cases in each group. The observation group was treated with arthroscopic rivet fixation, and the control group was treated with arthroscopic assisted small incision rivet fixation. The perioperative conditions and Visual Analogue Scale (VAS) pain score of the patients were observed and compared; the shoulder range of motion at 6 and 12 months after operation was recorded. At the same time, the modified University of California Los Angeles Shoulder cores (UCLA) and Constant shoulder score were used for comprehensive evaluation, and the incidence of complications was recorded. Results: The operation time in the observation group was higher than that in the control group(P<0.05); The motion of shoulder abduction and external rotation in the observation group at 12 months after operation were better than those in the control group (P<0.05). The modified UCLA score and Constant shoulder score in the observation group at 12 months after operation were better than those in the control group (P<0.05). There was no significant difference in the rate of rotator cuff reinjury and the incidence of joint adhesion between the two groups (P>0.05). Conclusion: In the long-term curative effect observation of rotator cuff injury, simple arthroscopic rivet repair provides a better therapeutic effect. In order to ensure the long-term curative effect of rotator cuff injury, simple arthroscopic treatment is still a better choice. [ABSTRACT FROM AUTHOR]