Trung Dung Tran, Anh Duc Nguyen, Duc Tuan Tran, Trung Van Nguyen, Dinh Thien Chu
Saint Paul General Hospital, Hanoi, Vietnam.
Hanoi Medical University Hospital, Hanoi, Vietnam.
Open Access Maced J Med Sci. 2019 Oct 15;7(24):4199-4203. doi: 10.3889/oamjms.2019.358. eCollection 2019 Dec 30.
Rotator cuff tear (RCT) is a common injury of the shoulder, especially middle-aged people. Nonoperative treatment, cortisone injections are only effective at an early stage. Open surgery causes postoperative atrophy of the deltoid muscle, so results are limited. Arthroscopic rotator cuff repair surgery has been performed in Vietnam for about ten years, with many advantages such as the ability to accurately assess the lesions and less invasive procedure. In order to have a clearer view, we performed a mid-term assessment of the effectiveness of this surgery.
Evaluate results over 2 years of patients with rotator cuff tears treated with arthroscopic surgery and their quality of life.
A group of 30 patients were diagnosed with RCT and surgery by arthroscopy to treat at Hanoi Medical University Hospital and Saint Paul Hospital between Jun 2015 and April 2017. The results of the surgeries were assessed by the degree of pain, muscle power, motion of the shoulder joint according to UCLA shoulder score. Evaluate the quality of life through the Rotator Cuff-Quality of Life (RC-QoL) index.
The average age was 60.7 years. Female / male ratio was 1.3. Thirty-six months ± 6.41 was the average follow-up time (min 27 - max 50 months). The shoulder function is recorded according to UCLA has an average score of 30.9, therein good and excellent result were 90 %. The mean RC-QoL index was 91.5%.
Treatment of RCT by arthroscopic surgery that has been evaluated for a minimum of 2 years follow-up showed good results and high quality of patient's life.
肩袖撕裂(RCT)是一种常见的肩部损伤,多见于中年人。非手术治疗,如注射皮质类固醇仅在早期有效。开放手术会导致术后三角肌萎缩,因此效果有限。关节镜下肩袖修复手术在越南已开展约十年,具有许多优点,如能够准确评估损伤情况且侵入性较小。为了更清楚地了解情况,我们对该手术的效果进行了中期评估。
评估接受关节镜手术治疗的肩袖撕裂患者两年后的治疗效果及其生活质量。
2015年6月至2017年4月期间,在河内医科大学医院和圣保罗医院,一组30例被诊断为RCT的患者接受了关节镜手术治疗。根据加州大学洛杉矶分校(UCLA)肩部评分,通过疼痛程度、肌肉力量、肩关节活动度来评估手术效果。通过肩袖生活质量(RC-QoL)指数评估生活质量。
平均年龄为60.7岁。女性/男性比例为1.3。平均随访时间为36个月±6.41个月(最短27个月 - 最长50个月)。根据UCLA记录的肩部功能平均评分为30.9分,其中良好和优秀的结果占90%。平均RC-QoL指数为91.5%。
对接受关节镜手术治疗的RCT患者进行至少两年的随访评估显示,手术效果良好,患者生活质量较高。