Daga Saurabh, Baid Mahak, Sarkar Pushpal, Das Ayon, Hemant Shah Rahul, Dhandapani Karthikeyan
Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR.
Orthopaedics and Traumatology, Aneurin Bevan University Health Board, Newport, GBR.
Cureus. 2024 Oct 15;16(10):e71546. doi: 10.7759/cureus.71546. eCollection 2024 Oct.
Rotator cuff tears can lead to debilitating shoulder function and impairment. Rotator cuff repair aims to eliminate pain and improve function with increased shoulder strength and range of motion. This study evaluated the differences between all-arthroscopic (AA) and mini-open (MO) repair procedures for rotator cuff tendon tears regarding clinical and functional outcomes.
This was a prospective study conducted at a tertiary care government Hospital in Kolkata, India, between March 2015 and September 2016 which evaluated 25 patients who had undergone all-arthroscopic surgery and 25 patients who underwent mini-open repair (total of 50 patients) for rotator cuff tear with a minimum one-year follow-up. The UCLA score was used to assess the functional outcome of these patients.
The mean age of all patients included in this study was 45.32 years. 86% of patients were male. The two groups had similar demographic characteristics, pre-operative baseline parameters, and intra-op findings. The average UCLA score showed significant improvement from 13.92 pre-operatively to 29.76 at the final follow-up. The patients in the all-arthroscopic surgery group experienced a notable decrease in pain within the first three months compared to the mini-open group. However, at the time of the final follow-up, no significant difference was noted between both groups when comparing the University of California at Los Angeles (UCLA) score, Visual Analogue Scale (VAS) score for pain, and active or passive glenohumeral motion.
The outcomes of all-arthroscopic and mini-open rotator cuff repair surgery are equivocal in terms of both clinical and functional results, with no significant difference in post-operative pain, shoulder joint strength range of motion, or patient satisfaction over the long term.
肩袖撕裂可导致肩部功能严重受损。肩袖修复旨在消除疼痛并通过增强肩部力量和扩大活动范围来改善功能。本研究评估了全关节镜（AA）和小切口开放（MO）修复肩袖肌腱撕裂手术在临床和功能结果方面的差异。
这是一项前瞻性研究，于2015年3月至2016年9月在印度加尔各答的一家三级政府医院进行，评估了25例行全关节镜手术的患者和25例行小切口开放修复术的患者（共50例），这些患者均为肩袖撕裂，且至少随访一年。采用加州大学洛杉矶分校（UCLA）评分来评估这些患者的功能结果。
本研究纳入的所有患者的平均年龄为45.32岁。86%的患者为男性。两组患者的人口统计学特征、术前基线参数和术中发现相似。平均UCLA评分从术前的13.92显著提高到最终随访时的29.76。与小切口开放组相比，全关节镜手术组患者在术后前三个月疼痛明显减轻。然而，在最终随访时，比较加州大学洛杉矶分校（UCLA）评分、疼痛视觉模拟量表（VAS）评分以及主动或被动盂肱关节活动度时，两组之间未发现显著差异。
全关节镜和小切口开放肩袖修复手术在临床和功能结果方面的差异不明确，长期来看，术后疼痛、肩关节力量、活动范围或患者满意度方面均无显著差异。
