肱二头肌长头腱与冈上肌腱联合固定术治疗巨大肩袖损伤的疗效

doi:10.3969/j.issn.2095-9400.2020.03.010

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Abstract Objective: To investigate the safety and effectiveness of arthroscopic biceps brachial plexus and supraspinatus tendon fixation for the treatment of huge rotator cuff injury. Methods: A retrospective analysis of the massive rotator cuff injury treated with arthroscopic tendon and biceps brachial plexus combined with arthroscopy in our hospital from January 2016 to March 2017, accompanied by severe biceps brachi in 74 patients with wear, including 38 males and 36 females, the average age being (64.3±10.1) years. All patients underwent preoperative and postoperative follow-up of 1 month, 3 months, 6 months, 1 year, 2 years. Shoulder joint examination was performed to record the flexion of the bilateral shoulder joints, the lateral side rotation activity, and the front Flexed muscle strength, body side external rotation muscle strength, and also recorded were Constant-Merly score, pain visual analogue (VAS) score, American Shoulder and Elbow Surgery Association (ASES) score, shoulder joint simple (SST) score, and University of California (UCLA) score. The patients underwent preoperative and last follow-up of anterior flexion, body lateral rotation, anterior flexion and upper extremity muscle strength, and body lateral external rotation force and functional score. Results: At the last follow-up, the degree of flexion and lifting, the degree of lateral rotation, the muscle strength of flexion and lifting, and the muscle strength of lateral rotation were significantly better than those before operation (P<0.05). At the last follow-up, the Constant-Merly score, ASES score, SST score and UCLA score were significantly higher than those before operation (P<0.05). At the last follow-up, VAS score was significantly lower than those before operation (P<0.05). All patients had no complications such as bleeding, infection, adhesion, neuro-vascular damage, internal fixation loosening and re-tearing. Conclusion: It is highly effective and safe for arthroscopic biceps femoris longus sacral tendon combined with supraspinatus tendon fixation in the treatment of massive rotator cuff injury with severe wear of the biceps longhead tendon.

Key words： arthroscopy combined fixation massive rotator cuff injury biceps tendon injury

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	HUANG Donghui
	MEI Zhengfeng
	YE Xin
	LEI Wentao
	ZHANG Miaofeng
	FENG Gang

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https://xb.wmu.edu.cn/EN/10.3969/j.issn.2095-9400.2020.03.010 OR https://xb.wmu.edu.cn/EN/Y2020/V50/I3/217

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