Arthroscopic versus mini-open rotator cuff repair: a prospective, randomized study with 24-month follow-up

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• 作者：Zhenxiang Zhang (1)
  Beibei Gu (1)
  Wei Zhu (1)
  Lixian Zhu (1)
  Qingsong Li (1)
  
• 关键词：Rotator cuff tear ; Arthroscopy ; Open surgery ; Prospective ; randomized study
• 刊名：European Journal of Orthopaedic Surgery & Traumatology
• 出版年：2014
• 出版时间：August 2014
• 年：2014
• 卷：24
• 期：6
• 页码：845-850
• 全文大小：177 KB
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• 作者单位：Zhenxiang Zhang (1)
  Beibei Gu (1)
  Wei Zhu (1)
  Lixian Zhu (1)
  Qingsong Li (1)
  
  1. Orthopedic Department, The Affiliated Taizhou People’s Hospital of Nantong University, Taizhou, 225300, Jiangsu, People’s Republic of China
  
• ISSN：1432-1068

文摘

This prospective, randomized study was performed to evaluate the results of mini-open and arthroscopic rotator cuff repair in a comparative case series of patients followed for 24?months. A total of 125 patients were randomized to mini-open (Group I) or arthroscopic (Group II) rotator cuff repair at the time of surgical intervention. The University of California Los Angeles (UCLA) score, the American Shoulder and Elbow Surgeons (ASES) index, and muscle strength were measured to evaluate the clinical results, while magnetic resonance arthrography was used at 24-month follow-up to investigate the postoperative rotator cuff integrity. Fifty-three patients in Group I and 55 patients in Group II were available for evaluation at 24-month follow-up. At 24-month follow-up, the UCLA score, the ASES index, and muscle strength were statistically significantly increased in both groups postoperatively, while no significant difference was detected between the 2 groups. Intact rotator cuffs were investigated in 42 patients in Group I and 35 in Group II, and there was a significant difference in postoperative structural integrity between the two groups (P?