ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ KHÂU RÁCH TOÀN PHẦN CHÓP XOAY QUA NỘI SOI BẰNG PHƯƠNG PHÁP KHÂU CHỈ HAI HÀNG BẮC CẦU TẠI BỆNH VIỆN CHẤN THƯƠNG CHỈNH HÌNH

Abstract

Background: The methods of repairing rotator cuff tear are single-row technique, traditional double-row technique, and suture-bridge technique. The focus of the treatment has been transferred from just treating rotator cuff tears to raising the healing rates. As a result, the suture brigde technique maximizes the contact area between the tendon and the tuberosity insertion footprint. Objectives: To evaluate the functional outcomes in patients who underwent arthroscopic rotator cuff repair using the suture-bridge technique in Hospital for Traumatology and Orthopaedics (HTO)       in 2019-2022 followed by an early exercise physiotherapy regime. Materials and methods: A prospective analysis study on 79 patients who had only a supraspinatus tear treated arthroscopically for rotator cuff tears in HTO, Ho Chi Minh City, in 2019-2022.  The functional outcome was assessed by two scoring systems, UCLA, and VAS scores. Post operatively, patients were immobilized for 3 weeks only. They were followed up at 4 weeks, 12 weeks and at 6 months. Results: Our study had 79 patients reporting a good outcome, whereas 10 patients had a fair outcome.  The mean VAS scores improved from 7.57 to 2.97 whereas the UCLA score improved from 12.04 to 32.00. Conclusions: The arthroscopic suture-bridge technique resulted in acceptable patient satisfaction and functional outcome as 94.52% of our patients had a “good” outcome.