TITLE:
Observation on the Efficacy of One-Knot-Two-Wire Suture Bridge Method Technique in Treating Small and Medium-Sized Rotator Cuff Tears
AUTHORS:
Chaoqi Pang, Songlin Liu, Liang Ma
KEYWORDS:
One-Knot-Two-Wire Bridge Method, Rotator Cuff Tear, Shoulder Arthroscopy, Suture Bridge
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.14 No.12,
December
20,
2024
ABSTRACT: Objective: To explore the clinical efficacy of shoulder arthroscopic one-knot-two-wire suture bridge technique in the treatment of small and medium-sized rotator cuff tears. Methods: The clinical data of 22 patients with small and medium-sized rotator cuff injuries treated with the one-knot-two-wire suture bridge technique from February 2022 to June 2023 in the Department of Orthopaedics of Jingzhou Hospital Affiliated to Yangtze University were retrospectively analysed, among which 14 cases were male and 8 cases were female; the age ranged from 35 to 68 years old, with an average of (50.86 ± 10.80) years old. All cases underwent an MRI examination of the shoulder joint to understand the type and degree of injury. The duration of the disease ranged from 120 to 166 d, with a mean of (141.23 ± 13.46) d. The evaluation of the operation time, intraoperative bleeding, visual analogue scale (VAS) of pain, Constant-Murley score and Sugaya grading of shoulder MRI were performed at the last follow-up. Results: All 22 patients were followed up for 12 - 18 months, with a mean of (14.68 ± 1.89 d). The operation time was 38 - 58 min, mean (48.18 ± 5.92) min; intraoperative bleeding was 5 - 15 mL, mean (10.00 ± 3.45) mL. All patients achieved normal healing without re-tear, vascular and nerve injury, incision infection, anchor nail loosening and dislodgement and other complications. At the last follow-up, both shoulders were normal in shape and symmetrical on both sides. The VAS score was 0 - 1.2 points, with an average of 0.61 ± 0.42 points, and the Constant-Murley score was 70 - 98 points, with an average of 86.09 ± 8.56 points. The Sugaya classification of MRI examination was 17 cases of grade I, 4 cases of grade II, and 1 case of grade III. Conclusion： One-knot-two-wire suture bridge technique is used for the treatment of small and medium-sized rotator cuff tears with short operative time, low bleeding, and good clinical outcome.