Features of the treatment of full-thickness rotator cuff tendon rupture in military personnel

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The mid-term clinical, functional, and structural results of surgical treatment of servicemen with a full-thickness rupture of the rotator cuff of the shoulder joint were evaluated in 2 groups: in the 1st (n=30), treatment was performed using the single-row suture technique, in the 2nd (n=30) – according to the technique double-row seam with or without the installation of a balloon spacer. The functional results were assessed using the ASES and UCLA scales, and the structural integrity of the reconstructed tendon was assessed on postoperative MRI in 5 categories. The postoperative assessment was performed 12–16 months after surgery. The average UCLA score increased significantly from 17.9 to 31.2 in the 1st group and from 18.3 to 32.3 in the 2nd, according to the ASES scale – from 44.9 to 89.2 in the 1st group. 1st and from 42.5 to 92.1 in the 2nd. Assessment of postoperative MRI by H.Sugaya types revealed type I in 6 patients (20%) in group 1, type II – in 5 (16.7%), III – in 10 (33.3%), IV– in 4 patients (13.3%), V – in 5 patients (16.7%), in the 2nd group – type I – in 11 (36.7%), II – in 8 (26.7%), III – in 8 (26.7%), IV – in 3 (10%), V– was not found. Comparison of the mid-term clinical and functional results did not reveal significant differences between the single-row and double-row suture techniques. Comparison of the structural integrity of the reconstructed tendon showed the undeniable advantages of the double-row suture technique.

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版权所有 © Brizhan L.K., Davydov D.V., Kerimov A.A., Dokolin S.Y., Naida D.A., Perekhodov S.N., Tyulkevich B.V., 2021


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