KẾT QUẢ PHẪU THUẬT NỘI SOI ĐIỀU TRỊ HẸP KHOANG DƯỚI MỎM CÙNG VAI CÓ ỨNG DỤNG CÔNG NGHỆ 3D

Abstract

Introduction: Arthroscopic subacromial decompression and acromioplasty are the most common techniques in shoulder arthroscopy. However, there is still a lack of study related to the application of 3D technology in surgery. Objective: To evaluate the outcomes of arthroscopic surgery with the application of 3D technology in patients with subacromial impingement syndrome. Subjects: Patients with subacromial impingement, with or without concomitant rotator cuff tears, diagnosed and operated applying 3D technology at Vinmec Healthcare System from 1/2023 to 7/2025. Results: The preoperative acromial index (AI) is 0.82 ± 0.03, which decreased to 0.58 ± 0.04 postoperatively. The preoperative critical shoulder angle (CSA) is 38.29 ± 0.63°, which decreased to 33.33 ± 1.17° postoperatively. Before surgery, most patients had type II acromion morphology (78.0%), whereas postoperatively, 100% presented with type I acromion morphology. The mean acromiohumeral distance (AHD) in the static position measured on preoperative 3D CT scans is 5,26±0,65mm, increasing to 8,77±1,03 mm postoperatively. All patients achieved good or excellent UCLA scores after surgery, with no patients rated as fair or poor. Conclusion: Postoperative measurements of AI, CSA, AHD, and acromion morphology returned to normal reference ranges. The UCLA score indicated an improvement in patients’ quality of life after surgery. These findings suggest that the application of 3D technology in preoperative planning contributes to achieving favorable surgical outcomes for patients.