RESULTS OF LAPAROSCOPIC SURGERY IN THE SHOULDER JOINT IN THE TREATMENT OF SLAP LESIONS

Nguyễn Hà Ngọc1, Nguyễn Tiến Bình2, Tống Đức Minh2,
1 Bệnh viện Quân y 175
2 Học viện Quân y

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Abstract

Objective: Evaluating the results of laparoscopic surgery in the shoulder joint in the treatment of SLAP lesions at 175 Military Hospital. Subjects and methods: A study of descriptive-intervention, no control on 55 patients definitely diagnosed SLAP lesions and endoscopic surgery to stitch cartilage at 175 Military Hospital, Ho Chi Minh City from January, 2014 to September, 2018. Results: Amplitude of movement in the injured side shoulder joint, 12 months after surgery, there was a significant improvement in shoulder abduction, outer rotation and inner rotation compared to 6 months after surgery. The average total UCLA score after 6 months of surgery was 27.78 ± 1.61 and after 12 months was 32.13 ± 1.37. After 6 months of surgery, the average VAS score was 1.50 ± 0.50 and after 12 months of surgery the average score was 0.54 ± 0.50. The difference was statistically significant with p<0.001. There were 34 cases that can return to perform sports (physical training) as before surgery, accounting for 62.96%. Complications in surgery: 2/54 patients broken the tunnel of the Glenoid cavity of the scapulawhen the anchor screw was placed. Conclusion: After 12 months, the amplitude of recovery in shoulder movement improved almost completely. Overall UCLA scores improved significantly. VAS scores decreased significantly, almost no pain after 12 months of surgery. The rate of returning to campaigning and performing sports accounted for high percentage.

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References

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