ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ KHÂU RÁCH CHÓP XOAY QUA NỘI SOI TẠI BỆNH VIỆN ĐA KHOA KHU VỰC THỦ ĐỨC

Abstract

Background: Rotator cuff tears are the most common tendon injuries that have been recognized and treated. Over the past 30 years, arthroscopic surgery for rotator cuff tears has become the gold standard, providing higher treatment efficiency than open surgery. At Thu Duc Regional General Hospital, arthroscopic shoulder surgery was first performed in 2013, in which arthroscopic surgery for rotator cuff tears is increasingly common. Objective: To evaluate the functional results after rotator cuff arthroscopic repair at Thu Duc Regional General Hospital. Materials and methods: Prospective and cross-sectional study on 168 patients treated with arthroscopic full-thickness rotator cuff tendon repair surgery at Thu Duc Regional General Hospital from January 2020 to December 2023. Functional outcomes were assessed using the UCLA scoring system, Sugaya classification. Results: The study included 168 patients, including 89 men and 79 women, with an average age of 57.74 ± 9.7 years. The average preoperative UCLA score was 12.43 ± 2.53, and 32.17 ± 1.98, with a statistically significant improvement in the UCLA score with p=0.0001. 22/168 patients (13.1%) underwent 1.5 Tesla MRI after surgery. Assessment of tendon healing according to Sugaya classification The tendon healing rate in the study group when randomly MRI was 86.4%, of which the rate of complete tendon healing grade 1 was 54.5, and grade 2 was 31.8. The rate of partial tendon re-tears after surgery was 13.6%. Conclusion: Arthroscopic rotator cuff repair surgery gives good postoperative results, significantly improving clinical symptoms as well as shoulder function of the patient.