ĐÁNH GIÁ KẾT QUẢ PHỤC HỒI CHỨC NĂNG KHỚP VAI SAU PHẪU THUẬT NỘI SOI ĐIỀU TRỊ TỔN THƯƠNG CHÓP XOAY TẠI BỆNH VIỆN VINMEC TIMES CITY

Abstract

Objective: To evaluate shoulder functional
outcomes following arthroscopic repair of rotator cuff
tears at Vinmec Times City International Hospital.
Materials and Methods: This was a prospective,
single-arm interventional clinical study conducted on
60 patients who underwent arthroscopic rotator cuff
repair using the modified Mason- Allen technique and
double-row suturing, combined with an early and
structured rehabilitation program. Patients were
followed up and assessed at 1, 3, and 6 months
postoperatively using the University of California- Los
Angeles (UCLA) Shoulder Score. Results: The mean
age of the study population was 60.4 ± 7.9 years, with
females accounting for 56.7%. At 1 month
postoperatively, the majority of patients showed poor
outcomes according to the UCLA score (91.7%). At 3
months, shoulder function improved markedly, with
80.0% achieving fair results and 18.3% good results.
By 6 months, 95.0% of patients achieved good to
excellent outcomes, with no cases classified as poor (p
< 0.001). No statistically significant differences were
observed between the single-row and double-row repair
techniques (p > 0.05). Patient satisfaction increased
from 43.3% at 1 month to 100% from the third month
onward and remained stable at 6 months (p < 0.001).
Activities of daily living improved substantially, with
71.7% of patients reporting only mild limitations or a
return to normal function at 6 months. Conclusion:
The research findings show that early combined
rehabilitation significantly improves the structure and
function of the shoulder joint and the ability to perform
daily activities in patients. The results also confirm the
crucial role of early rehabilitation in optimizing overall
treatment outcomes after surgery.