ObjectiveTo analyze the effects of complete arthroscopic debridement of calcified foci surgery on postoperative American shoulder and elbow scoring system(ASES), visual analogue scale(VAS) and Constant-Murley scores in patients with rotator cuff calcific tendinitis of the shoulder.
MethodsThe clinical data of 63 patients with rotator cuff calcific tendinitis of the shoulder were collected.Among them, 31 patients undergoing complete arthroscopic debridement of calcified foci surgery were set as the observation group, and 32 patients undergoing partial arthroscopic debridement of calcified foci surgery were set as the control group.The operation time, hospitalization time, active maximum activity time, passive maximum activity time, and ASES, VAS and Constant-Murley scores before operation and at 1, 2, 6, and 12 months after operation were compared between the two groups.
ResultsThe hospitalization time, active maximum activity time and passive maximum activity time in observation group were significantly longer than those in control group(P < 0.01).There was no significant difference in operation time between the two groups(P>0.05).The ASES scores in the two groups at 1, 2, 6, and 12 months after operation were higher than those before operation(P < 0.05), and the ASES scores in observation group at 1 month and 2 months after operation were significantly lower than those in control group(P < 0.01), but there was no significant difference in ASES scores between the two groups at 6 months and 12 months after operation(P>0.05).The VAS scores in the two groups at 1, 2, 6, and 12 months after operation were lower than those before operation(P < 0.05), and the VAS scores in observation group at 1, 2, and 6 months after operation were significantly higher than those in control group(P < 0.01), but there was no significant difference in VAS scores between the two groups at 12 months after operation(P>0.05).The Constant-Murley scores in the two groups at 1, 2, 6, and 12 months after operation were higher than those before operation(P < 0.05), and the Constant-Murley scores in observation group at 1 month and 2 months after operation were significantly lower than those in control group(P < 0.01), but there was no significant difference in Constant-Murley scores between the two groups at 6 months and 12 months after operation(P>0.05).
ConclusionsThe application of complete arthroscopic debridement of calcified foci surgery in rotator cuff calcific tendinitis of the shoulder has the same effect in the long-term after operation on the improvement of ASES, VAS and Constant-Murley scores with partial arthroscopic debridement of calcified foci surgery, but the short-term effect is weaker than that of partial arthroscopic debridement of calcified foci surgery.The surgery method can be flexibly selected according to the specific conditions of patients in clinic.
DownLoad: