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Surgical Research and New Technique

Surgical Research and New Technique ›› 2025, Vol. 14 ›› Issue (2): 122-125.doi: 10.3969/j.issn.2095-378X.2025.02.005

• Original article • Previous Articles     Next Articles

Comparative analysis of different fixation methods for rotator cuff injury combined with rupture of long head biceps tendon under arthroscopy

WANG Fuchao1, ZHAO Yanqing1, ZHANG Yan2, XIA Detao3, ZHU Jun1, XIA Hai1, SUN Yinghua1   

  1. 1. Department of Orthopedics for Joint Trauma, Yidu Central Hospital Affiliated to Shandong Second Medical University, Weifang 262500, Shandong, China;
    2. Department of Orthopedics, Qingzhou People's Hospital of Shandong Province, Weifang 262500, Shandong, China;
    3. Department of Surgery, Shandong Second Medical University, Weifang 261000, Shandong, China
  • Received:2025-01-03 Online:2025-06-28 Published:2025-07-07

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Abstract: Objective To compare the effects of compression screw fixation versus wire-anchored strapping fixation on rotator cuff injury combined with rupture of long head biceps tendon （LHBT） under arthroscopy. Methods In this study, 75 patients with rotator cuff injury complicated with LHBT rupture who received compression screw fixation from November 2021 to November 2023 were selected as the screw group, and another 75 patients with rotator cuff injury complicated with LHBT rupture who received wire anchor binding and fixation at the same time period were selected as the anchor group. The clinical data of the two groups were retrospectively analyzed. Results There were no significant differences in visual analog scale （VAS） scores, University of California at Los Angeles Shoulder Rating Scale （UCLA） scores, American Shoulder and Elbow Surgeon’s Form （ASES） scores, and shoulder joint motion between the two groups before surgery （P>0.05）. The VAS, UCLA, and ASES scores and shoulder joint motion between the two groups at all time points （3, 6, and 12 months） were significantly higher than those before surgery （P<0.05）. The VAS scores of the screw group at 3 months and 6 months after surgery were significantly lower than those of the anchor group （P<0.05）, and there was no significant difference in VAS score between the two groups at 12 months after surgery （P>0.05）. There were no significant differences in UCLA and ASES scores and shoulder joint motion between the two groups at each time point after surgery （P>0.05）. The complication rate of the screw group was significantly higher than that of the anchor group （P<0.05）, and there was no significant difference in reoperation rate between the two groups （P>0.05）. Conclusion Both fixation methods have good therapeutic effects. Compression screw fixation can better control the early postoperative pain of patients, and wire anchor binding and fixation can effectively reduce the occurrence of postoperative complications, so the clinical selection should be based on the specific situation.

Key words: Rotator cuff injury, Rupture of long head biceps tendon, Arthroscopy, Compression screw fixation, Wire anchor binding and fixation

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