Early clinical results of arthroscopic biceps tendon reconstruction in middle-aged patients with superior labrum anterior posterior tear

Abstract

Objective To evaluate operative technique and clinical results of arthroscopic biceps tendon reconstruction for the middle-aged patients with superior labrum anterior posterior(SLAP) tear. Methods From September 2012 to February 2015, 75 patients with shoulder pain were retrospective analyzed in Beijing Chaoyang hospital. Inclusion criteria: age over 40 years, conservative treatment for three months but invalid, the physical and imaging tests met the clinical diagnosis of typeⅡSLAP injury combined with rotator cuff injury. Exclusion criteria: patients with unstable shoulder or had performed the shoulder surgery before, and the patients who were unable to cooperate due to mental problems. The shoulder function was evaluated according to America Shoulder and Elbow Surgeons (ASES) score and University of California at Los Angeles (UCLA) score, the preoperative and postoperative scores were analyzed by the paired t test using SPSS 19.0 software. Results Eventually 66 patients were included with an average age of (56±11) years and with an average follow-up time of (17±8) months. The preoperative ASES score was(62.3±6.6), UCLA score was (12.1±2.3). After the operation, the ASES score was (93.7±4.6)(t=15.46, P<0.05), the UCLA score was (31.3±2.8)(t=22.19, P<0.05). This meant that the arthroscopic biceps tenodesis could improve pain relief. Conclusion The method using the suture anchor combine with Bio-Cork screw to construct biceps tendon is safe, reliable, and can reduce the failure rates, and obtain good clinical effect. Key words: Rotator cuff; Injury; Tenodesis; Shoulder; Arthroscopes