Medium and long-term follow-up outcome after arthroscopic repair of type II SLAP lesions with two Loops

Abstract

Objective To determine the medium-long term functional outcome of arthroscopic repair of type II SLAP lesions with two loops. Methods According to retrospective study, 29 cases patients with arthroscopic repairs of isolated type II SLAP lesions were collected from March 2011 to June 2013, the mean patient age at the time of surgery was 31.8 years(range17 to 47 years). All patients with ground anchor suture, and through double loop knot technology to fix SLAP injury.Visual analogue scale(VAS), Kerlan-Jobe Orthopaedic Clinic(KJOC), Roche Shouder function Score(ROWE) were used to determine the function of shoulder joint.The shoulderjoint range of motion before treatment and post treatment were recorded, shoulder joint mobility was recorded, satisfaction survey was done, compared the preoperative and postoperative data to evaluate its clinical effect. Results All patients were available for follow-up of 2.7-5.2 years.Overall, functional outcome was improved from baseline compared with final follow-up for VAS scores((4.3±1.2) points vs.(1.5±0.8) points, t=5.435, P<0.05), KJOC scores((72.1±4.9) points vs.(92.8±5.4) points, t=5.921, P<0.01), and ROWE scores((54.1±12.4) points vs.(84.3±10.2) points, t=7.326, P<0.01). Only a minority of patients feel pain when they did srenuous exercise.According to satisfaction investigation of patients, patient satisfaction was reported in 89.7%, 3 cases had not good results, they could not return to previous level of play, including 2 cases were athletes, 1 case was not athlete. Conclusion There is no more persistent pain and dysfunction after surgery, a good or excellent medium-long term functional outcome can be anticipated after arthroscopic repair of type II SLAP lesions with two loops. Key words: SLAP lesions; Shoulder joint; Arthroscope; Repair