BACKROUND: Optimal postoperative management is controversial after arthroscopic rotator cuff repair (ARCR). OBJECTIVE: The aim of the study was to evaluate outcomes of patients with and without postoperative sling immobilization after undergoing arthroscopic rotator cuff repair rotator cuff tears (RCT). METHOD: Altogether, 369 arthroscopic full thickness superior RCTs with a minimum follow-up of 6 months were included in this study. Propensity score matching was performed for age, sex, BMI, and tear size. Pain (VAS score), shoulder range of motion (ROM), functional outcome (ASES, Constant-Murley [CM] and Oxford shoulder score [OSS]), and health related quality of life (SF-36) scores were compared between patients with and without sling immobilization. RESULTS: According to the propensity match score, 92 patients (50 sling immobilization and 42 no sling immobilization) were matched to be almost identical in age (62.5 ± 8.0 vs. 61.8 ± 5.9), sex (female 78% vs. 76.2%), BMI (28.1 ± 2.8 vs. 27.8 ± 2.6), and tear size (2.7 ± 1.1 vs. 2.9 ± 0.8). The postoperative physical functioning domain of SF-36 scores was found to be significantly higher in the no sling group (p= 0.034). CONCLUSION: Early mobilization after arthroscopic small and medium sized full thickness superior rotator cuff repair is associated with improved ROM and quality of life scores.

中文翻译：

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术后吊带固定和早期活动对关节镜下肩袖修复术后临床和功能结果的影响：倾向评分匹配分析

背景：关节镜下肩袖修复术 (ARCR) 后的最佳术后管理存在争议。目的：本研究的目的是评估接受关节镜下肩袖修复肩袖撕裂 (RCT) 后有和没有术后吊带固定的患者的结果。方法：本研究共纳入了 369 项关节镜下全层关节镜下至少随访 6 个月的随机对照试验。对年龄、性别、BMI 和泪液大小进行倾向评分匹配。比较患者的疼痛（VAS 评分）、肩关节活动度（ROM）、功能结果（ASES、Constant-Murley [CM] 和 Oxford 肩关节评分 [OSS]）和健康相关生活质量 (SF-36) 评分带和不带吊带固定。结果：根据倾向匹配得分，92 名患者（50 名吊带固定和 42 名无吊带固定）在年龄（62.5 ± 8.0 对 61.8 ± 5.9）、性别（女性 78% 对 76.2%）、BMI（28.1 ± 2.8 对 27.8）方面几乎相同± 2.6) 和撕裂大小（2.7 ± 1.1 对比 2.9 ± 0.8）。SF-36 评分的术后身体机能领域被发现在无吊带组中显着更高 (p= 0.034)。结论：关节镜下小型和中型全厚度上肩袖修复术后早期活动与改善的 ROM 和生活质量评分相关。SF-36 评分的术后身体机能领域被发现在无吊带组中显着更高 (p= 0.034)。结论：关节镜下小型和中型全厚度上肩袖修复术后早期活动与改善的 ROM 和生活质量评分相关。SF-36 评分的术后身体机能领域被发现在无吊带组中显着更高 (p= 0.034)。结论：关节镜下小型和中型全厚度上肩袖修复术后早期活动与改善的 ROM 和生活质量评分相关。