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Abstract Objective To compare the clinical effects of double-row fixation and single-row fixation in the treatment of rotator cuff tears.Methods From October 2016 to December 2018，76 patients diagnosed with rotator cuff tear were enrolled.36 patients were treated with double row fixation，while 40 patients were treated with single row fixation.There were 12 males and 24 females in the double row group.The mean age was (58.75±7.32)years.There were 23 males and 17 females in the SR group.The mean age was (57.57±7.29)years.The VAS (visual analogue scale)，the UCLA (University of California at Los Angeles) shoulder score，the rating scale of ASES (American shoulder and elbow surgeons) were compared between the two groups.Results All the patients were followed up for 12 to 23 months(18±3).There were no significant differences in gender，age，tear type and time between the two groups(P＞0.05).The VAS scores of the double row groupwas significantly lowerthan the single row group at 3 months after surgery(P＜0.05).There were no significant differences among VAS scores before surgery，6 months and 12 months after surgery(P＞0.05).There were no significant differences in the UCLA shoulder score，and ASES score between the two groups before surgery and 3，6，and 12 months after surgery(P＞0.05).There were no significant differences in postoperative complication rate and satisfaction between the two groups(P＞0.05).Conclusion Arthroscopic double row and single row fixation both can obtain good shoulder function.Compared with single row fixation，the double row fixation is more effective in the early period of postoperational pain relief of rotator cuff tear.
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