To explore the application effect of the notion of fast-track surgery in treating rotator cuff tear under arthroscopy.

Thirty-seven patients with rotator cuff tear admitted by joint surgery department of Xianning Central Hospital, from February 2015 to August 2016 were analyzed retrospectively. All the patients were diagnosed with rotator cuff tear alone before operation and underwent rotator cuff suture repair under arthroscopy. These patients were randomly divided into fast-track surgery (FTS) group and traditional rehabilitation group (TRG): 19 cases in FTS group (10 males and nine females)with an average age of (43±9) years (22-60 years); 18 cases in TRG group(11 males and seven females) with an average age of (42±8) years old (19-63 years). These two groups were compared in terms of Constant score, the rating scale of American Shoulder and Elbow Surgeons (ASES), the University of California at Los Angeles Shoulder Rating Scale (UCLA), patients’ satisfaction and length of stay after operation at one week, one month and three months follow-ups, respectively.

The Constant-Murley score, ASES score, UCLA score and patient’s satisfaction at one week of FTS group were significantly higher than those in the TRG group(t=2.217, t=2.255, t=2.457, t=2.537, P<0. 05), The Constant-Murley score, ASES score, UCLA score and patient’s satisfaction at one month of FTS group were significantly higher than those in the TRG group(t=2.395, t=2.693, t=2.204, t=2.183, P<0.05). length of stay after operation, and total hospitalization expense of FTS were greatly lower than those of TRG (t=2.695, t=2.179, P<0.05). There was no statistically significant difference in the occurrence rate of undesirable incision healing between the two groups (F=0.717, P >0.05). The Constant-Murley score, ASES score, UCLA score and patient’s satisfaction at three months after operation of FTS group were much higher than those of TRG group (t=1.873, t=1.737, t=1.984, t=1.483, P<0.05).

The application of the notion of fast-track surgery in treating rotator cuff tear under arthroscopy can effectively promote patients’ early rehabilitation after operation, improve their shoulder joint scores, reduce their hospital stays and enhance their satisfaction.