ARTROSKOPİK TAMİR ROTATOR KAF YIRTIĞI HASTALARININ TAMAMI İÇİN ALTIN STANDART MIDIR?

Alper Öztürk; Faruk Mehmet Çatma; Aytekin Aydın; Serhan Ünlü; Yenel Gürkan Bilgetekin; Önder Ersan

IS ARTHROSCPIC REPAIR OF ROTATOR CUFF TEARS GOLD STANDART FOR WHOLE PATIENTS?

Year 2016, Volume: 49 Issue: 2, 100 - 106, 01.08.2016

Alper Öztürk Faruk Mehmet Çatma Aytekin Aydın Serhan Ünlü Yenel Gürkan Bilgetekin Önder Ersan

Abstract

OBJECTIVE: We aimed to investigate whether the arthroscopic repair is the first surgical choice or not for whole patients with rotator cuff tears in this study. MATERIAL AND METHODS: We retrospectively evaluated 102 patients who were operated for rotator cuff tears in our clinic. Patients who were operated by arthroscopic or arthroscopy associated mini-open repair were divided in two groups with regard to age as younger than 5th decade or older. Patient’s age, side, duration between beginnings of complaints to surgery, tears types, retraction levels, surgery times, used implant types and counts, comorbid diseases and cost of treatments were achieved from hospital records of patients. All surgical procedures were applied by same surgical team. At last follow-up, range of motion; measured with a goniometre and Constant shoulder scores were recorded for each patient. RESULTS: 39.2% of patients were under age of 50 while 60.8% were above. Mean duration of complaints were 10 months for entire of patients. Mean constant scores of all patients under age of 50 who were operated by arthroscopic or mini open surgery were over 80. For patients over age of 50; mean constant score of patients treated with arhroscopic repair were over 80 while patients treated with mini-open repair were under 65. CONCLUSION: Arthroscopic repair of rotator cuff tears is a gold standart method for patients over 50. No difference remains between arthroscopic or mini-open repair for patients younger than 50

Keywords

Rotator Cuff Tear, Arthroscopic Repair, Mini-Open Repair

References

)Randelli P, Spennacchio P, Ragone V, Arrigoni P, Casella A, Ca- bitza P. Complications associated with arthroscopic rotator cuff repair: a literature review. Musculoskelet Surg. Musculoskelet Surg. 2012; 96: 9-16.
)Youm T, Murray DH, Kubiak EN, Rokito AS, Zuckerman JD. Arthroscopic versus mini-open rotator cuff repair: A compari- son of clinical outcomes and patient satisfaction. J Shoulder El- bow Surg. 2005; 14: 455-9.
)Özbaydar MU, Tonbul M, Yalaman O. Rotator manşetin tam kat yırtıklarında artroskopik tamir sonuçları. Acta Orthop Trau- matol Turc. 2005; 39: 114-120.
)Huang R, Wang S, Wang Y, Qin X, Suna Y. Systematic Review of All-Arthroscopic Versus Mini-Open Repair of Rotator Cuff Tears: A Meta-Analysis Sci Rep. 2016; 6: 22857.
)Cofield RH, Subscapular muscle transposition for repair of ch- ronic rotator cuff tears. Surg Gynecol Obstet. 1982; 154: 667-672.
)Lippe J, Spang JT, Leger RR, Arciero RA, Mazzocca AD, Shea KP.Inter-rater agreement of the Goutallier, Patte, and Warner classification scores using preoperative magnetic resonance ima- ging in patients with rotator cuff tears. Arthroscopy. 2012; 28: 159.
)Oh JH, Kim SH, Kang JY, Oh CH, Gong HS. Effect of age on functional and structural outcome after rotator cuff repair. Am J Sports Med. 2010; 38: 672-8.
)Nihal B, Ali K, Semih A, Nuray A. Artroskopik yardımlı mi- ni-açık yöntem ile rotator manşet tamiri yapılan hastalarda gözetimli fizyoterapi programı ile ev egzersiz programının so- nuçlarının karşılaştırılması. Eklem Hastalık Cerrahisi. 2011; 22: 139.
)Dewan AK, Petre BM, Wilchkens JH, Zikria BA. Factors Affe- cting Perceptions of Open, Mini-Open and Arthroscopic Rota- tor Cuff Repair Techniques Among Medical Professionals. Am J Orthop. 2015; 44: 317-25.
)Kang L, Henn RF, Tashjian RZ, Green A. Early outcome of arthroscopic rotator cuff repair: a matched comparison with mi- niopen rotator cuff repair. Arthroscopy. 2007; 23: 573–582.
)Warner JJ, Tétreault P, Lehtinen J, Zurakowski D. Arthrosco- pic versus mini-open rotator cuff repair: a cohort comparison study. Arthroscopy. 2005; 21: 328-332.
)Severud EL, Ruotolo C, Abbott DD, Nottage WM. All-arth- roscopic versus mini-open rotator cuff repair: A long-term ret- rospective outcome comparison. Arthroscopy. 2003; 19: 234-8.
)Churchill RS, Ghorai JK. Total cost and operating room time comparison of rotator cuff repair techniques at low, intermedia- te, and high volume centers: Mini-open versus all-arthroscopic. J Shoulder Elbow Surg. 2010; 19: 716-721.
)Leonardo O, Rocco P, Massimo P, Enzo D, Nicola M. Arth- roscopic vs mini-open rotator cuff repair. A quality of life impair- ment study. Int Orthop. 2010; 34: 389–394.
)Cho CH, Song KS, Jung GH, Lee YK, Shin HK. Early posto- perative outcomes between arthroscopic and mini-open repair for rotator cuff tears. Orthopedics. 2012; 35: 1347-52.
)Chung SW, Huong CB, Kim SH, Oh JH. Shoulder stiffness after rotator cuff repair: risk factors and influence on outcome. Arthroscopy. 2013; 29: 290-300.
)Abtahi AM, Granger EK, Tashjian RZ. Factors affecting hea- ling after arthroscopic rotator cuff repair. World J Orthop. 2015; ; 6: 211-20.
)Shinoda T, Shibata Y, Izaki T, Shitama T. A comparative study of surgical invasion in arthroscopic and open rotator cuff repair. J Shoulder Elbow Surg. 2009; 18: 596-599.
)Van Der Zwaal P, Thomassen BJ, Nieuwenhuijse MJ, Linden- burg R, Swen JW, Van Arkel ER. Clinical outcome in all-arth- roscopic versus mini-open rotator cuff repair in small to medi- um-sized tears: a randomized controlled trial in 100 patients with year follow-up. Arthroscopy. 2013; 29: 266-73.
)Doppelt JD, Neviaser RJ. Mini-open rotator cuff repair does not result in intractable stiffness. Am J Orthop. 2011; 40: 253-6.
)Matsen FA, Arntz CT, Lppitt SB. Rotator Cuff In: Rockwood CA, Matsen FA: The Shoulder. Phedelphia, WB Saunders. 1998: 839
)Mormino MA, Gross RM, McCarthy JA. Captured shoulder: a complication of rotator cuff surgery. Arthroscopy. 1996; 12: –461.
)Haldun O, Volkan G, Muhsin D, Emre O, Burak Ş. Subakro- miyal sıkışma sendromu ile birlikte rotator manşet yırtığının, kıs- mi akromiyoplasti ile sınırlı açık rotator manşet tamiri sonuçları. Eklem Hastalık Cerrahisi. 2010; 21: 73-79.
)Campbell PT, Nizlan NM, Skirving AP. Arthroscopic excision of os acromiale: effects on deltoid function and strength. Ortho- pedics. 2012; 35: 1601-5

ARTROSKOPİK TAMİR ROTATOR KAF YIRTIĞI HASTALARININ TAMAMI İÇİN ALTIN STANDART MIDIR?

Year 2016, Volume: 49 Issue: 2, 100 - 106, 01.08.2016

Alper Öztürk Faruk Mehmet Çatma Aytekin Aydın Serhan Ünlü Yenel Gürkan Bilgetekin Önder Ersan

Abstract

AMAÇ: Bu çalışmada amacımız rotator manşet yırtığı olan hastaların tamamında, ilk cerrahi tercihin artroskopik tamir olup olmadığını araştırmaktır.GEREÇ VE YÖNTEMLER: Kliniğimizde tam kat rotator manşet yırtığı nedeniyle ameliyat edilmiş 102 hasta, geriye dönük değerlendirildi. Artroskopik ya da artroskopi destekli mini açık tamirle tedavi edilen hastalar yaşlarına göre 5. dekat öncesi ve 5. dekat sonrası olarak iki gruba ayrıldı. Hastaların dosyalarından cerrahi sırasındaki yaşı, tarafları, ilk şikâyetten cerrahiye kadar geçen süreleri, yırtık tipleri, retraksiyon miktarları, ameliyat süreleri, kullanılan implant çeşidi ve sayıları, eşlik eden hastalıkları ve hastane maliyetleri kayıt edildi. Cerrahi tedaviler aynı ekip tarafından uygulanmıştır. Hastaların son kontrollerinde eklem hareket açıklığı goniometre ile ölçüldü, fonksiyonel değerlendirme Constant omuz skorlaması ile yapıldı.BULGULAR: Hastaların %39.2'si 50 yaş altındayken, %60.8'i 50 yaş üzerindeydi. Tüm hastaların şikâyet süresi ortalaması 10 ay olarak bulundu. Artroskopik ya da mini açık tamir yöntemiyle tedavi edilen 50 yaşından küçük tüm hastaların ortalama Constant skoru 80'in üzerindeydi. Bununla birlikte 50 yaşından büyük olup; artroskopik yöntemle tedavi edilen hastaların ortalama Constant skoru 80'den büyük iken, mini açık yöntemle tedavi edilenlerin hastaların ortalama Constant skoru 65'in altında bulundu.SONUÇ: Rotator manşet yırtığının artroskopik onarımı 50 yaşından büyük hastalarda altın standarttır. 50 yaşından küçük hastalarda ise artroskopik ve mini açık tamir sonuçları arasında fark yoktur

Keywords

Rotator manşet, Artroskopik cerrahi, Mini Açık Tamir

References

)Randelli P, Spennacchio P, Ragone V, Arrigoni P, Casella A, Ca- bitza P. Complications associated with arthroscopic rotator cuff repair: a literature review. Musculoskelet Surg. Musculoskelet Surg. 2012; 96: 9-16.
)Youm T, Murray DH, Kubiak EN, Rokito AS, Zuckerman JD. Arthroscopic versus mini-open rotator cuff repair: A compari- son of clinical outcomes and patient satisfaction. J Shoulder El- bow Surg. 2005; 14: 455-9.
)Özbaydar MU, Tonbul M, Yalaman O. Rotator manşetin tam kat yırtıklarında artroskopik tamir sonuçları. Acta Orthop Trau- matol Turc. 2005; 39: 114-120.
)Huang R, Wang S, Wang Y, Qin X, Suna Y. Systematic Review of All-Arthroscopic Versus Mini-Open Repair of Rotator Cuff Tears: A Meta-Analysis Sci Rep. 2016; 6: 22857.
)Cofield RH, Subscapular muscle transposition for repair of ch- ronic rotator cuff tears. Surg Gynecol Obstet. 1982; 154: 667-672.
)Lippe J, Spang JT, Leger RR, Arciero RA, Mazzocca AD, Shea KP.Inter-rater agreement of the Goutallier, Patte, and Warner classification scores using preoperative magnetic resonance ima- ging in patients with rotator cuff tears. Arthroscopy. 2012; 28: 159.
)Oh JH, Kim SH, Kang JY, Oh CH, Gong HS. Effect of age on functional and structural outcome after rotator cuff repair. Am J Sports Med. 2010; 38: 672-8.
)Nihal B, Ali K, Semih A, Nuray A. Artroskopik yardımlı mi- ni-açık yöntem ile rotator manşet tamiri yapılan hastalarda gözetimli fizyoterapi programı ile ev egzersiz programının so- nuçlarının karşılaştırılması. Eklem Hastalık Cerrahisi. 2011; 22: 139.
)Dewan AK, Petre BM, Wilchkens JH, Zikria BA. Factors Affe- cting Perceptions of Open, Mini-Open and Arthroscopic Rota- tor Cuff Repair Techniques Among Medical Professionals. Am J Orthop. 2015; 44: 317-25.
)Kang L, Henn RF, Tashjian RZ, Green A. Early outcome of arthroscopic rotator cuff repair: a matched comparison with mi- niopen rotator cuff repair. Arthroscopy. 2007; 23: 573–582.
)Warner JJ, Tétreault P, Lehtinen J, Zurakowski D. Arthrosco- pic versus mini-open rotator cuff repair: a cohort comparison study. Arthroscopy. 2005; 21: 328-332.
)Severud EL, Ruotolo C, Abbott DD, Nottage WM. All-arth- roscopic versus mini-open rotator cuff repair: A long-term ret- rospective outcome comparison. Arthroscopy. 2003; 19: 234-8.
)Churchill RS, Ghorai JK. Total cost and operating room time comparison of rotator cuff repair techniques at low, intermedia- te, and high volume centers: Mini-open versus all-arthroscopic. J Shoulder Elbow Surg. 2010; 19: 716-721.
)Leonardo O, Rocco P, Massimo P, Enzo D, Nicola M. Arth- roscopic vs mini-open rotator cuff repair. A quality of life impair- ment study. Int Orthop. 2010; 34: 389–394.
)Cho CH, Song KS, Jung GH, Lee YK, Shin HK. Early posto- perative outcomes between arthroscopic and mini-open repair for rotator cuff tears. Orthopedics. 2012; 35: 1347-52.
)Chung SW, Huong CB, Kim SH, Oh JH. Shoulder stiffness after rotator cuff repair: risk factors and influence on outcome. Arthroscopy. 2013; 29: 290-300.
)Abtahi AM, Granger EK, Tashjian RZ. Factors affecting hea- ling after arthroscopic rotator cuff repair. World J Orthop. 2015; ; 6: 211-20.
)Shinoda T, Shibata Y, Izaki T, Shitama T. A comparative study of surgical invasion in arthroscopic and open rotator cuff repair. J Shoulder Elbow Surg. 2009; 18: 596-599.
)Van Der Zwaal P, Thomassen BJ, Nieuwenhuijse MJ, Linden- burg R, Swen JW, Van Arkel ER. Clinical outcome in all-arth- roscopic versus mini-open rotator cuff repair in small to medi- um-sized tears: a randomized controlled trial in 100 patients with year follow-up. Arthroscopy. 2013; 29: 266-73.
)Doppelt JD, Neviaser RJ. Mini-open rotator cuff repair does not result in intractable stiffness. Am J Orthop. 2011; 40: 253-6.
)Matsen FA, Arntz CT, Lppitt SB. Rotator Cuff In: Rockwood CA, Matsen FA: The Shoulder. Phedelphia, WB Saunders. 1998: 839
)Mormino MA, Gross RM, McCarthy JA. Captured shoulder: a complication of rotator cuff surgery. Arthroscopy. 1996; 12: –461.
)Haldun O, Volkan G, Muhsin D, Emre O, Burak Ş. Subakro- miyal sıkışma sendromu ile birlikte rotator manşet yırtığının, kıs- mi akromiyoplasti ile sınırlı açık rotator manşet tamiri sonuçları. Eklem Hastalık Cerrahisi. 2010; 21: 73-79.
)Campbell PT, Nizlan NM, Skirving AP. Arthroscopic excision of os acromiale: effects on deltoid function and strength. Ortho- pedics. 2012; 35: 1601-5

There are 24 citations in total.

Details

Primary Language	Turkish
Journal Section	Original Research Article
Authors	Alper Öztürk This is me Faruk Mehmet Çatma This is me Aytekin Aydın This is me Serhan Ünlü This is me Yenel Gürkan Bilgetekin This is me Önder Ersan This is me
Publication Date	August 1, 2016
Published in Issue	Year 2016 Volume: 49 Issue: 2

Cite

AMA	Öztürk A, Çatma FM, Aydın A, Ünlü S, Bilgetekin YG, Ersan Ö. ARTROSKOPİK TAMİR ROTATOR KAF YIRTIĞI HASTALARININ TAMAMI İÇİN ALTIN STANDART MIDIR?. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. August 2016;49(2):100-106.

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