Tam Kat Rotator Manşet Yırtıklarında Artroskopik Yardımlı Onarım: 5 Yıllık Takipte Fonksiyonel ve Radyolojik Sonuçlar

Year 2016, Volume: 43 Issue: 2, 290 - 293, 01.06.2016

Meriç Uğurlar Mesut Mehmet Sönmez Özge Yapıcı Uğurlar Abdulkadir Sarı Osman Tuğrul Eren

Abstract

Amaç: Çalışmamızda geniş ve masif olan tam kat rotator
manşet yırtığı tanısı ile artroskopik yardımlı mini-açık rotator
manşet tamiri yapılan hastaların ameliyattan sonra
ortalama 5 yıllık klinik ve radyolojik sonuçları ve manyetik
rezonans görüntüleme ile tekrarlayan yırtık gelişme oranları
değerlendirildi.
Yöntemler: Kliniğimizde geniş ve masif tam kat rotator
manşet yırtığı tanısı ile konservatif tedaviye yanıt alınamayarak
artroskopik yardımlı mini-açık rotator manşet tamiri
uygulanan 38 hasta ameliyat öncesi ve sonrası klinik
ve radyolojik olarak değerlendirildi.
Bulgular: Hastaların ameliyat sonrası takip süreleri 60.4
aydı. UCLA skorlamasına göre 26 hastada mükemmel,
10 hastada iyi ve 2 hastada ise orta derecede sonuç mevcuttu.
Constant skorlamasına göre 24 hastada mükemmel,
12 hastada iyi ve 2 hastada ise orta derecede sonuç
mevcuttu. 38 hastanın 34’ü sonuçtan memnun olduğunu
belirttiler. Hastaların son takiplerinde çekilen omuz
MRG’lerinde rotator manşet devamlılığı değerlendirildi ve
8 hastada tekrarlayan yırtık olduğu görüldü.
Sonuç: Hastaların yaşına bağlı olarak tekrarlayan yırtık
oranları değişmekle birlikte ileri yaşlı hastalarda orta derece
klinik sonuçlar elde edilmektedir. Buna rağmen tam
kat, geniş ve masif yırtıkların tedavisinde tekrarlayan yırtık
oranlarına rağmen artroskopik yardımlı mini-açık rotator
manşet tamiri ile tatminkar klinik sonuçlar elde edilebilmektedir.

Keywords

Rotator manşet, omuz artroskopisi, artroskopik-yardımlı, mini-açık

Arthroscopic-Assisted Repair in Full-Thickness Rotator Cuff Ruptures: Functional and Radiologic Results of Five-Year Follow-Up

Abstract

Objective: In our study, we evaluated the post-operative 5-year clinical and radiological results and the ratio of re­current ruptures under magnetic resonance imaging of the patients diagnosed as wide and massive, full-thick­ness rotator cuff rupture and arthroscopic-assisted mini-open rotator cuff repair is applied. Methods: We evaluated the pre-operative and post-op­erative clinical and radiological results of 38 patients with wide and massive, full-thickness rotator cuff rupture and arthroscopic-assisted rotator cuff repair is applied after failure of conservative treatment. Results: Mean post-operative follow-up period was 60.4 months. According to UCLA scoring there were excellent results in 26 patients, good results in 10, and moderate results in 2 patients. According to Constant scoring there were excellent results in 24 patients, good results in 12, and moderate results in 2 patients. 34 of the 38 patients indicated that they were satisfied with the results. The continuity of the rotator cuffs are evaluated with magnetic resonance imaging at the last visits of the patients and there was recurrent ruptures at the 8 patients. Conclusion: Although recurrent rotator cuff rupture rates varies depending on the age of the patients, moderate clinical results are obtained in elder patients. Neverthe­less, despite the rupture rates in the treatment of wide and massive, full-thickness ruptures, satisfactory clinical results can be obtained with arthroscopic-assisted mini-open rotator cuff repair.

Keywords

rotator cuff, shoulder arthroscopy, arthroscopic-assisted, mini-open

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