Rotator Manşet Onarımında İki Farklı Tekniğin Fonksiyonel ve Klinik Sonuçlarının Karşılaştırmalı Olarak İncelenmesi: Sütür Ankor ve Transosseöz Sharc-FT

Abstract

Amaç: Bu çalışmada, rotator manşet yırtıklarında sütür ankor ve transosseöz sharc-FT fiksasyon seçeneklerinin mini-açık onarımının fonksiyonel ve klinik sonuçlarını karşılaştırmayı amaçladık.

Gereç ve Yöntemler: Ocak 2010 - Temmuz 2016 arasında Düzce Üniversitesi Hastanesi Ortopedi ve Travmatoloji Kliniğinde ve Düzce Devlet Hastanesi Ortopedi ve Travmatoloji Kliniğinde Ocak 2010 - Temmuz 2016 tarihleri arasında 60 hasta ameliyat edildi. 30 hasta sütür ankor (grup 1) ile tamir edilen ve 30 Transosseöz Sharc -FT® (grup 2) ile ameliyat edilen hastalar karşılaştırıldı. Preoperatif ve postoperatif omuz hareket açıklığı, VAS skoru, Constant omuz skoru, Oxford omuz skoru ve Q-DASH omuz skoru grup 1 ve 2 hastada değerlendirildi.

Bulgular: Katılımcıların %62’si erkek, %38'si kadındı. Gruplara göre cinsiyet dağılımı homojendi (P=0,426). Deneklerin yaş ortalaması 57,35 ± 8,69 (41-78) idi. Gruplar arasında yaş ortalaması açısından anlamlı fark yoktu (P=0,232). Post-hoc testine göre, ameliyat sonrası Constant skoru Grup 2'de Grup 1'den anlamlı olarak yüksek bulundu (P<0,001).

Sonuç: Transosseöz Sharc-FT fiksasyon malzemesi ile rotator manşet onarımının, sütür ankor’a göre sıkı stabilite sağladığı ve üstün fonksiyonel, radyolojik ve ağrı skorlarına sahip olduğu sonucuna vardık. Ayrıca, erken rehabilitasyonun Transosseöz Sharc-FT kullanılarak diğer tespit seçeneklerine göre rotator manşet onarımı geçiren hastalar için bir avantaj olduğu sonucuna vardık.

Keywords

• Rotator manşet yırtığı,transosesöz dikiş,tek sıra dikiş

Comparative Study of the Functional and Clinical Outcomes of Two Different Rotator Cuff Repair Techniques: Suture Anchor versus Transosseous Sharc-FT

Abstract

Aim: The aim of the present study was to compare the functional and clinical outcomes of suture anchor and transosseous Sharc-FT fixation options in mini-open repair of rotator cuff tears.

Material and Methods: Between January 2010 and July 2016, 60 patients were operated on in the Orthopedics and Traumatology Clinics of Duzce University Hospital and Duzce State Hospital. Thirty patients in whom repair was performed with suture anchor (Group 1) and 30 patients in whom repair was performed with Transosseous Sharc-FT® (Group 2) were compared. Preoperative and postoperative shoulder ranges of motion, the visual analog scale scores, constant shoulder scores, Oxford shoulder scores, and Q-DASH shoulder scores were evaluated in Group 1 and Group 2 patients.

Results: A total of 62% of the participants were male and 38% were female. Gender distribution was homogeneous in both groups (P=0.426). The mean age of the subjects was 57.35 ± 8.69 (41-78) years. No significant difference was noted between the groups in terms of mean age (P=0.232). On the basis of the post-hoc test results, the postoperative constant score was significantly higher in Group 2 compared with that in Group 1 (P<0.001).

Conclusion: Rotator cuff repair using transosseous Sharc-FT fixation material provides tighter stability compared with suture anchor and has superior functional, radiological, and pain scores. Furthermore, early rehabilitation is another advantage of using Transosseous Sharc-FT in patients who prefer undergoing rotator cuff repair over other fixation options.

Keywords

• Rotator cuff tears,transosseous suture,single-row suture

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