Kronik rotator manşet yırtığı olan hastaların tedavisinde basit çift-sıra rotator manşet tamiri ile "Belt and Suspender’s" tekniğinin karşılaştırılması

Öz

Amaç: Kronik rotator manşet yırtıklarının tedavisi henüz açıklığa kavuşmamıştır. Birçok cerrahi teknik kullanılagelmiştir. Bu çalışmanın amacı farklı iki cerrahi tekniğin fonksiyonel sonuçlarının karşılaştırılmasıdır.

Yöntem: 27 hastanın 13'üne (2 erkek, 11 kadın) Belt and Suspenders tekniği, 14 'üne (4 erkek, 10 kadın) klasik çift-sıra tekniği ile rotator manşet tamiri uygulanmıştır. Klinik değerlendirme American Shoulder and Elbow Surgeons (ASES) skorlama sistemi ve ve Görsel Analog Skala (VAS) kullanılarak yapılmıştır.

Bulgular: Ameliyat sonrası dönem ASES ve VAS skorları arasında, eklem hareket açıklıkları arasında ve komplikasyonlar bakımından anlamlı farklılık görülmedi. Her iki grupta da birer hastada iyileşme de yetersizlik görüldü.

Sonuç: Çalışmamıza göre Belt and Suspender's tekniği en az basit çift sıra rotator manşet tamiri kadar etkili ve güvenilirdir. Ameliyat sonrası erken dönemde iyi fonksiyonel sonuçlar elde edilebilir. 

Anahtar Kelimeler

• Kronik rotator manşet yırtığı,çift-sıra tamir,fonksiyonel sonuç,“Belt and Suspender’s” tekniği

Comparison of Belt and Suspender’s Technique with simple double-row rotator cuff repair in patients with chronic rotator cuff tear

Öz

Aim: Surgical treatment of chronic rotator cuff tears is still unclear. Many surgical techniques have been used in the treatment. The aim of the study is to compare the functional outcomes of two different surgical techniques.

Methods: Of the 27 patients in the study; 13 underwent Belt and Suspender's Technique (2 male, 11 female), 14 underwent simple double row rotator cuff repair technique (4 male, 10 female). Clinical assessment was made according to American Shoulder and Elbow Surgeons (ASES) scoring system and Visual Analog Scale (VAS).

Results: There was no statistically significant difference between postoperative ASES scores, VAS scores, range of motions (ROM) and complications. In both groups, failure of healing was seen in one each patient.

Conclusion: According to this study treatment for chronic rotator cuff tear using a Belt and Suspender's technique is as effective and reliable as simple double row cuff repair technique method with low complication rates and good results can be achieved in clinical outcomes in the early postoperative period.

Anahtar Kelimeler

• Chronic rotator cuff tear,double-row repair,functional outcome,Belt and Suspender's technique

Kaynakça

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