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

Yıl 2018, , 114 - 117, 30.11.2018

İsmail Türkmen

https://doi.org/10.25000/acem.459636

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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