Kronik Lateral Epikondilit Hastalarında Artroskopik Cerrahinin Uyku Kalitesi ve Klinik İyileşme Üzerindeki Etkisinin Araştırılması

Öz

Özet Amaç: Bu çalışmanın amacı kronik persistan lateral epikondilit (ASCPLE) nedeniyle artroskopik cerrahi uygulanan hastalarda ameliyat sonrası uyku kalitesi paternini araştırmak ve uyku kalitesi ile klinik skorlar arasındaki korelasyonu değerlendirmektir. Yöntemler: Bu çalışmaya 2020-2022 yılları arasında dört ortopedi polikliniğinde lateral epikondilit (LE) tedavisi gören, konservatif tedavilerle iyileşme sağlanamayan ve ASCPLE'ye onay veren ardışık hastalar dahil edildi. Bu çalışmada, ASCPLE ameliyatı öncesinde ve sonrasında hasta demografisi, Pittsburgh Uyku Kalitesi İndeksi (PSQI) ve Kol, Omuz ve El Engelliliği (DASH) skoru ve Hasta Tarafından Değerlendirilen Tenisçi Dirseği Değerlendirmesi (PRTEE) skoru gibi hasta tarafından değerlendirilen sonuç ölçümleri (PROM'lar) üç hafta, üç ay ve altı aylık takip değerlendirmeleriyle değerlendirilmiştir. Sonuçlar: Çalışmaya yaşları 32-47 arasında değişen 28 hasta dahil edildi. Postoperatif 3. hafta, 3. ay ve 6. ayda PSQI ve DASH değerlerinde preoperatif değerlere göre istatistiksel olarak anlamlı düşüşler gözlendi (p<0.05). PRTEE skorlamasında ameliyat öncesi döneme göre istatistiksel olarak daha düşük olmakla birlikte ameliyat sonrası dönemde azalma, ameliyat sonrası 6. ayda ise artış görüldü. Bu araştırma, ameliyat öncesi PSQI skorları ile DASH ve PRTEE skorları arasında sırasıyla %71.9 ve %67.3'lük bir korelasyon ile anlamlı bir ilişki olduğunu ortaya koymuştur. Sonuç: ASCPLE, ameliyat sonrası altı aya kadar uyku kalitesini önemli ölçüde iyileştirmekte ve klinik skorları azaltmaktadır, ancak semptomların nüksetmesi ve zaman içinde uyku kalitesinin bozulması riski nedeniyle dikkatli olunması gerekmektedir.

Anahtar Kelimeler

• Dirsek tendinopatisi
• uyku kalitesi
• artroskobik cerrahi

Exploring the Impact of Arthroscopic Surgery on Sleep Quality and Clinical Recovery in Chronic Lateral Epicondylitis Patients

Öz

Abstract Aim: The purpose of the current study was to investigate the postoperative pattern of sleep quality and to evaluate the correlation between sleep quality and clinical scores in patients following arthroscopic surgery for chronic persistent lateral epicondylitis (ASCPLE). Methods: The current study included consecutive patients seeking lateral epicondylitis (LE) treatment at four orthopaedic outpatient clinics between 2020 and 2022 who failed to improve with conservative treatments and consented to ASCPLE. The current study evaluated patient demographics, the Pittsburgh Sleep Quality Index (PSQI), and patient-rated outcomes measures (PROMs) like the Disability of the Arm, Shoulder, and Hand (DASH) score and the Patient-rated Tennis Elbow Evaluation (PRTEE) score before and after ASCPLE surgery, with follow-up assessments at three weeks, three months, and six months. Results: The study involved 28 patients aged 32-47 years. Statistically significant decreases were observed in the PSQI and DASH values at postoperative 3rd week, 3rd month, and 6th month compared to preoperative values (p<0.05). The PRTEE scoring showed a decrease in postoperative period and an increase in postoperative 6th month, albeit statistically lower than preoperative period. The present investigation revealed a significant correlation between preoperative PSQI scores and DASH and PRTEE scores, with a correlation of 71.9% and 67.3%, respectively. Conclusion: ASCPLE significantly improves sleep quality and reduces clinical scores up to six months postoperatively, but caution is needed due to the potential risk of symptom recurrence and deteriorating sleep quality over time.

Anahtar Kelimeler

• Elbow tendinopathy
• sleep quality
• arthroscopic surgery

Destekleyen Kurum

No funding

Etik Beyan

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Fırat University (Approval Date: 27/09/2023, Approval Number: 2023/13-44). Written informed consent was obtained from all participants, thereby ensuring their voluntary participation and authorization for the utilization of their anonymized data in the current study publication.

Kaynakça

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