Clinical and radiological outcomes of rotator cuff repair by single-row suture-anchor technique with mini-open approach

Yıl 2014, Cilt: 41 Sayı: 2, 347 - 351, 01.06.2014

Serhat Karapınar Vedat Uruc Raif Özden İbrahim Gökhan Duman Yunus Doğramacı Aydıner Kalacı

https://doi.org/10.5798/diclemedj.0921.2014.02.0429

Cited By: 2

Öz

Objective: The aim of this study was to evaluate the clinical results and re-rupture rate of single row suture anchor repair with mini open surgical technique, in the treatment of full thickness rotator cuff tear. Methods: Patients with full thickness rotator cuff tears were included. Single row suture anchor technic with mini-open approach was used for treatment. The mean follow-up period was 9.8 months. The preoperative and postoperative functional and clinical status of patients was evaluated by UCLA (University of California at Los Angeles) and Constant scoring systems. The re-rupture of the rotator cuff was detected by MRI (Magnetic Resonance Imaging) at the last control. Preoperative and postoperative datas were compared to each other. Results: Twenty-three patients, (13 male, 10 female) were included. The mean age was 52 years (range 18 to 68 years). At the pre-operative evaluation, the mean results of UCLA score was 11.7, the Constant scores was 26.83 whereas the postoperative scores were found as 29.91, 82.04, respectively. The increases in these scores at the postoperative period were statistically significant (p

Anahtar Kelimeler

Rotator cuff tear, single row suture anchor, mini-open approach

Rotator manşet yırtığı tamirinde mini açık yaklaşımla tek-sıra sütür-ankor tekniğinin klinik ve radyolojik sonuçları

Öz

Amaç: Tam kat Rotator manşet yırtığı (RMY) tamirinde mini-açık yaklaşımla tek sıra anchor tekniğinin klinik sonuçlarını ve yeniden yırtık oranını değerlendirmeyi amaçladık Yöntemler: Tam kat RMY lezyonu tanılı hastalar çalışmaya dâhil edildi. Mini açık yaklaşımla tek sıra anchor tekniği ile tamir yapıldı. Hastaların ortalama takip süresi 9,8 ay idi Hastaların ameliyat öncesi ve sonrası fonksiyonel ve klinik durumları UCLA (University of California at Los Angeles) ve Constant skorlaması ile değerlendirildi. Hastaların son kontrollerinde yeniden yırtık olup olmadığı MRG (Magnetik rezonans görüntüleme) ile değerlendirildi Bulgular: Yirmi üç hasta (13 erkek, 10 kadın) çalışmaya dahil edildi. Ortalama yaş 52 (18-68 yaş) idi. Ameliyat öncesi ortalama UCLA skoru 11.7, Constant skoru 26.83 olarak bulundu. Ameliyat sonrasında ise sırasıyla 29.91, 82.04 yükseldiği görüldü. Her iki skorlamadaki artış istatistiksel olarak anlamlı idi (p

Anahtar Kelimeler

Rotator Manşet Yırtığı, Tek Sıra sütür-ankor, Mini-açık yaklaşım

Kaynakça

• Bunker T: Rotator cuff diseas. Curr Orthopaedics 2002;16:223-233
• Romeo AA, Hang DW, Bach BR Jr, et al. Repair of full thick- ness rotator cuff tears. Gender, age, and other factors affect- ing outcome. Clin Orthop 1999; 367:243-255.
• Baysal D, Balyk R, Otto D: Functional outcome and health- related quality of life after surgical repairof full-thickness rotator cuff tear using a mini-open technique. Am J Sports Med. 2005;13:46-55.
• Haneveld H, Hug K, Diederichs G, et al. Arthroscopic double-row repair of the rotator cuff: a comparison of bio obsorbable and non-resorbable anchors regarding os- seous reaction. Knee Surg Sports Traumatol Arthrosc. 2013;7:1647-1654.
• Amstutz HC, Sew Hoy AL, Clarke IC: UCLA anatomic total shoulder arthroplasty. Clin Orthop 1981; 155:10–14.
• Constant CR, Murley AHG. A clinical method of func- tional assessment of the shoulder. Clin Orthop Relat Res 1987;10:160-164.
• Adamson GJ, Tibone JE. Ten year assessment of primary rotator cuff repairs. J Shoulder Elbow Surg 1993;2:57-65.
• Bigliani LU, Cordasco F, Mcllveen SJ, et al.Operative repair of massive rotator cuff tears: long term results. J Shoulder Elbow Surg 1992;1:120-130.
• Bell S, Lim YJ, Coghlan J. Long-term longitudinal follow- up of mini-open rotator cuff repair. J Bone Joint Surg Am. 2013;95:151-157.
• Van der Zwaal P, Thomassen BJ, Nieuwenhuijse MJ, et al. Clinical outcome in all-arthroscopic versus mini-open rota- tor cuff repair in small to medium-sized tears: A random- ized controlled trial in 100 patients with 1-year follow-up. Arthroscopy 2013;29:266-273.
• Sheibani-Rad S, Giveans MR, Arnoczky SP, et al. Ar- throscopic single-row versus double-row rotator cuff re- pair: a meta-analysis of the randomized clinical trials. Ar- throscopy 2013;29:343-348.
• Li X, Yu B. Arthroscopic double-row rotator cuff repair: is it the same as single-row repair regarding clinical outcomes? Arthroscopy 2013;29:1464-1465.
• Chen M, Xu W, Dong Q, et al. Outcomes of single-row versus double-row arthroscopic rotator cuff repair: a sys- tematic review and meta-analysis of current evidence. Ar- throscopy 2013;8:1437-1449.
• Gerhardt C1, Hug K, Pauly S, et al. Arthroscopic single- row modified mason-allen repair versus double-row suture bridge reconstruction for supraspinatus tendon tears: a matched-pair analysis. Am J Sports Med. 2012;12:2777- 2785.
• Romeo A, Hang D, Bach B, et al. Repair of full thickness rotator cuff tears. Clin Orthop Related Res 1999;367:243- 255.
• Harryman DT, Mack LA, Wang KY, et al. Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff. J Bone Joint Surg 1991;73:982-989.
• Gazielly DF, Gleyze P, Montagnon C. Functional and ana- tomical results after rotator cuff repair. Clin Orthop Relat Res 1994;304:43-53.
• Knudsen HB, Gelineck J, Sojbjerg JO, et al. Functional and magnetic resonance imaging evaluation after single tendon rotator cuff reconstruction. J Shoulder Elbow Surg 1999;8:242-246.
• Jost B, Pfirrmann CW, Gerber C, et al. Clinical outcome after structural failure of rotator cuff repairs. J Bone Joint Surg 2000;82:304-314.
• Neer CS, Marberry TA. On the disadvantages of radical ac- romionectomy. J Bone Joint Surg 1981;63:41-69.
• Cofield RH. Rotator cuff disease of the shoulder. J Bone joint Surg 1985;67:974-979.