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

Yıl 2020, Cilt: 10 Sayı: 1, 36 - 42, 31.01.2020

Zekeriya Okan Karaduman Mehmet Arıcan Ozan Turhal Yalçın Turhan Kazım Solak Mehmet Orçun Akkurt Şengül Cangür

https://doi.org/10.33631/duzcesbed.664066

Öz

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.

Anahtar Kelimeler

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

Öz

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.

Anahtar Kelimeler

Rotator cuff tears, transosseous suture, single-row suture

Kaynakça

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