Rotator Manşet Yırtığı Tedavisinde Artroskopik Tek ve Çift Sıra (Transosseöz Eşdeğeri) Tamir Tekniklerinin Karşılaştırılması

Öz

Bu çalışmada rotator manşet yırtığı tanısı ile artroskopik tek sıra ve çift sıra (transosseöz eşdeğeri) tamir uygulanan hastalardaki sonuçlar karşılaştırılarak etkinlikleri değerlendirilmiştir. Mayıs 2006 ve Aralık 2011 tarihleri arasında rotator manşet yırtığı tanısı ile artroskopik tek sıra ve transosseöz eşdeğeri çift sıra tamir yapılan 71 hastanın 73 omuzu bu çalışmaya dahil edildi. Çalışmaya alınan hastaların ortalama takip süresi 33,01±17,37 (12-78) ay idi. Hastalar gruplarına göre yaş, cinsiyet, taraf, yırtık oluş sebebi, yırtık boyutu, ameliyat öncesi ve sonrası omuz hareket açıklığı, kas gücü gibi omuz muayenesinde elde edilen objektif ve subjektif bulgular ile VAS, RM-YK, ASES, Constant Murley ve UCLA gibi fonksiyonel omuz skorlarına göre karşılaştırıldı.  Ameliyat sonrası hastaların MR görüntüleri incelendiğinde, Grup 1’ de 23(%79.3) hastada tam kat iyileşme, 6(%20.7) kadar hastada da yeniden yırtık görülmüştür. Grup 2’ de ise 1(%2.3) hastada parsiyel iyileşme, 38(%86.4) hastada tam kat iyileşme, 5(%11.4) hastada da yeniden yırtık olduğu görüldü. Özellikle büyük boyutlu yırtıklarda ve yeniden yırtık oluşma ihtimalini azaltmak için transosseöz eşdeğeri çift sıra tamirin daha etkili olduğu inancındayız.

Anahtar Kelimeler

• Tek sıra tamir,çift sıra tamir,rotator kaf,transosseöz eşdeğeri

Comparison of Transosseous Equivalent Double Row Reapair and Single Row Repair Techniques for the Treatment of Rotator Cuff Tear

Öz

In this study, patients in group 1 with the diagnosis of rotator cuff tear applied arthroscopic single row repair and patients in group 2 with the diagnosis of rotator cuff tear applied arthroscopic double row repair (transosseous equivalent). And then the results of both group were compared, activities of surgical methods were evaluated.          Between May 2006 and December 2011, 73 shoulders of 71 patients that are diagnosed with rotator cuff tear and applied arthroscopic single or double row (transosseous equivalent) repair were included in the study. Mean follow-up of the patients 33.01 ± 17.37 (12-78) months.       The groups were compared accordingto age, sex, part, reason of being tear, tear size, preoperative and postoperative range of motion of shoulder, muscle strength, preoperative and postoperative VAS, RC-QOL, ASES, Constant Murley, UCLA scores.             Postoperative MR images of the patientsexamined. In group 1; 23 (79.3%) patients had improvement in full-thickness, 6 (20.7%) patients were also re-tear. In Group 2; 1 (2.3%) patients had partial improvement, 38 (86.4%) patients had improvement in full-thickness, 5 (11.4%) patientswerealso re-tear. Specially, we believe that the double row repair (transosseous equivalent) is more effective for the large size tears and decrease development of re-tear.

Anahtar Kelimeler

• single row repair,double row repair,rotator cuff,transosseous equivalent

Kaynakça

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