Can Successful Outcomes be Achieved using the Single-Row Rather Than the Double-Row Technique for Repair of a Rotator Cuff Tear?

Yıl 2019, Cilt: 9 Sayı: 1, 68 - 73, 20.03.2019

Hakkı Çağdaş Basat Mehmet Armangil Yener Yoğun

https://doi.org/10.31832/smj.485092

Öz

Aim:To compare the outcomes of patients grouped according to the intraoperative size of the anteroposterior tear treated using double- or single-row repair techniques. 

Material and methods:We examined the outcomes of 112 patients who met our inclusion/exclusion criteria by using the preoperative and postoperative Constant scores. We divided the patients treated using single- or double-row techniques into 4 groups based on the intraoperative size of the anteroposterior tear, including both the supraspinatus and infraspinatus tears. Further, we divided the patients in these 4 groups into two additional subgroups treated using single- and double-row techniques. 

Results:The single-row group included 64 patients and the double-row group included 48 patients. The mean follow-up time for the single- and double-row groups was 35.6 and 33.5 months, respectively. We observed a significant improvement in the outcomes of patients in the single- and double-row groups; the preoperative and postoperative Constant scores of patients in the single-row groups were 36 and 81.2, respectively (p = 0.00001). The preoperative and postoperative Constant scores of patients in the double-row groups were 31.6 and 74.3, respectively (p = 0.00001). Patients with an intraoperative tear size of 1-3 cm treated using the single-row technique showed better outcomes than those treated using the double-row technique (postoperative Constant scores 81.2 and 71.86, respectively, p = 0.00585). 

Conclusion:Thus, the single-row repair technique was used successfully in patients with supraspinatus and infraspinatus tears ranging from 1-3 cm.

Anahtar Kelimeler

constant score, double row, single row, size of the anteroposterior tear, rotator cuff tear, rotator cuff repair

Rotator Manşet Yırtığı Onarımı İçin Çift Sıra Tamir Tekniği Yerine Tek Sıra Tamir Tekniği Kullanılarak Başarılı Sonuçlar Elde Edilebilir Mi?

Öz

Amaç:Cerrahi sırasındaki rotator manşetteki anteroposterior yırtık ölçüsüne göre oluşturulan gruplardaki tek sıra ya da çift sıra tamir yöntemi ile opere edilen hastaların klinik sonuçlarını karşılaştırmak. 

Gereç ve yöntemler:Dâhil etme ve etmeme kriterlerine uyan 112 hastanın cerrahi öncesi ve sonrası sonuçları Constant Skoru kullanılarak değerlendirildi. Hem supraspinatus hem de infraspinatus yırtığına aynı anda sahip olan, tek sıra ya da çift sıra tamir yöntemi ile opere edilen hastalar, cerrahi sırasında saptanan anteroposterior yırtık ölçüsüne göre 4 gruba ayrıldı. Ayrıca bu 4 grup, çift sıra ve tek sıra olmak üzere 2 subgruba daha ayrıldı. 

Bulgular: Hastaların 64’ü tek sıra, 48’i çift sıra grubu içindedir. Ortalama takip süresi tek sıra grubu ve çift sıra grubu için sırası ile 35,6 ve 33,5 aydır. Hem tek sıra hem de çift sıra grubundaki hastaların sonuçlarında istatistiksel olarak anlamlı ilerleme saptandı; tek sıra grubunda cerrahi öncesi ve sonrasındaki Constant skorları sırası ile 36 ve 81,2 olarak saptandı (p=0.00001). Çift sıra grubunda cerrahi öncesi ve sonrasındaki Constant skorları sırası ile 31,6 ve 74,3 olarak saptandı (p=0,00001). Cerrahi sırasında yırtık ölçüleri 1cm ile 3cm arasındaki grupta yer alan hastalardan, tek sıra tekniği ile tedavi edilen hastaların sonuçlarının, çift sıra tekniği ile tedavi edilenlere göre daha iyi olduğu saptandı. (Cerrahi sonrasında Constant skorları sırası ile 81,2 ve 71,86 olarak saptandı, p=0,00585).

Sonuç:Cerrahi öncesi AP yırtık ölçüleri 1cm ile 3cm arasında hem supraspinatus hem de infraspinatus yırtığının ikisine de sahip olan hastalarda, tek sıra tamir uygulaması başarılı bir şekilde uygulanmıştır.

Anahtar Kelimeler

constant skoru, tek sıra, çift sıra, anteroposterior yırtık ölçüsü, rotator manşet yırtığı, rotator manşet tamiri

Kaynakça

• References
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