Serhat KARAPINAR, Vedat URUÇ, RAİF ÖZDEN, İBRAHİM GÖKHAN DUMAN, Yunus DOĞRAMACI, AYDINER KALACI

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

Amaç: Tam kat Rotator manşet yırtığı (RMY) tamirinde mini-açık yaklaşımla tek sıra anchor tekniğinin klinik sonuçlarını ve yeniden yırtık oranını değerlendirmeyi amaç- ladık Yöntemler: Tam kat RMY lezyonu tanılı hastalar çalış- maya 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

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

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<0.05). 95% of patients declared that they were satisfied with the treatment. In the control MRI (Magnetic Resonance Imaging) only one re-rupture was detected. Conclusion: the results of this study has shown that in the treatment of full thickness rotator cuff tear, mini open, single row suture anchor technique has good clinical results and re-rupture is seen very rarely.

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