Artroskopik rotator manşet tamiri yapılan hastalarımızın orta dönem fonksiyonel sonuçlarının değerlendirilmesi
Küçük Resim Yok
Tarih
2020
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Kliniğimizde artroskopik rotator manşet tamiri yaparak tedavi ettiğimiz hastaların fonksiyonel ve memnuniyetlik sonuçlarını ortaya çıkarmak ve bunları etkileyen faktörleri ayrıntılı bir şekilde ele almaktır. Materyal ve Metod: Nisan 2012 –Nisan 2019 tarihleri arasında hastanemizde tarafımızca artroskopik manşet tamiri yapılan 57 hasta çalışmamıza dahil edildi. Hastaların fonksiyonel ve klinik değerlendirmeleri preop- postop QDASH, ASES ve VAS skorları ile incelendi. Ayrıca demografik verilerin, oluş şeklinin, yırtık boyutunun, geçen sürenin, cerrahi yöntemlerin, dominant taraflığın, ek hastalık ve patolojilerin skorlar üzerindeki etkileri ayrı ayrı ele alındı. Bulgular: Hastalarımızın 20'si erkek, 37'si kadın olup ortalama yaşları 58,8 (39-71yaş) idi. Hastaların ASES, QDASH ve VAS skorlarındaki preop-postop değişimleri istatistiksel olarak anlamlıydı (p<0.001). Yaş, ek patoloji, DM ve HT, yırtık boyutu ve yağlı dejenerasyon miktarlarının skorlar üzerinde oldukça etkili oldukları görüldü. 1 hastada rerüptür, 1 hastada adeziv kapsülit, 1 hastada ankor başarısızlığı gelişmiştir ve tenotomi yapılan 11 hastamızın hiçbirinde popeye bulgusuna rastlanılmamıştır. 43 hasta(%75.4) memnun, 6 hasta(%10.5) orta derecede memnun olduklarını, 8 hasta(%14) ise yapılan cerrahi işlemden memnun olmadıklarını belirtmişlerdir. Sonuç: Artroskopik yöntemlerle manşet tamiri; eklem içi patolojilere hakim olunabilmesi, deltoid kasının fonksiyonun korunabilmesi, postop ağrının daha az olması, erken rehabilitasyona izin vermesi açısından oldukça güvenilir ve avantajlı bir yöntemdir. Skorlardaki anlamlı iyiye gidiş ve memnuniyet derecelerin yüksek olması, artroskopik rotator manşet tamirinin uygun hastaya, uygun koşullarda, uygun zaman ve tekniklerle uygulanmasıyla mümkündür. Anahtar kelimeler: Rotator manşet, Artroskopik manşet tamiri, manşet yırtığı
Objective: To reveal the functional and satisfaction results of the patients we treated by repairing arthroscopic rotator cuff in our clinic and to consider the factors affecting them in detail. Material and Method: 57 patients who underwent arthroscopic cuff repair in our hospital between April 2012 and April 2019 were included in our study. Functional and clinical evaluations of the patients were evaluated with preop-postop QDASH, ASES and VAS scores. In addition, the effects of demographic data, form of occurrence, rupture size, elapsed time, surgical methods, dominant side, additional diseases and pathologies on scores were discussed separately. Results: Twenty of our patients were male and 37 were female. The average age of the patients was 58.8 (39-71 years). Preop-postop changes in patients' ASES, QDASH and VAS scores were statistically significant (p <0.001). Age, additional pathology, DM and HT, tear size, and fatty degeneration were found to be highly effective on scores. 1 patient developed rupture, 1 patient developed adhesive capsulitis, 1 patient developed anchor failure, and none of our 11 patients who underwent tenotomy showed signs of popeye. 43 patients (75.4%) stated that they were satisfied, 6 patients (10.5%) were moderately satisfied, and 8 patients (14%) stated that they were not satisfied with the surgical procedure. Conclusion: Cuff repair using arthroscopic methods; It is a very reliable and advantageous method in terms of controlling intraarticular pathologies, maintaining the function of the deltoid muscle, less postop pain and allowing early rehabilitation. Significant improvement in scores and high levels of satisfaction are possible by applying arthroscopic rotator cuff repair to the appropriate patient, under appropriate conditions, with appropriate time and techniques. Keywords: Rotator cuff, Arthroscopic cuff repair, cuff tear
Objective: To reveal the functional and satisfaction results of the patients we treated by repairing arthroscopic rotator cuff in our clinic and to consider the factors affecting them in detail. Material and Method: 57 patients who underwent arthroscopic cuff repair in our hospital between April 2012 and April 2019 were included in our study. Functional and clinical evaluations of the patients were evaluated with preop-postop QDASH, ASES and VAS scores. In addition, the effects of demographic data, form of occurrence, rupture size, elapsed time, surgical methods, dominant side, additional diseases and pathologies on scores were discussed separately. Results: Twenty of our patients were male and 37 were female. The average age of the patients was 58.8 (39-71 years). Preop-postop changes in patients' ASES, QDASH and VAS scores were statistically significant (p <0.001). Age, additional pathology, DM and HT, tear size, and fatty degeneration were found to be highly effective on scores. 1 patient developed rupture, 1 patient developed adhesive capsulitis, 1 patient developed anchor failure, and none of our 11 patients who underwent tenotomy showed signs of popeye. 43 patients (75.4%) stated that they were satisfied, 6 patients (10.5%) were moderately satisfied, and 8 patients (14%) stated that they were not satisfied with the surgical procedure. Conclusion: Cuff repair using arthroscopic methods; It is a very reliable and advantageous method in terms of controlling intraarticular pathologies, maintaining the function of the deltoid muscle, less postop pain and allowing early rehabilitation. Significant improvement in scores and high levels of satisfaction are possible by applying arthroscopic rotator cuff repair to the appropriate patient, under appropriate conditions, with appropriate time and techniques. Keywords: Rotator cuff, Arthroscopic cuff repair, cuff tear
Açıklama
Anahtar Kelimeler
Ortopedi ve Travmatoloji, Orthopedics and Traumatology
