Arthroscopic rotator cuff repair

Purpose: Clinical and functional arthroscopic repair results of rotator cuff tears which have been diagnosed both radiographically and clinicaly have been evaluated.
Patients And Method: 26 patients treated with arthroscopic rotator cuff tear repair have been studied. Functional scores at the last follow-up were recorded. Mean age was 52.85±8.39 (range 38- 71), Mean follow up time was 36.6±16.6 (range 14-56). 10 patients were (38.5%) male and 16 (61.5%) were female. Preoperatively patients were examined radiologically with X ray and MR and clinically with constant score. Postoperative constant scores were recorded.
Results: 18 (69.2%) of the effected shoulders were on the right side and 8 (30.2%) were on the left side. 3 (13.5%) of the patients went through acromioplasty. 76.9 % of the 26 patients had only supraspinatus tear where as in 23.1% of the patients concomitant infraspinatus tear was detected. Ethiologically three (11.5%) patients had history of shoulder trauma. Preoperative mean constant score was 52.89 (33-64) and postoperative mean constant score was 82±11.7 (56-100). All patients had significant increase in constant scores (p=0.000). Eight (30.7%) patients scored excellent, 10 (38.4%) patients good, seven (26.8%) patients fair and one (3.8%) patient bad.
Conclusion: In selected cases, when the tear is not massive, arthroscopic rotator cuff repair may be the preferred treatment method becouse of its predictable good results and relatively less complication rate. Routine acromioplasty or subacromial decompression are not recommended.

Artroskopik rotator manþet tamiri

Amaç: Klinik muayene ve radyolojik olarak tanýsý konulan rotator manþet yýrtýklarýnýn tam artroskopik tamiri sonuçlarý klinik ve fonksiyonel olarak deðerlendirildi.
Hastalar ve Yöntem: Artroskopik rotator manþet yýrtýk tamiri yapýlan ve kontrolü yapýlarak fonksiyonel skorlarý bakýlan 26 hasta deðerlendirilmeye alýndý. Ortalama yaþ ortalama yaþ 52.85±8.39’du (daðýlým 38-71), ortalama takip süresi 36.6±16.6 (daðýlým 14-56) ay saptanan hastalarýn, 10’u (%38.5) erkek, 16’i (%61.5) kadýndý. Hastalar preop. direkt grafi ve MR ile radyolojik, preop ve postop constant
skoru ile klinik olarak deðerlendirildi.
Bulgular: Etkilenen omuzlarýn 18’i (%69.2) sað, 8’i (%30.2) sol tarafta idi. 3(%13.5) hastaya akromioplasti yapýldý. Çalýþmadaki 26 hastanýn %76.9’unda sadece supraspinatus yýrtýðý mevcutken, %23.1’inde infraspinatus yýrtýðý da eþlik etmekte idi. Bu hastalarýn etyolojisine bakýldýðýnda hastalarýn %11.5’inde (üç hasta) travma hikayesine rastlandý. Hastalarýmýzýn ameliyat öncesi 52.89.1 (33-64) ve ameliyat sonrasý 82.0±11.7 (56-100) constant skorlarý karþýlaþtýrýldýðýnda bütün hastalarýn constant skorlarýnda anlamlý derecede iyileþme gözlendi (p=0.000). Sekiz (%30.7) hasta mükemmel, on (%38.4) hasta iyi, yedi (%26.9) hasta orta, bir (%3.8) hasta kötü olarak deðerlendirildi.
Sonuçlar: Masif olmayan seçilmiþ olgularda yapýlan artroskopik rotator manþet tamiri; sonuçlarýnýn iyi olmasý, komplikasyonlarýnýn az olmasý nedeniyle tercih edilebilir. Beraberinde rutin olarak akromiyoplasti yada subakromiyal dekompresyon önerilmemektedir.