Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots
Yıl: 2019 Cilt: 30 Sayı: 3 Sayfa Aralığı: 193 - 200 Metin Dili: İngilizce DOI: 10.5606/ehc.2019.70137 İndeks Tarihi: 20-11-2020
Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots
Öz: Objectives: This study aims to compare the clinical resultsand repair integrity of two of the commonly used transosseousequivalentarthroscopic rotator cuff repair techniques, which arethe knotless and the medial knotted suture bridge, for patients withfull-thickness medium to large-sized rotator cuff tears.Patients and methods: The study included 121 patients (55males, 66 females; mean age 56.7±7.3 years; range, 39 to 72 years)with cuff tears. In total, 64 shoulders were operated on usingthe conventional medial knotted suture bridge technique (groupA) and 57 shoulders were operated on using the knotless suturebridge technique (group B). The Constant score, visual analogscale (VAS) and active forward flexion angle were assessedpreoperatively and after a minimum of 12 months postoperatively.Postoperative rotator cuff integrity was evaluated by magneticresonance imaging (MRI) after a mean of 19±4.7 months.Results: There were no significant differences between the groupsin terms of age, gender, body mass index, and anteroposteriorextension of the tear on the sagittal MRIs. Postoperatively, themean Constant score increased from 32.3±8.5 points to 84±11.6points in group A and from 31.3±9.3 points to 86.4±8.7 points ingroup B (p<0.001), while the mean VAS score decreased from6.0±1.0 to 1.3±1.2 in group A and from 6.4±1.0 to 1.0±0.8 in groupB (p<0.001). According to the control MRIs, the re-tear rate was10.9% (n=7) in group A and 8.8% (n=5) in group B. No statisticallysignificant difference was found in either the clinical scores orre-tear rates between the groups (p>0.05).Conclusion: In comparison to the medial knotted technique, lesstime-consuming and simpler knotless technique provides similarsatisfactory outcomes after a minimum of one year postoperatively.
Anahtar Kelime: Medial düğümlü veya düğümsüz transosseöz eşdeğeri rotator manşet onarımlarının erken klinik sonuçları ve tekrar yırtık oranlarının karşılaştırılması
Öz: Amaç: Bu çalışmada, tam kat orta ile büyük boyutlu rotator manşet yırtığı olan hastalar için yaygın olarak kullanılan iki transosseöz eşdeğeri artroskopik rotator manşet onarımı tekniği olan düğümsüz ve medial düğümlü dikiş köprüsünün klinik sonuçları ve onarım bütünlüğü karşılaştırıldı. Hastalar ve yöntemler: Çalışmaya manşet yırtığı olan 121 hasta (55 erkek, 66 kadın; ort. yaş 56.7±7.3 yıl; dağılım, 39-72 yıl) dahil edildi. Toplamda 64 omuz konvansiyonel medial düğümlü dikiş köprüsü tekniği (grup A) ve 57 omuz düğümsüz dikiş köprüsü tekniği (grup B) kullanılarak ameliyat edildi. Constant skoru, görsel analog ölçeği (GAÖ) ve aktif öne fleksiyon açısı ameliyat öncesinde ve ameliyattan minimum 12 ay sonra değerlendirildi. Ameliyat sonrası rotator manşet bütünlüğü ortalama 19±4.7 ay sonra manyetik rezonans görüntüleme (MRG) ile değerlendirildi. Bulgular: Yaş, cinsiyet, vücut kitle indeksi değeri ve sagital MRG’de yırtığın ön-arka genişliği bakımından gruplar arasında anlamlı farklılık gözlenmedi. Ameliyat sonrası ortalama Constant skoru grup A’da 32.3±8.5 puandan 84±11.6 puana ve grup B’de 31.3±9.3 puandan 86.4±8.7 puana yükselirken (p<0.001) ortalama GAÖ skoru grup A’da 6.0±1.0’dan 1.3±1.2’ye, grup B’de 6.4±1.0’dan 1.0±0.8’e düştü (p<0.001). Kontrol MRG’lere göre, tekrar yırtık oranı grup A’da %10.9 (n=7) ve grup B’de %8.8 (n=5) idi. Gruplar arasında ne klinik skorlarda ne de tekrar yırtık oranlarında istatistiksel olarak anlamlı farklılık bulunmadı (p>0.05). Sonuç: Medial düğümlü tekniğe kıyasla daha az zaman alan ve daha basit olan düğümsüz teknik, ameliyattan en az bir yıl sonra benzer tatmin edici sonuçlar sağlar.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | GURPINAR T, polat b, Tekin S, polat a, carkci e, Öztürkmen Y (2019). Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots. , 193 - 200. 10.5606/ehc.2019.70137 |
| Chicago | GURPINAR Tahsin,polat barış,Tekin Saltuk Buğra,polat ayşe esin,carkci engin,Öztürkmen Yusuf Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots. (2019): 193 - 200. 10.5606/ehc.2019.70137 |
| MLA | GURPINAR Tahsin,polat barış,Tekin Saltuk Buğra,polat ayşe esin,carkci engin,Öztürkmen Yusuf Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots. , 2019, ss.193 - 200. 10.5606/ehc.2019.70137 |
| AMA | GURPINAR T,polat b,Tekin S,polat a,carkci e,Öztürkmen Y Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots. . 2019; 193 - 200. 10.5606/ehc.2019.70137 |
| Vancouver | GURPINAR T,polat b,Tekin S,polat a,carkci e,Öztürkmen Y Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots. . 2019; 193 - 200. 10.5606/ehc.2019.70137 |
| IEEE | GURPINAR T,polat b,Tekin S,polat a,carkci e,Öztürkmen Y "Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots." , ss.193 - 200, 2019. 10.5606/ehc.2019.70137 |
| ISNAD | GURPINAR, Tahsin vd. "Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots". (2019), 193-200. https://doi.org/10.5606/ehc.2019.70137 |
| APA | GURPINAR T, polat b, Tekin S, polat a, carkci e, Öztürkmen Y (2019). Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30(3), 193 - 200. 10.5606/ehc.2019.70137 |
| Chicago | GURPINAR Tahsin,polat barış,Tekin Saltuk Buğra,polat ayşe esin,carkci engin,Öztürkmen Yusuf Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30, no.3 (2019): 193 - 200. 10.5606/ehc.2019.70137 |
| MLA | GURPINAR Tahsin,polat barış,Tekin Saltuk Buğra,polat ayşe esin,carkci engin,Öztürkmen Yusuf Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), vol.30, no.3, 2019, ss.193 - 200. 10.5606/ehc.2019.70137 |
| AMA | GURPINAR T,polat b,Tekin S,polat a,carkci e,Öztürkmen Y Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(3): 193 - 200. 10.5606/ehc.2019.70137 |
| Vancouver | GURPINAR T,polat b,Tekin S,polat a,carkci e,Öztürkmen Y Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(3): 193 - 200. 10.5606/ehc.2019.70137 |
| IEEE | GURPINAR T,polat b,Tekin S,polat a,carkci e,Öztürkmen Y "Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots." Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30, ss.193 - 200, 2019. 10.5606/ehc.2019.70137 |
| ISNAD | GURPINAR, Tahsin vd. "Comparison of early clinical results and re-tear rates of transosseous-equivalent rotator cuff repairs with or without medial knots". Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30/3 (2019), 193-200. https://doi.org/10.5606/ehc.2019.70137 |
