Early Period Results of Patients Undergoing Arthroscopic Repair with a Diagnosis of Full Thickness Rotator Cuff Tear


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Baymurat A. C., Tahta M.

Traumatology and Orthopаedics of Kazakhstan, cilt.64, sa.3, ss.4-9, 2022 (Hakemli Dergi)

Özet

AbstractThe aim of this study is to evaluate the early results of patients who were diagnosed with full-thickness rotator cuff tear and underwent arthroscopic repair as a result of physical examination and radiological evaluation.Methods: The study included patients undergoing arthroscopic rotator cuff repair. Biceps tenotomy was performed in accompanying biceps pathologies. Acromioplasty was performed in patients with type 2–3 acromion. Rotator cuff ruptures were repaired with a double row technique using a titanium anchor and a peek anchor. University of California at Los Angeles (UCLA) and Constant scoring were used to evaluate the patients who were  called  for  final  follow-up controls.  The  mean  follow-up  time  was  14.6 months (6-24).Results. Acromioplasty performed on 12 patients (30.7%); While biceps tenotomy   was performed   on 9 patients (23%); Acromioplasty and biceps tenotomy were performed on 4 (10.2%) patients. Preoperative UCLA score was 11.2, Constant score was 26.9, while postoperative UCLA score was 29.6 and Constant score was 83.2. The results were excellent in 13 (33.3%) patients, good in 16 (41%) patiens, moderate in 9 (23%) patients and poor in 2 (5.1%) patients. There was no significant difference between the groups with and without acromioplasty (p = 0.513). A similar situation was observed in the biceps tenotomy (p = 0.619) and acromioplasty + biceps tenotomy (p = 0.374) groups.Conclusion. Arthroscopic  rotator  cuff  surgery  is  an  effective  treatment  option  with  a  suitable  patient  and  correct  indication.  Acromioplasty and / or biceps tenotomy does not affect early results.Keywords: Rotator cuff, arthroscopic repair, acromioplasty.Corresponding author: Alim Can Baymurat, Department of Orthopedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Turkey Address: Emniyet Mahallesi, Mevlana Bulvarı No:29Phone: 05455452589E-mail: alimcanbaymuratahoo.comJ Trauma Ortho Kaz 2022; 3 (64): 4-9Recieved: 12-08-2022Accepted: 28-08-2022                              This work is licensed under a Creative Commons Attribution 4.0 International License