ROTATOR MANŞET TAMİRİNDE HIZLI TRANSOSSEOZ TAMİR İLE ÇİFT SIRA DİKİŞ ÇAPA TAMİRİNDE KLİNİK SONUÇLARDA FARK YOKTUR There Is No Difference in Between Clinical Results of Fast Transosseos Repair and Double Row Suture Anchor Technique for Repair of Rotator Cuff Rupture

OZET Amac: Omuz agrilari, kas iskelet sisteminde bel ve diz agrilarindan sonra en sik gorulen ucuncu agri nedenidir. Omuz agrilari yapan hastaliklar arasinda en sik neden rotator manset patolojileridir. Hastalarin yasam kalitesini ileri duzeyde etkileyecek agri ve fonksiyon kaybi olmakta ve siklikla cerrahi tedavi gerekmektedir. Ideal rotator manset tamiri ise tartismali ve gelisime aciktir. Biz calismamizda son zamanlarda gelistirilen hizli transosseous tamiri siklikla kullanilan cift sira capa tedavisi ile karsilastirdik . Materyal ve Metod: Klinigimizde 2014-2016 yillari arasinda rotator manset tamiri yapilan 36 hasta retrospektif olarak incelendi. Hastalarin 17 une transosseous tamir (Grup 1) 19 una cift sira dikis capa tamiri (Grup 2) yapildi. Hastalarin demografik verileri kaydedildi. Gruplar ameliyat oncesi ve sonrasi eklem hareket acikliklari, gorsel analog skorlari (VAS) ve Amerikan Omuz ve Dirsek Cerrahisi (ASES) skorlama degerleri, cerrahi sure ve komplikasyonlar acisindan karsilastirildi. Bulgular: Eklem hareket acikligi, VAS ve ASES puanlama degerlerinde degisim her iki grupta da tatmin ediciydi ve iki grup arasinda istatistiksel olarak (sirasiyla p:0.822, p:0.517, p:0.416,) anlamli fark bulunamadi. Cerrahi sure ve komplikasyonlar acisindan da hizli transosseous grupta ustunluk gozlenmedi (p:0.723). Sonuc: Hizli transooseos tamirle ilgili literaturde az olmakla birlikte artroskopik calismalar yapilmis ve cift sira ankor ile benzer fonksiyonel sonuclar bulunmus. Mini acik olarak ise daha once calisma bulunmamaktadir. Bizim calismamizda da hizli transooseous tamir ile cift sira dikis capa tamiri arasinda fonksiyonel sonuclari ve komplikasyon acisindan ustunluk gozlenmedi. Anahtar Sozcukler: Rotator manset yirtigi; Hizli transosseous dikis; Cift sira dikis ABSTRACT Purpose: Shoulder pain is the third most common reason of pain after knee and lomber pain . Rotator cuff pathologies are among most common cause of shoulder pain. This pain usually affects patients quality of life and decrease their function and as a result patients needs to be operated mostly. Ideal technique for rotator cuff repair is still unclear. In this study we compared transosseous technique which is a relatively new one, with double row anchor technique which is a frequentl used one. Materials and Methods: Data of 36 patients whom is undergone rotator cuff repair surgery in our clinic between 2014 and 2016 analyzed retrospectively. Transosseous repair is done in 17 patients (group 1) and double row anchor repair is done in 19 patients (group 2). Demographic data of the patients are recorded. Comparson is made between groups for preoperative and postoperative range of motion, visual analog scale (VAS), American Shoulder and Elbow Surgery(ASES) score, operation time and complications. Results: Range of motion, VAS and ASES scores changes were satisfying for both of the groups and difference between groups were statistically insinificant (p:0.822, p:0.517, p:0.416 respectively). : There is no superiority of fast transosseous repair in terms of operation time and complications (p:0.723). Conclusion: Literature about fast transosseous repair is limited. Arthroscopic studies that compare fast transosseous repair and double row repair couldn’t find any functional difference between them. There is no study about mini open surgery. In this study we coudn’t find any difference between functional results of double row and transosseous repair. Keywords: Rotator cuff ruptur; Fast transosseous suture; Double row suture