Artroskopik Subakromiyal Dekompresyon ve Akromiyoplasti Uygulanan Hastaların Kısa Dönem Sonuçları

Amaç: Bu çalışmanın amacı, konservatif tedaviye yanıt vermeyen izole subakromiyal sıkışma sendromu (SSS) olan vakaların artroskopik cerrahi sonuçlarını değerlendirmektir. Gereç ve Yöntemler: 2016-2018 yılları arasında SSS'e bağlı artroskopik subakromiyal dekompresyon ve akromiplasti olan ve düzenli takiplere gelen 44 hasta retrospektif olarak incelendi. NSIAD'ler, fizyoterapi, egzersizler ve subakromiyal steroid enjeksiyonları dahil konservatif tedaviye yanıt vermeyen izole subakromiyal sıkışma sendromlu hastalar dahil edildi. Hastaların ameliyat öncesi ve sonrası Amerikan Omuz ve Dirsek Cerrahları Omuz (ASES) Skorları ölçüldü. Bulgular: Ortalama takip süresi 2,4 ay (24-35 ay arasında değişen; SS: 7,3) ve yaş ortalaması 51,4 (39-55; SS: 6,96) olan kırk dört hastaya ulaşıldı. Hastaların 30'u (% 68) kadın, 14'ü (% 32) erkekti. Gruplar arasında yaşa, cinsiyete ve takip süresine göre anlamlı fark yoktu (p> 0,50). Toplam 7 hastada tip 3 akromiyon, 18 hastada tip 2 akromiyon vardı. Genel ortalama hazırlayıcı ASES skoru 38,8 idi (36,6 ile 41,8 arasında). Ortalama postoperatif ASES skoru 84,9 idi (76,2 ile 88,3 arasında). Sonuç: Konservatif tedaviye yanıt vermeyen hastalarda subakromiyal dekompresyon ve akromioplastinin kısa dönem klinik sonuçları literatür bilgisini destekleyen başarılı sonuçlara sahiptir.

Short-Term Results of Patients Undergoing Arthroscopic Subacromial Decompression and Acromioplasty

Aim: The aim of this study is to evaluate the arthroscopic surgery results of cases with isolated subacromialimpingement syndrome (SIS) that do not respond to conservative treatment.Material and Methods: 44 patients who had arthroscopic subacromial decompression and acromiplasty due to SISbetween 2015 and 2018, were retrospectively analyzed. Patients with isolated subacromial impingement syndrome whodid not respond to conservative treatment including drugs, physiotherapy, exercises and subacromial steroid injectionswere included. For the patients, preoperative and postoperative The American Shoulder and Elbow Surgeons Shoulder(ASES) Scores were measured.Results: Forty-four patients with a mean follow-up of 26.4 months (ranging from 24 to 35 months; SD: 7.3) and a meanage of 51.4 (ranging from 39 to 55; SD: 6.96) were reached. Thirty (68%) of the patients were female and fourteen(32%) were male. There were no significant differences between groups according to the age, sex, and follow-up time(p>0.50). There were type 3 acromion in total of 7 patients and type 2 acromion in 18 patients. The overall meanpreperative ASES score was 38.8 (ranging from 36.6 to 41.8). And, the mean postoperaive ASES score was 84.9(ranging from 76.2 to 88.3).Conclusion: The short-term clinical results of subacromial decompression and acromioplasty in patients who do notrespond to conservative treatment has successfull results that support literature knowledge.

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