Hüseyin GÜNAY, LEVENT KÜÇÜK, Burç ÖZCANYÜZ

Konjenital yüksekte skapula tedavisinde Woodward cerrahisi sonuçları

Amaç: Çalışmamızda Woodward ameliyatı uyguladığımız yüksekte skapula olgularının fonksiyonel ve estetik sonuçlarını göstermeyi amaçladık. Gereç ve Yöntem: Yüksekte skapula nedeniyle Woodward prosedürü ile opere edilmiş 9 olgu retrospektif olarak incelendi. Olguların değerlendirilmesinde Cavendish skorlama sistemi ve visual analog scale (VAS) kullanıldı. Omuz ekleminin pre- ve postoperatif hareket genişlikleri not edildi. Bulgular: Yaş aralığı 3-11 yıl (5.33) olup, toplam takip süremiz ortalama 21.8 ay idi. Olguların 3'ü erkek, 6'sı kız çocuğu idi. Tüm olgular ve aileler cerrahi sonuçlarından memnundu. Tüm olgularda omuz abduksiyon hareket genişliğinin arttığı (ortalama 48.3°) kaydedildi. Cerrahi sonrası Cavendish skorlama sisteminin ve kozmetik görünümün daha iyi olduğu gözlendi. Omovertebral kemik olmayanlarda, hareket genişliğinde daha belirgin düzelme olduğu görüldü. Komplikasyon görülmedi. Sonuç: Woodward prosedürü, konjenital yüksekte skapula tedavisi için osteotomi ihtiyacı olmadan, sadece yumuşak doku rekonstrüksiyonu uygulanarak yapılan güvenli, komplikasyon oranı daha az olan, basit ve etkili bir yöntemdir.

Results of congenital high scapula treatment with Woodward procedure

Aim: We aimed to evaluate our functional and aesthetic results of high scapula patients who were treated with Woodward procedure. Materials and Methods: Nine congenital high scapula patients treated with Woodward procedure were evaluated retrospectively. Cavendish scoring system and visual analog scale (VAS) were used for evaluation. Pre- and postoperative range of motions of shoulder joint were also noted. Results: Age range was 3-11 years (average: 5.33) and average follow up period was 21.8 months . There were 6 girls and 3 boys. Shoulder abduction angle was increased in all patients (average 48.3°). Cavendish scores and aesthetic appearance were better at postoperative controls. Range of shoulder motions was better in the patients who had no omovertebral bone than the ones having omovertebral bone. No complication was noted. Conclusion: Woodward procedure involves only soft tissue reconstruction without need for osteotomy and is a safe and effective surgical procedure with low complication rates in the treatment of congenital high scapula.

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