| Autor: |
Haluk Yaka, Mustafa Özer, Faik Türkmen, Burkay Kutluhan Kaçıra, Veysel Başbuğ, Ulunay Kanatlı |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Acta Orthopaedica et Traumatologica Turcica, Vol 58, Iss 5, Pp 269-273 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
1017-995X |
| DOI: |
10.5152/j.aott.2024.24056 |
| Popis: |
Objective: This study aimed to compare the clinical and functional outcomes of patients with large posterosuperior rotator cuff tears between those with intact rotator cables (crescent-shaped tears) and those with repaired rotator cables (U-, V-, or L-shaped tears). Methods: Eighty-two patients with a mean age of 64.05 ± 9.06 years who underwent arthroscopic repair due to large posterosuperior rotator cuff tears were evaluated with a follow-up period of 32 ± 5.9 months. Forty-two patients with an intact rotator cable and 40 patients with a repaired rotator cable (rotator cable restored with tendon-tendon sutures) were evaluated regarding preoperative and postoperative pain and functional outcomes. Results: There was no significant difference in the constant score between the rotator cable repaired and the intact group (P=.22). However, when the sub-dimensions of the Constant score were compared separately, the forward flexion was significantly higher in the group with the intact rotator cable (P=.002). When the postoperative visual analog scale (VAS) scores were compared, lower scores were observed in the group with the repaired rotator cable (P < .001). Conclusion: In large posterosuperior rotator cuff tears, patients with a repaired rotator cables experienced more significant pain relief compared to those with intact rotator cables, although their forward flexion was lower. Therefore, a detailed analysis of the tear type and the rotator cable condition in large posterosuperior rotator cuff tears may help predict postoperative pain and functional outcomes. Level of Evidence: Level III case-control study. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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