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Travmatik Tekrarlayan Omuz Çıkıklarının Artroskopik Bankart Tamiri ile Fonksiyonel Sonuçları

Functional Results of Arthroscopic Bankart Repair of Traumatic Recurrent Shoulder Instability Patients

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2011

Key Words:

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Abstract (2. Language): 
The purpose of this study was to present, through a retrospective case series, results of the patients who were treated arthroscopically for anterior glenohumeral instability. We evaluated 41 patients. Mean follow-up of the patients were 45 months (range 32-80). There were 4 (10%) female and 37 (90%) male with a mean age of 32 (range 24¬44). There were 27 (65%) right and 14 (35%) left shoulders. Dominant side was injured in 25 patients. All of the patients were suffered from a traumatic shoulder dislocation. Many etiological factors are responsible for these traumatic dislocations like swimming, falling on the side while playing soccer or volleyball or a direct trauma to the shoulder. MRI was performed before the surgery and it was found to be a Bankart lesion for all the patients. Also, all patients were evaluated according to Rowe and Constant scores. Postoperatively, mean Rowe score was 87 (range 15-100) and mean Constant score was 95 (range 88-100). Excellent resuls were obtained in 33 (80.5) patients. There were 8 (19.5) patients of recurrences and 2 of them had arthroscopic revision surgery and Laterjet procedure was performed for the latter 2 patients. Arthroscopic shoulder surgery is a long learning curve, requiring the training process but also has the advantages of less bleeding, easy rehabilitation and wound healing. As a result, this effective method can be performed for recurrent shoulder instability patients with less complication rates.
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Abstract (Original Language): 
Travma sonrası tekrarlayan anterlor-lnferlor glenohumeral instabüite tanısıyla artroskopik Bankart tamiri yapılan hastaların fonksiyonel sonuçları değerlendirildi. Hastaların ortalama takip süreleri 45 aydı (dağılım 32- 80 ay). Olguların 4'ü (%10) kadın, 37'si (%90) erkekti ve yaş aralıkları 24-44 (ortalama 32)'dü. Olgularımızın 27'inde (%65) sağ omuzda, 14'ünde (%35) sol omuzda patoloji gözlendi ve bunların 25'inde dominant taraf tutulumu vardı. Olgularımızın hepsinde travmatik omuz çıkığı meydana gelmiş ve travma şekli olarak düşme, futbol oynarken darbe alma, yüzme gibi aktiviteler etyolojide sıklıkla rol oynamışdır. 10 hasta düşme sonucu, 4'ü voleybol oynarken, 2'si kaledeyken, 1'i güreş yaparken, 2'si kavga sırasında, 2 hasta yüzerken, diğerleri de çeşitli travmalar sonucunda çıkık episodları geçirmiştir. Ameliyat öncesi manyetik rezonans incelemelerinde tüm hastalarda Bankart lezyonu saptandı. Hastalar Rowe ve Constant skorlama sistemlerine göre değerlendirildi. Ameliyattan sonra ortalama Rowe skoru 87 (ortalama 15-100) olarak ve Constant skoru ise 95 (dağılım 88-100) olarak bulundu. Buna göre 33 (%80.5) hastada mükemmel sonuca ulaşıldığı tespit edildi. Tekrar instabilite gelişen 8 (%19.5) hastadan 2'sine artroskopik revizyon cerrahisi 2'sine Laterjet prosedürü uygulandı. Artroskopik omuz cerrahisi uzun bir öğrenme eğrisi olan, eğitim süreci gerektiren ama aynı zamanda kanama, rehabilitasyon ve yara iyileşmesi gibi pek çok konuda avantajları olan bir yöntemdir. Sonuç olarak bu etkili yöntemle daha az komplikasyon oranları ile omuz instabilitesi olan hastalar başarılı bir şekilde tedavi edilebilmektedir.
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  • 4
219-221
  • Turkish

REFERENCES

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