Clinical and functional outcomes of a novel transosseous device to treat rotator cuff tears: A minimum 2-year follow-up

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dc.contributor.authorArıcan, Mehmet
dc.contributor.authorTurhan, Yalçın
dc.contributor.authorKaraduman, Zekeriya Okan
dc.contributor.authorAyanoğlu, Tacettin
dc.date.accessioned2020-04-30T22:40:50Z
dc.date.available2020-04-30T22:40:50Z
dc.date.issued2019
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionkaraduman, zekeriya okan/0000-0002-6719-3666; turhan, yalcin/0000-0002-1440-9566en_US
dc.descriptionWOS: 000486499500001en_US
dc.descriptionPubMed: 31530075en_US
dc.description.abstractPurpose: Despite the improvements in the repair equipment techniques of rotator cuff, a gold standard method has not been defined yet and transosseous fixation through deltoid-splitting (mini-open) approach is still regarded as a good option. The primary purpose of this study is to present satisfactory clinical and functional outcomes with a novel transosseous device in full-thickness rotator cuff tear through deltoid-splitting. Materials and Methods: This retrospective study was performed on 70 consecutive patients who underwent surgery by a single surgeon from June 2014 to June 2016 for a full-thickness rotator cuff tear and was managed with a novel transosseous device. Total number of patients, mean age, percentage of male and female patients, mean duration of follow-up, percentage of involvement of the dominant extremity, affected shoulder, and tear size were recorded. Functional and clinical outcomes were assessed baseline and postoperatively at 3 and 6 months and final follow-up using Disabilities of the Arm, Shoulder and Hand (Q-DASH) and Constant-Murley scores. Results: A total of 70 (49 (70%) female, 21 (30%) male) patients whose mean age was 58.66 +/- 9.19 (38-77) years were included. The mean surgery time was 35.33 +/- 5.34 (28-55) min. The mean follow-up time was 28.31 +/- 3.03 (24-36) months. According to the DeOrio and Cofield classification, 15 (21.43%) tears were small, 33 (47.14%) medium, 16 (22.86%) large, and 6 (8.57%) massive. By the final follow-up, the mean Constant-Murley score had significantly improved from 27.67 +/- 7.46 (13-41) to 81.25 +/- 3.77 (74-87; p = 0.0001) and the Q-DASH score had decreased from 82.34 +/- 10.37 (65.91-100) to 10.28 +/- 6.88 (0-23.45; p = 0.0001). There were no significant differences in the Constant-Murley or Q-DASH score at baseline-final follow-up between the small, medium, large, and massive tear groups (p > 0.05). Conclusions: Treatment of full-thickness rotator cuff tear using this novel transosseous device significantly improved functional and clinical scores. However, further long-term prospective randomized multicenter trials involving comparative studies are necessary to confirm these findings.en_US
dc.identifier.doi10.1177/2309499019875172en_US
dc.identifier.issn1022-5536
dc.identifier.issn2309-4990
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1177/2309499019875172
dc.identifier.urihttps://hdl.handle.net/20.500.12684/3070
dc.identifier.volume27en_US
dc.identifier.wosWOS:000486499500001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSage Publications Ltden_US
dc.relation.ispartofJournal Of Orthopaedic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectelbow and shoulderen_US
dc.subjectgeneralen_US
dc.subjectsportsen_US
dc.subjecttraumaen_US
dc.titleClinical and functional outcomes of a novel transosseous device to treat rotator cuff tears: A minimum 2-year follow-upen_US
dc.typeArticleen_US

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