Subakromial sıkışma sendromunda açık anterior akromioplasti sonuçlarımız
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2009
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info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmadaki amacımız konservatif tedaviye yanıt vermeyen hastalarda açık anterior akromioplasti cerrahisi sonuçlarının retrospektif olarak değerlendirilmesidir. Gereç ve Yöntemler: Subakromial sıkışma sendromu tanısı konan 40 hastaya açık anterior akromioplasti yapıldı. Hastaların ortalama yaşı 50 (dağılım 35-75 yaş) idi. Hastaların 25'inde (%62,5) dominant omuzda şikayet mevcuttu. Hastaların değerlendirilmesinde omuz hareket açıklığı, American Shoulder and Elbow Surgeons (ASES) skoru ve Vizüel Analog Skala'nın (VAS) yer aldığı kişisel değerlendirme formu kullanıldı. Ortalama takip süresi 20,3 ay (dağılım 12-42 ay) idi. Bulgular: Hastaların ameliyat öncesi değerlendirilmesinde ortalama ASES 43,7/-14 olarak tespit edildi. Yapılan son değerlendirmede ortalama skorun 85,5/-14,9 olduğu gözlemlendi (p0.001). Hastaların ağrı şiddetlerinin VAS ile değerlendirilmesinde ameliyat öncesi değer 6,4/-1,8 iken, ameliyat sonrası değerlendirmede 1,3/-1,1 idi (p0.001). Subjektif olarak hastaların değerlendirmesinde 35 (%87.5) hastada çok iyi ve iyi, 4 (%10) hastada orta düzeyde başarılı, 1 (%2.5) hastada ise kötü sonuç elde edilmiştir. Sonuç: Subakromial sıkışma sendromunda açık anterior akromioplasti başarı oranı yüksek, güvenle kullanılabilecek bir yöntemdir.
Objective: The aim of this study was to retrospectively evaluate the results of the open anterior acromioplasty in the patients who did not respond to conservative therapy. Materials and Methods: Open anterior acromioplasty was performed in 40 patients with subacromial impingement syndrome. The mean age of the patients was 50 years (range, 35-75 years) and 25 (62.5%) had pathology at the dominant side. The mean follow-up period was 20.3 months (range, 12-42 months). Assessments of the patients were made according to American Shoulder and Elbow Surgeon's (ASES) score, personal evaluation form and range of motion. Results: The mean preoperative ASES score was 43.7/-14. At the last follow-up the score was 85.5 /- 14.9 (p<0.001). Preoperative pain according to VAS was 6.4 /- 1.8, and was 1.3/-1.1 at the last follow-up period (p<0.001). According to subjective patient evaluations results were good or excellent in 35 patients (87.5%), satisfactory in 4 patients (10 %), and poor in 1 patient (2.5%). Conclusion: Open anterior acromioplasty is a safe and satisfactory procedure at the treatment of subacromial impingement syndrome.
Objective: The aim of this study was to retrospectively evaluate the results of the open anterior acromioplasty in the patients who did not respond to conservative therapy. Materials and Methods: Open anterior acromioplasty was performed in 40 patients with subacromial impingement syndrome. The mean age of the patients was 50 years (range, 35-75 years) and 25 (62.5%) had pathology at the dominant side. The mean follow-up period was 20.3 months (range, 12-42 months). Assessments of the patients were made according to American Shoulder and Elbow Surgeon's (ASES) score, personal evaluation form and range of motion. Results: The mean preoperative ASES score was 43.7/-14. At the last follow-up the score was 85.5 /- 14.9 (p<0.001). Preoperative pain according to VAS was 6.4 /- 1.8, and was 1.3/-1.1 at the last follow-up period (p<0.001). According to subjective patient evaluations results were good or excellent in 35 patients (87.5%), satisfactory in 4 patients (10 %), and poor in 1 patient (2.5%). Conclusion: Open anterior acromioplasty is a safe and satisfactory procedure at the treatment of subacromial impingement syndrome.
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