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Treatment alternative for irreparable rotator cuff ruptures: Arthroscopic biodegradable balloon     
Yazarlar
Doç. Dr. Hakkı Çağdaş BASAT Doç. Dr. Hakkı Çağdaş BASAT
Ahi Evran Üniversitesi, Türkiye
Cihan Kırçıl
Mehmet Armangil
Ankara Üniversitesi, Türkiye
Mehmet Demirtaş
Özet
Background: The treatment of massive irreparable rotator cuff rupture has still no consensus among shoulder surgeons. It is assumed that symptomatic rotator cuff tendon rupture is accepted as irreparable if retraction amount of tendon is Patte stage 3 on MRI; degree of fatty atrophy is Goutallier stage 3 or 4; narrowing of acromiohumeral distance is lesser than 7 mm and excursion of tendon to repair has decreased and patient has severe pain. Biodegradable balloon is one of the newest methods for the treatment of irreparable massive rotator cuff ruptures. Objective: The aim of this study was to assess shoulder function in the patients who underwent biodegradable balloon procedure for irreparable massive rotator cuff ruptures. Materials and Methods: Arthroscopic biodegradable balloon method was carried out on the 12 patients, who presented with symptomatic irreparable massive rotator cuff rupture, from October 2010 to November 2013. Results: Preoperative and postoperative mean constant score of patients were 25.8 and 75.4 respectively. The mean Oxford shoulder score of the patients were 21.3 and 42.9 respectively, and mean shoulder abduction degree of the patients were 73.5 and 165 respectively. All the patients stated that they were satisfied with the treatment and there was significant regression in their complaints. Conclusion: If conservative treatment is insufficient for patients with irreparable rotator cuff tears, biodegradable balloon method has yielded favorable outcomes in terms of pain and functionality in comparison with other surgical methods. Moreover, lesser morbidity, short procedure time and absence of postoperative rehabilitation requirement can be considered as advantages of this method.
Anahtar Kelimeler
Biodegradable balloon | rotator cuff rupture | shoulder function
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı NIGERIAN JOURNAL OF CLINICAL PRACTICE
Dergi ISSN 1119-3077
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 08-2017
Cilt No 20
Sayı 8
Sayfalar 952 / 957
Doi Numarası 10.4103/1119-3077.196061
Makale Linki http://www.njcponline.com/preprintarticle.asp?id=196061