Comparison of the Functional Outcomes of Arthroscopic Debridement and Repair of Bursal-side Partial-thickness Rotator Cuff Tears

Authors : Fatih İlker CAN

Pages : 357-363

Doi:10.35440/hutfd.1317386

View : 30 | Download : 42

Publication Date : 2023-08-31

Article Type : Research Paper

Abstract :Background: To compare the clinical and functional scores of arthroscopic debridement and repair insert ignore into journalissuearticles values(conversion to full thickness); surgeries in patients with bursal-side partial-thickness rotator cuff tears insert ignore into journalissuearticles values(BPTRCT);. Materials and Methods: A single-center retrospective study was conducted to compare the arthroscopic debride-ment and arthroscopic repair for BPTRCT performed between March 2017 and September 2021. Arthroscopic debridement patients were grouped as Group 1 and the repair group as Group 2. A total of 98 patients with an average age of 57.5 years insert ignore into journalissuearticles values(range 29-83 years);, including 41 male and 57 female patients, met the inclusion criteria. VAS insert ignore into journalissuearticles values(Visual Analogue Scale); and UCLA insert ignore into journalissuearticles values(University of California Los Angeles); shoulder scores applied in the preopera-tive period and in the 12th month of the postoperative clinical follow-ups were evaluated. In addition to the pre-operative and postoperative comparison of both scores, their improvement of these scores was also compared. Results: The mean age of the repair group and the debridement group was 64.4 ±11.02 and 52.6 ±11.24, respective-ly. No significant difference between the two groups was observed in terms of demographic characteristics insert ignore into journalissuearticles values(p˃0.05);. The mean operation time was 91.46 ±16.44 min in the repair group and 49.82 ±13.46 min in the debridement group. The VAS score dramatically improved, from preoperative 5.10±1.23 to postoperative 3.68±1.33 points in the deb-ridement group and from preoperative 5.17±1.35 to postoperative 3.58±1.16 points in the repair group. The two groups had no statistically significant difference in postoperative VAS scores insert ignore into journalissuearticles values(p=0.991);. Preoperative and postopera-tive VAS score improvement was also compared between the groups, however, there was also no statistically signifi-cant difference in terms of VAS score changes insert ignore into journalissuearticles values(p=0.132);. The UCLA scores also dramatically improved, from pre-operative 17.14±4.19 to postoperative 24.57±5.04 points in the debridement group and from preoperative 17.46±5.05 to postoperative 25.48±5.61 points in the repair group. No statistically significant difference was ob-served between the two groups in terms of postoperative UCLA scores insert ignore into journalissuearticles values(p=0.361);. In the postoperative first-year follow-up, no re-tears were observed either in the debridement or in the repair group. Conclusions: Both arthroscopic debridement and arthroscopic repair surgeries provide clinically comparable suc-cessful results and high satisfaction for patients with bursal-side rotator cuff tears. No statistically significant differ-ence was observed between these two methods. Easier early postoperative rehabilitation seems to be the main advantage of the debridement method.
Keywords : Bursal yüz, kısmi kalınlıkta rotator manşet yırtıkları, artroskopi, tamir