Research Information System
Kuwait Medical Journal, vol.56, no.4, pp.325-329, 2024 (SCI-Expanded)
Objectives: We investigated to compare anterior and lateral single portal application with standard techniques in the arthroscopic treatment of superior labrum anterior-posterior (SLAP) lesions and supraspinatus tears. Design: A retrospective case-control study Setting: Usak University Medical Faculty, Usak, Turkey Subjects: Two hundred seventy-eight patients with arthroscopic SLAP lesions and supraspinatus tear repair were analyzed. Forty-one patients who met the criteria were included in the study. Interventions: The patients were divided into two groups: A single working portal (n=21) and a double working portal (n=17), according to the operation technique used. Main outcome measures: Pain and functional outcomes were evaluated with the Visual Analog Scale (VAS) and Constant Murley Scale (CMS), and time of operation, and return to daily routine times were evaluated. Results: When the two groups were compared statistically in terms of VAS and CMS values, there was no significant difference (pre-operative: P=0.336, 0.926 respectively; at the 6th week after the operation: P=0.735, 0.750 respectively; at 1-year postoperatively: P=0.399, 0.689, respectively). A shortening of the operation time was observed in the first group (P=0.027), and no difference was found in the other parameters in the short and long term. Conclusions: The use of isolated anterior and isolated lateral portals in the surgical treatment of supraspinatus and SLAP lesion coexistence will shorten the operation time, prevent the formation of additional scar tissue, and reduce the risk of neurovascular injury due to additional portal openings.