Ayak bileği kronik lateral instabilitesinin Colville tekniği ile tedavisi
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Maltepe Üniversitesi
Erişim Hakkı
Attribution-NonCommercial-NoDerivs 3.0 United States
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Amaç: Ayak bileği lateral bağlarının kronik lezyonlarında, Colville tekniğinin uygulandığı genç hastalardaki sonuçların değerlendirilmesi. Metod: 2008-2010 yılları arasında kronik ayak bileği lateral instabilitesi olan yedi erkek bir bayan hastaya (ort. yaş 22; yaş dağılımı 20-35) güçlendirilmiş Colville tekniğiyle rekonstrüksiyon uygulandı. Yaralanmadan ameliyata kadar geçen süre ortalama 29 ay idi (dağılımı 21-33 ay). Sekiz hastada da Trevino'nun değerlendirme kriterlerine göre tip IIIc ayak bileği lateral bağ lezyonu vardı. Olgular ortalama 42 ay süreyle (dağılım 24-60 ay) takip edildi. Bulgular: Tüm olgularda mükemmel sonuç elde edildi. Hiçbir hastada reküren instabilite gözlenmedi. Enfeksiyon, sural sinir lezyonu gibi komplikasyonlara rastlanmazken 1 hastada sınırlı yüzeyel cilt nekrozu saptandı. Sonuç: Colville tekniğiyle, stabilite %100'e yakın oranlarda sağlanırken, subtalar eklem hareketleri de korunmaktadır.
Aim: We evaluated the results of Colville's technique in young patients with chronic lateral ankle instability. Methods: Between 2008 and 2010, reconstruction of lateral ankle ligaments with Colville's augmented technique was performed in seven male and one female patients (mean age 22, range 20-35 years) with chronic lateral ankle instability. The interval between injury and operation ranged from 21 months to 33 months (mean 29 months). According to Trevino's classification system, all patients had grade IIIc lateral ankle injuries. Mean follow- up was 42 months (range 24-60 months). Results: We achieved excellent results in all patients. None of the patients developed recurrent instability. Complications such as infection, sural-nerve injury were not encountered but superficial limited skin necrosis was seen in one patient. Conclusion: By means of Colville's technique, a stability of nearly 100% can be obtained, with preservation of subtalar joint motions.
Aim: We evaluated the results of Colville's technique in young patients with chronic lateral ankle instability. Methods: Between 2008 and 2010, reconstruction of lateral ankle ligaments with Colville's augmented technique was performed in seven male and one female patients (mean age 22, range 20-35 years) with chronic lateral ankle instability. The interval between injury and operation ranged from 21 months to 33 months (mean 29 months). According to Trevino's classification system, all patients had grade IIIc lateral ankle injuries. Mean follow- up was 42 months (range 24-60 months). Results: We achieved excellent results in all patients. None of the patients developed recurrent instability. Complications such as infection, sural-nerve injury were not encountered but superficial limited skin necrosis was seen in one patient. Conclusion: By means of Colville's technique, a stability of nearly 100% can be obtained, with preservation of subtalar joint motions.
Açıklama
Anahtar Kelimeler
ateral ayak bileği, ligament instabilitesi, Colville, lateral ankle, ligament instability, Colville
Kaynak
Maltepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
5
Sayı
3
Künye
Şanel, S., Ünsal, F. M., Ermiş, N., Ugutmen, E. ve Solakoğlu, C. (2013). Ayak bileği kronik lateral instabilitesinin Colville tekniği ile tedavisi / Surgical treatment of chronic lateral ankle instability with Collville's technique. Maltepe Tıp Dergisi. 5(2), s. 5-11.
