Dörtlü hamstring otogrefti ile artroskopik ön çapraz bağ rekonstrüksiyonunun orta dönem sonuçları
Küçük Resim Yok
Tarih
2012
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: Son yıllarda daha çok ön çapraz bağ rekonstrüksiyonunda otogreft kullanma eğiliminde artış vardır. Bilinen en sert ve en güçlü greft dörtlü hamstring tendonlarıdır. Amacımız dörtlü hamstring tendon greftini kullanarak proksimal femoral transfix fiksasyonu ile yapılan ön çapraz bağ rekonstrüksiyonunun ortama 4 yıllık sonuçlarını yayınlamaktır. Yöntem: Doksan altı hastanın dizinde dörtlü hamstring tendon otogrefti kullanılmıştır. Hastalar operasyon sonrası 1. ve 4. yılında subjektif, klinik, fonksiyonel olarak, Telos stres cihazı ve radyografik inceleme ile değerlendirilmiştir. 96 hastanın 2'si bayan, 94'ü erkek; 5 hasta profesyonel, 36 hasta amatör sporcuydu. Yaş ortalaması 24 (20-34 yaş arası) idi. Fonksiyon ve aktiviteyi değerlendiren skorlama sistemleri olarak preoperatif ve postoperatif kontrollerde International Knee Documentation Committee (IKDC) ve Lysholm-2 diz skorunu içeren sorgulama formları kullanıldı. Bulgular: Subjektif olarak hastaların %90'ı rekonstrükte edilen dizlerini %100 stabilite ile normal kabul etmişlerdir. Yüzde doksanı zedelenme öncesi aktivite düzeyine dönmüşlerdir. IKDC diz skoru ortalaması 96 hastanın 82'sinde (%85) A ve B olarak saptanmıştır. Lysholm-2 skoru ortalama 94 olarak bulundu. Telos stres cihazı ile ameliyat öncesi ortalama 13.7 mm ve ameliyat sonrası ortalama 2.8 mm ölçülen laksite değerleri arasında anlamlı fark bulundu (p<0.001). Sonuç: Femoral transfix fiksasyonu ile dört katlı semitendinosus- grasilis otogrefti kullanarak yapılan endoskopik ön çapraz bağ (ÖÇB) rekonstrüksiyonu tekniğinde orta dönemde başarılı ve mükemmel subjektif, objektif, fonksiyonel ve radyolojik sonuçlar elde ettik.
Objectives: There is an increase in use of otograft in anterior knee reconstruction for the recent years. Quadrupled hamstring tendons are known as the hardest and the most powerful otografts. Our aim is to report the fourth years results of anterior knee reconstruction which is performed with proximal femoral transfix fixation by using quadripled hamstring tendon grafts. Methods: Quadrupled hamstring tendon otografts were used in 96 knees of 96 patients. Subjective, clinical, functional, Telos stress device, radiographic evaluations were applied to all patients at the end of the first and second years. Among 96 patients two were women and 94 were men; 5 patients were professional and 36 patients were amateur sportsman. Mean age was 24 (20 to 34). International Knee Documentation Committee (IKDC) scoring and a questionaire that consists of Lysholm 2 scoring were used to assess knee function and activity. Results: Ninety percent of patients expressed their reconstructed knees as normal with 100% stability subjectively. Ninety percent of the patients returned to their normal daily activities and life as before the injury. A and B scores were obtained in 82 of 96 patients (85 %) as mean IKDC knee score. Mean Lysholm score was found 94. The difference measured by Telos stres device betweeen mean preoperative 13.7 mm and postoperative 2.8 mm laxity grades was statistically significant (p<0.001). Conclusion: We obtained succesful and excellent subjective, objective, functional and radiologic results at endoscopic anterior cruciate ligament (ACL) reconstruction technique which is performed by using femoral transfix fixation with quadrupled semitendinosus-gracilis autograft for intermediate period follow-up.
Objectives: There is an increase in use of otograft in anterior knee reconstruction for the recent years. Quadrupled hamstring tendons are known as the hardest and the most powerful otografts. Our aim is to report the fourth years results of anterior knee reconstruction which is performed with proximal femoral transfix fixation by using quadripled hamstring tendon grafts. Methods: Quadrupled hamstring tendon otografts were used in 96 knees of 96 patients. Subjective, clinical, functional, Telos stress device, radiographic evaluations were applied to all patients at the end of the first and second years. Among 96 patients two were women and 94 were men; 5 patients were professional and 36 patients were amateur sportsman. Mean age was 24 (20 to 34). International Knee Documentation Committee (IKDC) scoring and a questionaire that consists of Lysholm 2 scoring were used to assess knee function and activity. Results: Ninety percent of patients expressed their reconstructed knees as normal with 100% stability subjectively. Ninety percent of the patients returned to their normal daily activities and life as before the injury. A and B scores were obtained in 82 of 96 patients (85 %) as mean IKDC knee score. Mean Lysholm score was found 94. The difference measured by Telos stres device betweeen mean preoperative 13.7 mm and postoperative 2.8 mm laxity grades was statistically significant (p<0.001). Conclusion: We obtained succesful and excellent subjective, objective, functional and radiologic results at endoscopic anterior cruciate ligament (ACL) reconstruction technique which is performed by using femoral transfix fixation with quadrupled semitendinosus-gracilis autograft for intermediate period follow-up.
Açıklama
Anahtar Kelimeler
Ön çapraz bağ, hamstring tendonu, otogreft, rekonstrüksiyon, Anterior cruciate ligament, hamstring tendons, autograft, reconstruction
Kaynak
Maltepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
1
Künye
Şanel, S., Ermiş, M. N., Büktel, Y. H., Solakoğlu, C. ve Ünsal, F. M. (2012). Dörtlü hamstring otogrefti ile artroskopik ön çapraz bağ rekonstrüksiyonunun orta dönem sonuçları / Intermediate term results of arthroscopy assisted anterior cruciate ligament reconstruction with quadrupled hamstring tendon autograft. Maltepe Tıp Dergisi. 4(1), s. 10-13.
