TY - JOUR T1 - Anatomik Ön Çapraz Bağ Rekonstrüksiyonun Femoral Tünel Oblisitesi İle İlişkisinin Klinik Olarak Değerlendirilmesi TT - Clinical Evaluation of the Relationship of Anatomical Anterior Cruciate Ligament Reconstruction with Femoral Tunnel Obliquity AU - Turhal, Ozan AU - Karaduman, Zekeriya Okan AU - Turhan, Yalçın AU - Güler, Cemal AU - Cangür, Şengül AU - Arıcan, Mehmet PY - 2019 DA - September DO - 10.33631/duzcesbed.577371 JF - Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi JO - DÜ Sağlık Bil Enst Derg PB - Duzce University WT - DergiPark SN - 2146-443X SP - 115 EP - 121 VL - 9 IS - 3 LA - tr AB - Amaç: Artroskopik önçapraz bağ (ÖÇB) rekonstrüksiyonlarında hamstring tendon grefti, patellartendon grefti, allogreft gibi çeşitli tendon greftleri kullanılmaktadır.Çalışmamızda, Otojen Hamstring Tendonlar kullanılarak Anatomik Ön Çapraz BağRekonstrüksiyonu uygulanan hastalarda femoral tünel oblisitesinin sonuçlarınıgüncel literatür eşliğinde değerlendirmeyi amaçladık.Gereç ve Yöntemler: Ocak 2013 –Haziran 2016 tarihleri arasında ön çapraz bağ rüptürü nedeniyle kliniğimizdecerrahi olarak tedavi edilen hastalar telefonla aranarak hastaneye davetedildi. Bunlar içerisinden fizik muayeneleri, grafi kontrolleri ve ölçümleriyapılan 64 hasta çalışmaya dâhil edildi.Bulgular: Hastalarımızın55’i erkek, 9’u bayandı. Hastaların yaş ortalaması 29.3±8.12 (14-47) idi.Ortalama takip süremiz 14.47±7.44 (6-36) aydır. Kontrol Lysholm ve Tegner skoruameliyat öncesi değerlerle karşılaştırıldığında istatistiksel açıdan ileriderecede anlamlı farklılıklar bulundu (p<0.001). International KneeDocumentation Committee (IKDC) diz bağları değerlendirme sistemine göreameliyat öncesi 3 hasta (%4.7) B, 18 hasta (%28.12) C ve 43 hasta (%67.18) Dolarak saptandı. Ameliyat sonrası yapılan son kontrol muayenesinde 41 hasta(%64.06) A, 21 hasta (%32.81) B ve 2 hasta (%3.12) C grubuna dâhil edildi.Ortalama femur tüneli oblisitesi 41.2±7.2° bulundu.Sonuç: Ön çaprazbağ’ın rotasyonel stabilitesine oblik femoral tünel yerleşiminin daha fazlayarar sağladığı düşünülmektedir. Biz bu çalışmamızın sonucunda ön çapraz bağınotojen hamstring tendon grefti kullanarak anatomik teknikle uygulanmasınınfemoral tünel oblisite artışının fonksiyonel sonuca katkısının daha yararlıolduğu kanaatindeyiz. KW - Anterior cruciate ligament reconstruction KW - rüptür KW - artroskopi N2 - Aim: Various tendongrafts such as hamstring tendon graft, patellar tendon graft, allograft areused in arthroscopic anterior cruciate ligament (ACL) reconstructions. In ourstudy, we aimed to evaluate in the light of the updated literature, femoraltunnel obliquity results of anterior cruciate ligament (ACL) reconstructionusing autogenous hamstring tendon graft. Material and Methods: Between January 2013 and June 2016, the surgically treated patients inour clinic who had anterior cruciate ligament (ACL) rupture were called andinvited to hospital by telephone. 64 patients whose physical examinations,radiographs and measurements were completed have been included in the study.Results: 55 ofour patients were male and 9 were female. The mean age of the patients was29.3±8.12 (14-47) years. Total follow-up time was 14.47±7.44 (6-36) months.There were statistically significant difference between control and follow-upLysholm and Tegner activity scores (p<0.001). According to the InternationalKnee Documentation Committee (IKDC) knee ligation evaluation system, 3 patients(4.7%) were B, 18 patients (28.12%) were C and 43 patients (67.18%) wererevealed as D in preoperative term. In the last postoperative examination, 41patients (64.06%) were included in the group A, 21 patients (32.81%) B and 2patients (3.12%) were included in the group C. 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Brace-free rehabilitation, with early return to activity, for knees reconstructed with a double-looped semitendinosus and gracilis graft. J Bone Joint Surg Am. 1996; 78(6): 814-25. UR - https://doi.org/10.33631/duzcesbed.577371 L1 - https://dergipark.org.tr/en/download/article-file/818030 ER -