Ön Çapraz Bağ Cerrahi Zamanlamasının Artrofibrozis ve Spora Dönüşe Etkisi – Derleme

Abstract

Tüm bağ yaralanmalarının yaklaşık %50'sini oluşturan ön çapraz bağ (ÖÇB) yaralanmaları, diz ekleminde meydana gelen en sık yaralanmalardandır ve yılda 100.000 kişide 30 kişi oranında görülme sıklığına sahiptir. Bu oran ÖÇB rekonstrüksiyon cerrahisini en sık yapılan ortopedik prosedürler arasına sokmaktadır. ÖÇB rekonstrüksiyonundan sonra iyi planlanıp uygulanan bir rehabilitasyon programı cerrahinin başarısını ortaya koyması açısından oldukça önemlidir. Cerrahi yaklaşım genellikle olumlu sonuçlar vermektedir, ancak ameliyat sonrası gelişmesi muhtemel komplikasyonlar hastanın iyileşmesini, tedavinin seyrini ve spora dönüşü olumsuz olarak etkileyebilmektedir. Bu yaralanma ve cerrahi uygulama sıklığı ÖÇB üzerine daha detaylı araştırmalar yapılmasını zorunlu hale getirmektedir. Bu eğitici derleme; ÖÇB yaralanması sonrası cerrahinin zamanlaması, sonrasında gelişebilen artrofibrozis ve spora dönüşe etkisi üzerine kanıtlar sunmaktadır.

Keywords

• Ön çapraz bağ rekonstrüksiyonu
• Artrofibrozis
• Spora dönüş
• Ön çapraz bağ cerrahi zamanlama

Effect of Anterior Cruciate Ligament Surgery Timing on Artrofibrosis and Return to Sports - Review

Abstract

Anterior cruciate ligament (ACL) injuries constitute approximately 50% of all ligament injuries. Although it is the most frequently injured ligament in the knee joint, it has an incidence of approximately 30 per 100,000 people per year. Because of this rate, ACL reconstruction surgery is among the most frequently performed orthopedic procedures. A well-planned and implemented rehabilitation program after ACL reconstruction is very important in terms of demonstrating the success of the surgery. ACL surgery generally yields good results but the occurrence of postoperative complications may adversely affect the recovery of the patient, the course of treatment and return to sports. This frequent occurrence necessitates more detailed research on ACL. This educational review provides evidence on the timing of ACL reconstruction surgery, subsequent arthrofibrosis, and its effect on returning to sports.

Keywords

• Anterior cruciate ligament reconstruction
• Arthrofibrozis
• Return to sports
• Anterior cruciate ligamant surgery timing

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