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Abstract

Objective: The aim of this study was to determine the results of arthroscopic reconstruction of anterior cruciate ligament with hamstring tendon graft. Method: Thirty-eight patients with a mean age of 27.35 years were analyzed. Functional evaluation was made with Lysholm knee score, IKDC (International Knee Documentation Committee) score, Modified Cincinnati knee score and Tagner Activity score, clinical evaluation was made with stability tests, range of motion of the joint and thigh atropy measurements at the final control (mean 18, range 8 - 28 months). Results: The Lysholm scores were excellent for 27 patients, good for 11 patients and Modified Cincinnati knee scores were excellent for 31 patients, good for 7 patients. The final functional results were significantly better than pre-operative results according to the Lysholm scores, Modified Cincinnati knee scores and Tagner Activity scores. Pre-operative activity results were achieved after operation. The final IKDC scores were significantly better than pre-operative scores. There was not significantly difference between pre-injury and final results. Lachman, Pivot-shift tests were measured as 1 (+) in 8 patients at final control. Compared with the normal side, the thigh circumferences were measured as equal in 24 patients, < 10 mm difference in 10 patients and 10 – 20 mm difference in 4 patients. No flexion or extension losses occurred in the affected knees; mean flexion was measured as 124° (range 115°- 130°). Conclusion: We conclude that arthroscopic reconstructions of anterior cruciate ligament with use of Hamstring tendon autograft which revealed both satisfactory functional results and high personal satisfaction

Keywords

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Ön Çapraz Bağ Yırtıklarının Dört Katlı Otojen Hamstring Tendon Grefti İle Artroskopik Rekonstrüksiyonu

Abstract

Amaç: Bu çalışma ile ön çapraz bağ yırtığının otojen Hamstring tendon grefti ile artroskopik rekonstrüksiyonunun sonuçları değerlendirildi. Metod: Ortalama yaşları 27.35 olan 38 hasta değerlendirildi. Son kontrolde (ortalama 18, dağılım 8–28 ay) fonksiyonel değerlendirme Lysholm diz skorlaması, IKDC (International Knee Documentation Committee) skorlaması, Modifiye Cincinnati skorlaması, Tagner Aktivite skorlaması ile klinik değerlendirme stabilite testleri, diz eklem hareket açıklığı ve uyluk atrofisi ölçümü ile yapıldı. Bulgular: Son kontrollerde Lysholm skoru 27 hastada mükemmel, 11 hastada iyi, Modifiye Cincinnati skoru 31 hastada mükemmel, 7 hastada iyi olarak bulundu. Lysholm skoru, Modifiye Cincinnati skoru ve Tagner Aktivite skoru cerrahi öncesine göre anlamlı derecede iyi bulundu. Operasyon sonrası yaralanma öncesi aktivite değerlerine ulaşıldı. Son kontrollerdeki IKDC ( International Knee Documentation Committee) skoru cerrahi öncesine göre anlamlı dercede iyi bulunudu. Yaralanma öncesi ve son kontrollerdeki sonuçlarda anlamlı bir fark bulunmadı. Son kontrolde 8 hastada Lachman, Pivot-shift testi (+) olarak bulundu, 24 hastada uyluk çevreleri arasında fark yokken 10 hastada < 10 mm, 4 hastada da 10 – 20 mm arasında fark saptandı, hiçbir opere edilen dizde ekstansiyon kısıtlılığı saptanmadı ve ortalama fleksiyon hareket açıklıları 124°(dağılım 115° – 130°) olarak bulundu. Sonuç: Ön çapraz bağ yırtığının otojen hamstring tendon grefti ile yapılan atroskopik rekonstrüksiyonunda hem fonksiyonel hemde hasta memnuniyeti açısından memnun edici sonuçlara ulaşılmıştır

Keywords

• Artroskopik Onarım, Önçapraz Bağ, Otojen Hamstring Tendon

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