ÖN ÇAPRAZ BAĞ REKONSTRÜKSİYONU UYGULANMIŞ NORMAL VE OBEZ BİREYLERİN FONKSİYONEL SONUÇLARININ KARŞILAŞTIRILMASI

Year 2022, , 127 - 132, 01.03.2022

Lokman Kehribar , Sina Coşkun

https://doi.org/10.17343/sdutfd.993186

Abstract

Amaç
Obezite, ortopedik cerrahide postoperatif klinik sonuçlara
etki eden bir klinik antitedir. Literatürdeki birçok
çalışma obezitenin ortopedik cerrahi üzerindeki etkilerini
ortaya koymuştur. Ön çapraz bağ (ÖÇB) yırtılması
genellikle genç ve aktif bireylerde görülür ve genellikle
cerrahi olarak tedavi edilir. Bu çalışmada obezitenin
ön çapraz bağ rekonstrüksiyonunun klinik sonuçları
üzerindeki etkisini araştırmak istedik.
Gereç ve Yöntem
Eylül 2012-Haziran 2016 yılları arasında opere edilen,
180 hasta retrospektif olarak değerlendirildi. Hastalar
vücut kitle indekslerine (VKİ) göre 2 gruba ayrıldı. Tüm
hastalar tek bir merkezde ve tek bir cerrah tarafından
ameliyat edildi. VKİ<25 kg/m² olan hastalar Grup 1'i
(n=113), VKİ>30 kg/m² olan hastalar Grup 2'yi (n=67)
oluşturdu. Hastaların yaş, cinsiyet, VKİ, ameliyat için
bekleme süresi, ameliyat öncesi ve ameliyat sonrası
Lysholm ve modifiye Cincinnati skorları bu iki grup
arasında karşılaştırıldı.
Bulgular
Gruplar arasında komplikasyon, takip süreleri, ameliyat
öncesi bekleme süresi, ameliyat öncesi ve sonrası
Lysholm skorları ve ameliyat sonrası modifiye Cincinnati
skorları açısından anlamlı fark bulunamadı. Ameliyat
öncesi modifiye Cincinnati skorlarında gruplar
arasında istatistiksel olarak anlamlı bir fark bulundu.
Komplikasyon oranları açısından iki grup arasında istatistiksel
olarak anlamlı bir fark saptanmadı.
Sonuç
ÖÇB rekonstrüksiyon cerrahisi normal VKİ'ye sahip
popülasyon ve VKİ'ye göre obez olan hastalarda
fonksiyonel diz skorları açısından benzer sonuçlara
sahiptir. Ancak bu sonuçları doğrulamak için daha
fazla klinik çalışmaya ve başka parametrelere ihtiyaç
vardır.

Keywords

Obezite, Ön çapraz bağ, Rekonstrüksiyon

COMPARISON OF FUNCTIONAL RESULTS OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION IN OBESE PATIENTS WITH NORMAL INDIVIDUALS

Abstract

Objective
Obesity is one of the most challenging diseases in
orthopedic surgery which directly affects the clinical
results of the operations. Many studies in the literature
demonstrated the effects of obesity on orthopedic
surgery. Anterior cruciate ligament (ACL) rupture
is commonly seen in young and active individuals
and generally treated surgically. In this study, we
had the intention to investigate the effect of obesity
on the clinical results of anterior cruciate ligament
reconstruction.
Material and Methods
180 patients were retrospectively evaluated whom
operated between September 2012 - June 2016. The
patients are divided into 2 groups according to their
body mass index (BMI). All patients were operated
on in a single center and by a single senior surgeon.
BMI<25 kg/m2 patients formed Group 1 (n=113),
BMI>30 kg/m2 patients formed the Group 2 (n=67).
Age, gender, BMI of the patients, waiting time for the
operation, preoperative and postoperative Lysholm
and modified Cincinnati scores were compared
between these two groups.A p-value less than 0.05
(typically ≤ 0.05) is statistically significant.
Results
There was no significant difference between the
groups in terms of complication, follow-up periods,
waiting time before operation, and pre-op and postop
Lysholm scores, and post-op modified Cincinnati
scores. A significant difference has been found
between the groups in pre-op modified Cincinnati
scores.
Conclusion
ACL reconstruction surgery has similar results in the
obese population compared to the normal weight
population in terms of functional further studies and
other parameters are needed to verify these results.

Keywords

Obesity, Anterior cruciate ligament, Reconstruction

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