AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ

Öz

Amaç: Çalışmanın amacı Aşil tendon tamiri (ATT) uygulanan bireylerde cerrahi taraf ile diğer taraf arasında uzun dönem fonksiyonel sonuçları karşılaştırmaktı. Yöntem: Çalışmaya 20 ATT’li birey (yaş=40,15±7,32 yıl, vücut kitle indeksi=27,17±3,27 kg/m²) dahil edildi. Alt ekstremite fonksiyonel performansını belirlemek için Y denge testi, parmak ucuna yükselme testi ve ayak-ayak bileği araştırması (FAOS) anketi kullanıldı. İstatiksel analiz için cerrahi taraf ile diğer tarafı karşılaştırmada Eşleştirilmiş t testi kullanıldı. Sonuçlar: ATT’li bireylerin cerrahi sonrası geçen süre ortalama 5,02±3,64 yıl (2,00-13,00) idi. ATT’li bireylerin cerrahi taraf Y denge testi öne (p=0,008), arka içe uzanma mesafeleri (p=0,014) ve parmak ucuna yükselme seviyesi cerrahi tarafta daha az bulundu (p<0,001) . Bireylerin, FAOS alt parametreleri, belirtiler ve tutukluluk skoru 87,90±12,34 (61-100); ağrı skoru 93,60±11,55 (58-100); iş ve günlük yaşam aktiviteleri skoru 94,95±9,76 (66-100); iş, spor ve eğlence faaliyetleri skoru 86,75±17,03 (50-100) ve yaşam kalitesi skoru 78,15±17,50 (50-100) yüksek düzeydeydi. Tartışma: ATT’li bireylerde tamir sonrası FAOS sonuçları oldukça iyi bir iyileşme gösterirken, dinamik denge ve parmak ucuna yükselme mesafesinde ekstremiteler arası farklılıkları devam etmektedir. ATT’li bireylerde erken dönemde uygulanacak alt ekstremite fonksiyonel rehabilitasyonu fonksiyonel kayıpların giderilmesine katkı sağlayabilir. Anahtar Kelimeler: Aşil Tendonu, Tendon yaralanmaları, Fonksiyon.

Anahtar Kelimeler

• Aşil Tendonu
• Tendon yaralanmaları
• Fonksiyon

INVESTIGATION OF LONG-TERM POSTOPERATIVE FUNCTIONAL RESULTS IN INDIVIDUALS WITH ACHILLES TENDON REPAIR

Abstract

Purpose: The present study aimed to compare long term functional results between the repaired side with the uninjured side in Achilles tendon repair (ATR) individuals. Methods: Twenty individuals with ATR (Age=40.15 ± 7.32 years, body mass index=27.17 ± 3.27 kg/m²) were included in the study. The lower extremity functional performance was assessed with Y balance test, Foot and Ankle Outcome Scale (FAOS) and heel-rise test. The side-to-side differences were assessed by using a Paired samples t-test. Results: The mean time following surgery in individuals with ATR was 5.02 ± 3.64 years (2.00-13.00). Y balance test anterior direction (p=0.008) and posteromedial direction (p=0.014) reach distances and heel-rise levels (p<0.001) were lower in the repaired side. The five subscales of FAOS, activities of the daily living score 94.95±9.76 (66-100), function in sports and recreation score 86.75±17.03 (50-100), foot and ankle related quality of life score 78.15±17.50 (50-100), foot and ankle pain score 93,60±11,55 (58-100) and other symptoms 87.90±12.34 (61-100) score were higher. Conclusion: The long term FAOS results showed a better improvement while dynamic balance and the heel-rise differences remain between extremities. Functional rehabilitation of lower extremity may contribute to improve these functional differences. Key Words: Achilles Tendon; Tendon Injuries, Function.

Keywords

• Achilles Tendon
• Tendon Injuries
• Function

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