TY  - JOUR
T1  - AŞİL TENDON YIRTIKLARI TEDAVİSİNDE AÇIK ve PERKÜTAN TEKNİKLERİN KARŞILAŞTIRILMASI
TT  - Comparison of open and percutaneous techniques in the treatment of achilles tendon tears
AU  - Özkan, Sezai
AU  - Adanaş, Cihan
PY  - 2018
DA  - December
JF  - Van Sağlık Bilimleri Dergisi
JO  - Van Sağ Bil Derg
PB  - Van Yüzüncü Yıl Üniversitesi
WT  - DergiPark
SN  - 2667-5072
SP  - 1
EP  - 5
VL  - 11
IS  - 2
LA  - tr
AB  - Akut aşil tendon yırtıklarıayak bileği çevresindeki en sıkkarşılaşılan tendon yaralanmasıdır. Aşil tendonrüptürü olan hastalarda tedavi konusundahalen litaretürde  ortak bir  görüş   yoktur.   Bu çalış mada aşil tendon yırtığı tedavisinde iki farklı tekniğin fonksiyonel  sonuçları karşılaştırıldı. Çalış maya2010 ile 2017 tarihleri arasında açıkcerrahi ve perkütan cerrahi teknikle tedavisi yapılan31 hasta dahil edildi. Hastaların sonkontrollerinde ayak bileği eklem hareket açıklığı, dorsifleksiyon ve plantar fleksiyon güçleri, işe ve spora geri dönme sürelerideğerlendirildi. Hastaların fonksiyonel değerlendirilmesiAmerikan Ortopedik Ayak ve Ayak Bileği Derneği’nin (AOFAS), ayak bileği eklemini değerlendiren skorla masiste mi kullanıldı. Çalış maya alınan hastaların 29’u erkek 2’si bayan idi. Üç hasta trafik kazası, 26’sı sporyaparken, 2’si ise basit düşme sonrası rüptürgeliştiğini b ild irdi.Hastaların 18’ine açık cerrahi teknik(Grup 1), 13’üne perkütan cerrahi teknik(Grup 2) uygulandı. Grup 1’de bir hastada derin ven trombozu, üç hastada yüzeyel doku enfeksiyonu gelişti. Grup 2’de ise iki hastada sural sinir duyu alanında hipoestezi izlendi. Her iki grubun AOFAS skorlama sistemine görearalarında istatistiksel fark bulunmadı. Aşil tendon yırtığınedeniyle opere olan hastalarda açıkcerrahi teknik ve perkütan cerrahi teknikarasında fonksiyonel sonuç olarakanlamlı bir farkın olmadığı kanaatine varıldı.
KW  - aşil tendon
KW  - perkütan tamir
KW  - açık onarım
N2  - Acutetear of the Achilles tendonis the most common tendon injuryaround the ankle. There is no consensus on what method is more effectivein thetreatment of Achilles tendon rupture.The aim of th is studyis to compare the functionalresults of two differenttechniques in the treatment of achilles tendon rupture. Between2010 and 2017, 31 patients who had undergoneopen surgery and percutaneous surgery because of achilles rupture wereincluded in the study. In the last examinations of the patients, the range of motion of the ankle,the duration of return to work and sportswere evaluated. Functionalevaluation of patients The American Orthopedic Foot and AnkleAssociation (AOFAS) scoring systemwas used to evaluate the ankle joint. Of the 31 patientsincluded in the study, 29were male and 2 were female. 26 of them were sports injuries, 3 of them after traffic accident,and 2 of them after a simple fall. 18patients underwent open surgical technique (Group 1) and 13 patientsunderwent percutaneous surgical technique (Group 2). There was no statistical difference between thetwo groups according to AOFAS scoringsystem. It was concluded thatthere was no significant difference between theopen surgical technique and the percutaneous surgical technique inthe Achilles tendon tear.
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UR  - http://dergipark.org.tr/tr/pub/vansaglik/issue//599894
L1  - http://dergipark.org.tr/tr/download/article-file/776245
ER  -