Comparision of Clinical Results between Three Different Fixation Method of Anterior Cruciate Ligament Reconstruction

Yıl 2018, , 28 - 35, 01.01.2018

Barış Yılmaz , Cem Çopuroğlu Mert Özcan Mert Çiftdemir Erdi İmre Nurettin Heybeli

https://doi.org/10.5505/kjms.2017.71677

Öz

Aim: The aim of this study is to investigate the clinical results of three different fixation methods of ACL reconstruction. 
Material and Method: The 81 patients whom undergone arthroscopic ACL surgery using hamstring tendon grafts were divided to three groups. Group 1 (27 patients) was defined which graft fixation made in tunnel and using interference screw named AperFix, group 2 (24 patients) was defined which graft fixation made made in tunnel and using transcondylar nail named TransFix, group 3 (30 patients) was defined which graft fixation made outside of tunnel on cortical bone named Endobutton. All patients were evaluated by operation time, postoperative functional scores International Knee Documentation Committee (IKDC) knee score and Lysholm scoring system. 
Results: There was no statistically significant difference in mean of ages, sex, side distribution, follow-up time, IKDC scores and Lysholm scores between the groups (p>0.05). Mean operation time was 85.86±7.15 minutes. There was statistically significant difference Between the groups in surgical time (p: 0.001; p<0.05).There was statistically significant decreased surgical time in group 3 when compared to group 1 (p: 0.001) and group 2 (p: 0.003) (p<0.05). There was no statistically significant difference of surgical time between group 1 and 2 (p: 0.587; p>0.05). 
Conclusion: There was no significant difference in clinical results between three different fixation methods while Endobutton method has a advantage in decreasing of surgical time.

Anahtar Kelimeler

Anterior cruciate ligament, hamstring tendon, IKDC, Lysholm score

Ön Çapraz Bağ Rekonstrüksiyonunda Kullanılan Üç Farklı Femoral Tespit Yönteminin, Klinik Sonuçlar Üzerine Etkilerinin Karşılaştırılması

Öz

Amaç: Bu çalışmada, üç farklı femoral tespit yöntemi ile yapılan artroskopik ön çapraz bağ rekonstrüksiyonun klinik sonuçlarının araştırılması amaçlanmıştır. 
Materyal ve Metot: Hamstring tendon grefti kullanılarak artroskopik ön çapraz bağ rekonstrüksiyonu uygulanan 81 hasta 3 grub ayrıldı. Grup 1 (27 hasta); greft tespitini tünel icinde yapan ve interferans vidası olarak uygulanan AperFix grubu, Grup 2 (24 hasta); greft tespitini tünel içinde yapan ve transkondiler çivi olarak uygulanan TransFix grubu ve Grup 3 (30 hasta); greft tespitini tünel dışında korteks üzerinde yapan Endobutton grubu. Tüm hastalar operasyon süresi, komplikasyon gelişimi ve operasyon sonrası fonksiyonel sonuçlar açısından IKDC (International Knee Documentation Committee) diz skoru ve Lysholm skoru ile değerlendirildi. 
Bulgular: Gruplar arasında yaş ortalamaları, cinsiyet, taraf dağılımları, takip süreleri, IKDC ve Lysholm skorları açısından istatistiksel olarak anlamlı bir fark bulunmadı (p>0.05). Çalışmaya katılan hastaların operasyon süresi 85.86±7.15 dakikadır. Gruplar arasında operasyon süreleri açısından istatistiksel olarak anlamlı fark bulunmadı (p: 0.001; p<0.05).
anlamlı fark bulunmadı (p: 0.001; p<0.05). Anlamlılığın tespiti için yapılan ikili karşılaştırmalar sonucunda; grup 3’de operasyon süre ortalaması; grup 1 (p: 0.001) ve grup 2’den(p: 0.003) anlamlı düzeyde kısa bulundu (p<0.05). Grup 1 ve grup 2 arasında operasyon süre ortalamaları açısından anlamlı bir fark bulunmadı (p: 0.587; p>0.05). 
Sonuç: Üç farklı tespit yöntemi arasında klinik sonuçlar bakımından bir fark bulunmayıp, sadece cerrahi süre açısından endobutton yöntemi avantajlı cerrahi yöntem olarak tespit edilmiştir.

Anahtar Kelimeler

Ön çapraz bağ, Hamstring tendonu, IKDC, Lysholm skoru

Kaynakça

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