Short Term Results of Arthroscopic Anterior Cruciate Ligament Reconstruction Applied with Autojen Hamstring Tendon Graft and Transfix Technique

Yıl 2018, Cilt: 2 Sayı: 3, 175 - 181, 13.11.2018

Seçkin Basılgan Yaşar Mahsut Dinçel

https://doi.org/10.30565/medalanya.409024

Öz

Aim: We aimed to evaluate the early
results of anterior cruciate ligament injuries (ACL) reconstruction with
autogenous hamstring tendon graft (OHTG) and transfix technique.

Patients and methods: Between 2007 and 2009, 55 of 62
patients who had postoperative 2-year follow-up of ACL reconstruction were
included in the study. Preoperative and postoperative Tegner activity scale,
Lysholm scoring system and IKDC (International Knee Documentation Committee)
knee bond evaluation systems, Lachman for stabilization tests, Pivot-Shift and
front drawer tests as well as KT- 1000 tests were used for functional
evaluation of the patients. .

Results: 
The mean preoperative Lysholm scores were 61, but they were found 94 at
the last follow-up. According to preoperative IKDC scores, 5 patients were B,
40 patients were C and 10 patients were D; however, postoperatively, 12
patients were A, 36 patients were B and 7 patients were C, respectively. The
mean preoperative value of Tegner activity scale was 3.2, but this value
increased to 6.8 postoperatively. There was a statistically significant
difference between the two groups in the t test on dependent groups (p
<0.05). In the Kt-1000 arthrometer measurement, the translation difference
was less than 3 mm in 45 patients, between 3 mm and 5 mm in 7 patients, and
over 5 mm in 3 patients.

Conclusion: As a result of the evaluations
made, it was concluded that the use of OHTG and detection with Transfix
technique was a technique that can be used for ACL in injured patients.

Anahtar Kelimeler

Autogenous Hamstring Tendon Graft, Transfiks Technique, Anterior Cruciat Ligament

Otojen Hamstring Tendon Grefti Ve Transfiks Tekniği İle Uygulanan Artroskopik Önçapraz Bağ Rekonstrüksiyonu Kısa Dönem Sonuçları

Öz

Amaç: Ön çapraz bağ yaralanmalarının
(ÖÇB) otojen hamstring tendon grefti (OHTG) 
ve transfiks tekniği ile rekonstrüksiyonunun erken sonuçlarını
değerlendirmeyi amaçladık.

Hastalar ve Yöntem: 2007- 2009 yılları arasında
hastanemizde ÖÇB tamiri yapılan postop 2 yıl takibi olan 62 hastanın 55’i
çalışmaya alındı. Çalışmada, hastaların fonksiyonel değerlendirmesi için
ameliyat öncesi ve sonrası Tegner aktivite skalası, Lysholm skorlama sistemi ve
IKDC (International Knee Documentation Committee) diz bağ değerlendirme
sistemleri, stabilizasyon testleri için Lachman, Pivot-Shift ve ön çekmece
testlerine ek olarak kantitatif bir sonuç veren Kt-1000 testi uygulandı.

Bulgular: 
Ameliyat öncesi Lysholm skorları ortalaması 61 iken , yapılan son
kontrolde 94 bulundu. Ameliyat öncesi IKDC skorlarına bakıldığında 5 hasta B,
40 hasta C ve 10 hasta D iken ameliyat sonrası, 12 hasta A, 36 hasta B, 7 hasta
C olarak bulundu. Tegner aktivite skalası; ameliyat öncesi ortalama 3,2 iken
ameliyat sonrası bu değer ortalama 6,8’e yükseldi. Bağımlı gruplarda t testi
ile yapılan istatiksel çalışmada iki grup arasında anlamlı fark tespit edildi (
p< 0.05). Kt-1000 artrometre ölçümünde, translasyon farkı 45 hastada 3
mm'den az, 7 hastada 3mm-5mm arasında ve 3 hastada 5 mm’nin üzerinde bulundu.

Sonuç: Yapılan değerlendirmeler sonucunda
OHTG kullanımı ve transfix tekniği ile tespitin, ÖÇB yaralanmalı hastalarda
kullanılabilecek bir teknik olduğu sonucuna varılmıştır.

Anahtar Kelimeler

Otojen Hamstring Tendon Grefti, Transfiks Tekniği, Ön Çapraz Bağ

Kaynakça

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