The Clinical Comparison of Endobutton-CL and Lift Systemed Ziploop Technıque in Arthroscopic Anterior Cruciate Ligament Reconstruction

Yıl 2013, Cilt: 4 Sayı: 16, 15 - 22, 03.03.2015

Alper Cansever İbrahim Duman , Raif Özden Ömer Yıldız Vedat Uruç Yunus Doğramacı Aydıner Kalacı

Öz

Aim: The objective of this study is to compare the
results of the surgically treated patients, having
anterior cruciate ligament rupture (ACL), by
applying Endobutton-CL and Lift Systemed
Ziploop technique.
Methods: 50 patients, who received
arthroscopically ACL rupture reconstruction
treatment in Orthopedics and Traumatology clinic
of Mustafa Kemal University, were studied
between July 2011 – March 2013. The surgical
period of the patients, functional status were
evaluated according to postoperative Lysholm
evaluation form; the preoperation and postoperation
were according to IKDC scoring.
Results: Fifty patients in total were included in our
survey by treating 25 patients , who were diagnosed
with ACL lesion, with Endobutton-CL technique
and the residual 25 patients were diagnosed with
Lift Systemed Ziploop technique. The average time
for the group applied Endobutton-CL technique was
found as 62 minutes, and 46 minutes for the other
group applied Lift Systemed Ziploop technique.
The average follow-up time of period in the group
applied Endobutton-CL technique was recorded as
13,6 months, and 9,7 months for the other group
applied Lift Systemed Ziploop technique.
Conclusion: Single incision arthroscopic
Endbutton- CL technique applied by using
autologous double deck (four band) hamstring
tendon and ACL reconstruction with Lift Systemed
Ziploop technique are efficient and confidential
techniques and are among the preferable techniques
in terms of their successful functional results and
low complication rates. However, Lift Systemed
Ziploop technique is more advantageous than
Endobutton-CL technique in terms of shorter
surgical time span of the preceding, of not having
the necessity to adjust the length of femoral tunnel
sensitively and of supplying better graft tension 

Anahtar Kelimeler

Anterior Cruciate Ligament Reconstruction, Endobutton-CL, Lift Systemed Ziploop

ARTROSKOPİK ÖN ÇAPRAZ BAĞ REKONSTRÜKSİYONUNDA ENDOBUTTON CL VE ASANSÖR SİSTEMLİ ZİPLOOP TEKNİKLERİNİN KLİNİK KARŞILAŞTIRILMASI

Öz

Giriş: Ön çapraz bağ (ÖÇB) yırtığı olup cerrahi
olarak Endobutton-Continue Loop ve Asansör
Sistemli Ziploop tekniği uygulanarak tedavi edilen
hastaların sonuçlarının karşılaştırılması.
Yöntem: Haziran 2011-Mart 2013 tarihleri arasında
Mustafa Kemal Üniversitesi Ortopedi ve
Travmatoloji servisinde artroskopik olarak ÖÇB
yırtığı rekonstrüksiyonu yapılan 50 hasta incelendi.
ÖÇB lezyonu tanısı konulan 25 hastaya (11’ine sağ
diz, 14’üne sol diz) Endobutton-CL tekniği
uygulanarak, 25 hastaya da (13’üne sağ diz, 12’sine
sol diz) Asansör Sistemli Ziploop tekniği
uygulanarak toplam 50 hasta çalışmamıza dahil
edildi. Hastaların cerrahi süreleri, fonksiyonel
durumları ameliyat sonrası Lysholm değerlendirme
skoru, ameliyat öncesi ve sonrası da International
Knee Documentation Committee (IKDC)
skorlaması ile değerlendirildi.

Bulgular: : Endobutton-CL tekniği uygulanan
grupta cerrahi süre ortalama 62,0 ±10,3 , Asansör
Sistemli Ziploop tekniğinde ise; 45,9 ±4,9
(p˂0,001) dakika olarak bulundu. Endobutton-CL
tekniği uygulanan grupta ortalama takip süresi 13,6
ay, Asansör Sistemli Ziploop tekniği uygulanan
grupta ise 9,7 ay olarak bulundu.
Sonuç: Otolog çift katlı (dört band) hamstring
tendon kullanılarak yapılan tek insizyonlu
artroskopik Endobutton-CL tekniği ve Asansör
Sistemli Ziploop tekniği ile ÖÇB rekonstrüksiyonu
etkili ve güvenilir yöntemler olup, düşük
komplikasyon oranları ve başarılı fonksiyonel
sonuçları açısından tercih edilebilir tekniklerdir.
Ancak; cerrahi süre açısından daha kısa sürede
yapılıyor olması, femoral tünel boyunun hassas bir
şekilde ayarlama gereğinin olmaması ve greft
gerginliğinin daha iyi sağlanması açısından Asansör
Sistemli Ziploop tekniği, Endobutton-CL tekniğine
göre daha avantajlıdır.
Anahtar Kelimeler: Ön Çapraz Bağ
Rekonstrüksiyonu, Endobutton-CL, Asansör
Sistemli Ziploop

Anahtar Kelimeler

Ön Çapraz Bağ Rekonstrüksiyonu, Endobutton-CL, Asansör Sistemli Ziploop

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