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Medical Journal of Süleyman Demirel University

2602-2109

Süleyman Demirel Üniversitesi

10.17343/sdutfd.427517

Health Care Administration

Sağlık Kurumları Yönetimi

Ön Çapraz Bağ Yırtığına Eşlik Eden Anterolateral Bağ Yırtığı Ön Çapraz Bağ Tamiri Sonuçlarını Etkilemez

Contaminant anterolateral ligament rupture does effect anterior cruciate ligament reconstruction outcome

Yaradılmış

Yüksel Uğur

ANKARA KEÇİÖREN EĞİTİM VE ARAŞTIRMA HASTANESİ Okkaoğlu

Mustafa Caner

ANKARA KEÇİÖREN EĞİTİM VE ARAŞTIRMA HASTANESİ Şeşen

Hakan

ANKARA KEÇİÖREN EĞİTİM VE ARAŞTIRMA HASTANESİ Özdemir

Mahmut

TUNCELİ DEVLET HASTANESİ Demirkale

İsmail

ANKARA KEÇİÖREN EĞİTİM VE ARAŞTIRMA HASTANESİ Altay

Murat

ANKARA KEÇİÖREN EĞİTİM VE ARAŞTIRMA HASTANESİ

03 04 2019

26 1 46 50 05 27 2018 08 11 2018

1994

Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

AmaçÖn çapraz bağ (ÖÇB) yaralanmasına eşlik eden anterolateral bağ (ALL)yaralanmalarını MR görüntüleme ile değerlendirmek ve ALL yaralanmasının ÖÇBtamiri sonuçlarına etkisini araştırmak. Çalışmamızın hipotezi ise; yaralanmışALL, ÖÇB tamiri sonrası fonksiyonel sonuçlarına etkisinin olmadığıdır.Materyal ve MetodKliniğimizde 2012-2016 yılları arasında ÖÇB tamiri yapılan (en az ikiyıllık takip) 62 hastanın MR görüntüleri ALL yaralanması açısından retrospektifincelendi. ALL açısından hastalar sağlam (normal) ve hasarlı (anormal) olarakiki gruba ayrıldı. ALL açısından tedavi görmeyen hastalara tek bandanterolateral(anatomik) ÖÇB rekonstrüksiyonu uygulandı. Gruplar fonksiyonel sonuçlaraçısından Uluslararası Diz Dokümantasyon Komitesi’nin (IKDC) diz skoru veLysholm skoru testleri ile değerlendirildi.SonuçHastanın 36’sında (%58) ALL yaralanmasının eşlik ettiği gözlendi. BuALL yaralaması olan hastaların 6’sında segond kırığı gözlendi (%10). IKDCskorları son kontrolde; ALL sağlam olan grupta A ve B, ALL hasarlı olangrupta A ve B olarak bulundu. Lsyholm skorları son kontrolde; ALL sağlamolan grupta mükemmel-iyi sonuç ortalama 92,2 (86-100) ALL hasarlıolan grupta mükemmel-iyi sonuç ortalama 91,4 (82-100) olarak bulundu.IKDC, Lysholm skoru bakımından her iki grupta da sonuçlar tatmin ediciydi ancakgruplar arasında anlamlı fark yoktu (p:0.186,p:0.680).Çıkarımlar ÖÇB rüptürüne eşlik eden ALL hasarı, tamir edilmese de ÖÇB tamirisonuçlarını fonksiyonel olarak etkilememektedir.

PurposeTo evaluate the anterolateral ligament(ALL) injuries associated with anterior cruciate ligament (ACL) injury by MRimaging and to investigate the effect of ALL injury on ACL repair results. Thehypothesis of our study is as follows; injured ALL, has no effect on functionaloutcomes after ACL repairMethodsWe retrospectively reviewed the MR imagesof 62 patients who underwent ACL repair (with at least two years follow-up)between 2012 and 2016 in our clinic. In terms of ALL, patients were dividedinto two groups one as healthy (normal) and the other as damaged (abnormal).Patients not being treated for ALL had only one band anterolateral (anatomic)ACL reconstruction performed. Groups were assessed by knee score and Lysholmscore test of the International Knee Documentation Committee (IKDC) forfunctional outcomes.ResultsDuring the study it was found that 36 of thestudy’s patients (58%) were accompanied by anterolateral ligament injury. Ofthese patients with anterolateral ligament injury, 6 of the patients had asegond fracture observed (10%). ICDC scores were recorded on the finalfollow-up; A and B were found in the ALL intact group, and A and B in the ALLtie group. Excellent-good results in the ALL intact group and excellent-goodresults in the group with an average 92.2 (86-100) ALL rupture were 91.4(82-100). IKDC, Lysholm scores were satisfactory in both groups, but there wasno significant difference between the groups (p: 0.186, p: 0.680).ConclusionALL injury associated with the ACL rupture does notfunctionally affect the repair results, even if not repaired.

Anterolateral bağ yaralanması Ön çapraz bağ rekonstrüksiyonu MR görüntüleme

Anterolateral ligament injury Anterior cruciate ligament reconstruction MR imaging

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