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

Year 2019, , 46 - 50, 04.03.2019

Yüksel Uğur Yaradılmış , Mustafa Caner Okkaoğlu Hakan Şeşen Mahmut Özdemir İsmail Demirkale Murat Altay

https://doi.org/10.17343/sdutfd.427517

Abstract

Amaç

Ön çapraz bağ (ÖÇB) yaralanmasına eşlik eden anterolateral bağ (ALL)
yaralanmalarını MR görüntüleme ile değerlendirmek ve ALL yaralanmasının ÖÇB
tamiri sonuçlarına etkisini araştırmak. Çalışmamızın hipotezi ise; yaralanmış
ALL, ÖÇB tamiri sonrası fonksiyonel sonuçlarına etkisinin olmadığıdır.

Materyal ve Metod

Kliniğimizde 2012-2016 yılları arasında ÖÇB tamiri yapılan (en az iki
yıllık takip) 62 hastanın MR görüntüleri ALL yaralanması açısından retrospektif
incelendi. ALL açısından hastalar sağlam (normal) ve hasarlı (anormal) olarak
iki gruba ayrıldı. ALL açısından tedavi görmeyen hastalara tek bandanterolateral
(anatomik) ÖÇB rekonstrüksiyonu uygulandı. Gruplar fonksiyonel sonuçlar
açısından Uluslararası Diz Dokümantasyon Komitesi’nin (IKDC) diz skoru ve
Lysholm skoru testleri ile değerlendirildi.

Sonuç

Hastanın 36’sında (%58) ALL yaralanmasının  eşlik ettiği gözlendi. Bu
ALL yaralaması olan hastaların 6’sında segond kırığı  gözlendi (%10). IKDC
skorları son kontrolde; ALL sağlam olan grupta A ve B,  ALL hasarlı olan
grupta A ve B olarak bulundu. Lsyholm skorları son kontrolde;  ALL sağlam
olan grupta mükemmel-iyi sonuç ortalama  92,2 (86-100) ALL hasarlı
olan  grupta mükemmel-iyi sonuç ortalama 91,4 (82-100) olarak bulundu.
IKDC, Lysholm skoru bakımından her iki grupta da sonuçlar tatmin ediciydi ancak
gruplar arasında anlamlı fark yoktu (p:0.186,p:0.680).

Çıkarımlar

ÖÇB rüptürüne eşlik eden ALL hasarı, tamir edilmese de ÖÇB tamiri
sonuçlarını fonksiyonel olarak etkilememektedir. 

Keywords

Anterolateral bağ yaralanması, Ön çapraz bağ rekonstrüksiyonu, , MR görüntüleme

Contaminant anterolateral ligament rupture does effect anterior cruciate ligament reconstruction outcome

Abstract

Purpose

To evaluate the anterolateral ligament
(ALL) injuries associated with anterior cruciate ligament (ACL) injury by MR
imaging and to investigate the effect of ALL injury on ACL repair results. The
hypothesis of our study is as follows; injured ALL, has no effect on functional
outcomes after ACL repair

Methods

We retrospectively reviewed the MR images
of 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 divided
into 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 Lysholm
score test of the International Knee Documentation Committee (IKDC) for
functional outcomes.

Results 

During the study it was found that 36 of the
study’s patients (58%) were accompanied by anterolateral ligament injury. Of
these patients with anterolateral ligament injury, 6 of the patients had a
segond fracture observed (10%). ICDC scores were recorded on the final
follow-up; A and B were found in the ALL intact group, and A and B in the ALL
tie group. Excellent-good results in the ALL intact group and excellent-good
results 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 was
no significant difference between the groups (p: 0.186, p: 0.680).

 

Conclusion

ALL injury associated with the ACL rupture does not
functionally affect the repair results, even if not repaired. 

Keywords

Anterolateral ligament injury, Anterior cruciate ligament reconstruction, , MR imaging

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