Ön çapraz bağ rekonstrüksiyonunda transtibial ve anteromedial portal tekniklerin fonksiyonel olarak karşılaştırılması

Öz

Amaç: Bu çalışmada, otojen hamstring tendon grefti kullanılarak ön çapraz bağ (ÖÇB) rekonstrüksiyonu yapılan hastalarda, transtibial (TT) ve anteromedial portal (AMP) tekniklerin fonksiyonel sonuçlarının karşılaştırılması amaçlanmıştır. Gereç ve Yöntemler: 2010-2018 yılları arasında, TT ve AMP teknik ile ÖÇB rekonstrüksiyonu yapılan toplam 80 hasta çalışmaya dahil edilmiştir. Hastaların 40 tanesi TT teknik ile 40 tanesi AMP teknik ile ameliyat edildi. Hastaların ameliyat sonrası takiplerinde, diz hareket açıklığı (fleksiyon- ekstansiyon), eklem kararlılık testleri (Lachman, ön çekmece, pivot-shift testleri) ve fonksiyonel skorları (IKDC, Lysholm, Cincinnati and Tegner diz skorları) kaydedildi. Bulgular: Her iki grup için ameliyat öncesi ve ameliyat sonrası yapılan ölçümler arasında istatistiksel olarak anlamlı fark bulunmuşsa da, TT ve AMP grupların birbirleri ile karşılaştırılmasında, diz hareket açıklığı, kararlılık ve fonksiyonel skorların sonuçları açısından fark bulunmadı. Sonuç: Her iki grup için, otojen hamstring tendon grefti ile yapılan artroskopik ÖÇB rekonstrüksiyonunun erken fonksiyonel sonuçları tatmin edici ve benzerdir.

Anahtar Kelimeler

• ön çapraz bağ
• transtibial teknik
• anteromedial teknik

Functional comparison of transtibial and anteromedial portal techniques in anterior cruciate ligament reconstruction

Öz

Aim: This study aimed to compare the functional results of transtibial (TT) and anteromedial portal (AMP) techniques in patients who underwent anterior cruciate ligament (ACL) reconstruction using the autogenous hamstring graft. Material and Methods: Fourty patients with TT technique and 40 patients with AMP technique who underwent arthroscopic ACL reconstruction between 2010-2018 were included in this study. During follow-up, range of motion (flexion-extension), stability (Lachman, anterior drawer, pivot-shift tests), functional scores (IKDC, Lysholm, Cincinnati and Tegner knee scores) were recorded. Results: Although there were statistically significant results between preoperative and postoperative values in each group, there was no statistically significant difference between groups for knee range of motion, stability, functional results. Conclusion: For both groups, early postoperative functional results of arthroscopic ACL reconstruction with autogenous hamstring tendon graft were found to be satisfactory.

Anahtar Kelimeler

• anterior cruciate ligament
• transtibial technique
• anteromedial portal technique

Kaynakça

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