Evaluation of the association of ligamentum mucosum with anterior knee pain and the effect of ligamentum mucosum excision due to femoral attachment on arthroscopic surgery time

Uğur Onur Kasman; Özgür Korkmaz

doi:10.19161/etd.1557947

TR EN

Ligamentum mukozumun diz önü ağrısı ile ilişkisi ve ligamentum mukozumun femoral tutunma yerinden eksizyonunun artroskopik cerrahi süresine etkisi

Öz

Amaç: Çalışmanın ilk amacı, diz artroskopisi sırasında ligamentum mukozasının femoral yapışma yerinden yapılan eksizyonların süresini ve retropatellar yağ yastıkçığına bağlı kısımdan yapılan eksizyon süresini belirlemek ve hangi anatomik alan eksizyonunun ameliyat süresini kısalttığını belirlemektir. Bu çalışmanın ikinci amacı, yaşla birlikte diz önü ağrısı üzerine ligamentum mukozum eksizyonunun etkisi olup olmadığını belirlemektir. Gereç ve Yöntem: Bu retrospektif çalışmaya 64 hasta dahil edildi. Hastalar ligamentum mukozum eksizyon tekniğine göre iki gruba ayrıldı. Ligamentum mukozum eksizyon süreleri hesaplandı. Hastaların 34'ünde femoral yapışma bölgesinden ligamentum mukozom eksizyonu ve 30'unda retropatellar yağ yastıkçığı yapışma bölgesinden eksizyon yapıldı. Hastalar eksizyon tekniğinden bağımsız olarak 40 yaş altı veya 40 yaş üstü olmak üzere iki gruba ayrıldı. Tüm hastalar Kujala skorları ile değerlendirildi. Bulgular: Femoral interkondiler alandan yapılan ligamentum mukozum eksizyonunun ortalama süresi 17,4 ±3,4 sn ve retropatellar bölgeden yapılan ortalama eksizyon süresi 49 ±10,7 sn olarak bulundu. >40 yaş grubunda ortalama Kujala skoru 84,8 ±6,4, <40 yaş grubunda ise 94 ±5,5 olarak tespit edildi. Sonuç: İnterkondiler alandan yapılan eksizyon, retropatellar yağ yastıkçığından yapılan eksizyona göre cerrahi süreyi kısaltabilir. 40 yaş 40 yaş hastalara göre daha iyidir.

Anahtar Kelimeler

Evaluation of the association of ligamentum mucosum with anterior knee pain and the effect of ligamentum mucosum excision due to femoral attachment on arthroscopic surgery time

Abstract

Aim: The main purpose of the study was to determine the duration of excisions made from the femoral attachment of the ligamentum mucosum during knee arthroscopy and the duration of excision from the portion attached to the retropatellar fat pad and evaluate which anatomic area excision shortens the surgical time. The second purpose of this study was to determine whether the excision of ligamentum mucosum has an effect on anterior knee pain with age. Materials and methods: 64 patients were included in this retrospective study. Patients were assigned into two groups based on the ligamentum mucosum excision technique, and ligamentum mucosum excision times were calculated. Ligamentum mucosum excision was performed from the femoral attachment site in 34 and retropatellar fat pad attachment in 30 patients. Patients were divided into two groups younger or older than 40 years of age, regardless of the excision technique. All patients were evaluated with Kujala scores. Results: Mean excision time of ligamentum mucosum was found to be 17.4 ±3.4 s in group excision from the femoral intercondylar node and the mean excision time was found to be 49 ±10.7 s from retropatellar fat pad attachment region. The mean Kujala score in the >40 year old group was 84.8 ±6.4, and in the <40 year old group was 94 ±5.5. Conclusion: Excision made from the intercondylar node can shorten the surgical time relative to that of the excision made from the retropatellar fat pad. Clinical results of patients <40 years of age were better than those of patients aged >40 years of age.

Keywords

Supporting Institution

yok

Ethical Statement

Çalışmamız Bahçeşehir Üniversitesi Tıp Fakültesi Etik kurulunun 2022-07/03 no lu onayı ile yapılmıştır.

References

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Details

Primary Language

English

Subjects

Orthopaedics

Journal Section

Research Article

Authors

Uğur Onur Kasman ^*
0000-0001-6647-2682
Türkiye

Özgür Korkmaz
0000-0001-7068-2033
Türkiye

Publication Date

March 12, 2025

Submission Date

September 30, 2024

Acceptance Date

November 12, 2024

Published in Issue

Year 2025 Volume: 64 Number: 1

DOI

https://doi.org/10.19161/etd.1557947

IZ

https://izlik.org/JA82UF37EZ

Cite

RIS / Bibtex

Vancouver

1.Uğur Onur Kasman, Özgür Korkmaz. Evaluation of the association of ligamentum mucosum with anterior knee pain and the effect of ligamentum mucosum excision due to femoral attachment on arthroscopic surgery time. EJM. 2025 Mar. 1;64(1):65-70. doi:10.19161/etd.1557947