Kemik-patellar tendon-kemik otogrefti veya dörtlü semitendinöz otogreft kullanılarak artroskopik ön çapraz bağ rekonstrüksiyonu uygulanan olguların uzun dönem klinik ve radyolojik sonuçları ile donör saha morbiditilerinin karşılaştırılması

Anıl Murat Öztürk; Emin Taşkıran

doi:10.19161/etd.464459

TR EN

Kemik-patellar tendon-kemik otogrefti veya dörtlü semitendinöz otogreft kullanılarak artroskopik ön çapraz bağ rekonstrüksiyonu uygulanan olguların uzun dönem klinik ve radyolojik sonuçları ile donör saha morbiditilerinin karşılaştırılması

Öz

Amaç: Çok sayıda değişkenin arasından ön çapraz bağ kopuğu sonrası kemik-patellar tendon-kemik otogrefti veya dörtlü semitendinöz otogreft kullanılarak artroskopik ön çapraz bağ rekonstrüksiyonu uygulanan iki hasta grubu ile, hastaların uzun dönem takibinde radyolojik, klinik sonuçlarını, donör saha morbiditelerini değerlendirmek ve karşılaştırmak amaçlanmıştır.

Gereç ve Yöntem: Bu çalışmada, Ege Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji polikliniğine Ocak 1994 ve Aralık 2002 tarikleri arasında artroskopik ön çapraz bağ rekonstrüksiyonu ameliyatı olan 81 hasta retrospektif olarak değerlendirildi. Hastalar kemik-patellar tendon-kemik (PT) otogrefti veya dörtlü semitendinöz (ST) otogrefti kullanılanlar olarak iki gruba ayrıldı. Ameliyat öncesi verilere hastane kayıtlarından ulaşıldı. Son kontrolde klinik muayeneleri ile Cybex ve KT-1000 ölçümleri yapıldı. Radyolojik inceleme ile tibial ve femoral tünel yerleri, patellanın yüksekliği ve osteoartrit durumu değerlendirildi.

Bulgular: Post operatif diz önü ağrısı, patella baja, çıplak diz ve sert zeminde yürümede ağrı, PT grubunda ST grubuna oranla yüksek bulundu. Diz önünde duyu kusuru, PT grubunda yüksek bulundu. Radyolojik evre 2, kronik dönemde opere dilenlerde subakut dönemde opere edilenlere göre ve menüsküs dikişi uygulananlarda eksize edilenlere göre daha yüksek bulundu.

Sonuç: ST veya PT otogreftleri kullanılarak yapılan artroskopik rekonstrüksiyonun klinik ve fonksiyonel açıdan karşılaştırılması sonucunda her iki otogreft materyali ile yeterli fonksiyonel stabilite sağlamaktadır. Donor saha morbiditesi ile uyumlu olarak diz önü sorunları PT grubunda daha fazla olmaktadır.

Anahtar Kelimeler

Ön çapraz bağ,artroskopi,patellar tendon,semitendinosus tendon.

Comparison of long-term clinical, radiological and donor site morbidity results of the arthroscopic anterior cruciate ligament reconstruction by using bone-patellar tendon-bone autograft or four-semitendinosus autograft

Abstract

Aim: We aimed to evaluate and compare among multiple variables the radiological, clinical results and donor site morbidity of long-term follow-up of two groups of patients who underwent arthroscopic anterior cruciate ligament reconstruction by using bone-patellar tendon-bone autograft or four semitendinosus autografts after anterior cruciate ligament injury.

Materials and Methods: Eighty-one patients who underwent arthroscopic anterior cruciate ligament reconstruction surgery between January 1994 and December 2002 in the Orthopedics and Traumatology Department of Ege University Faculty of Medicine were retrospectively evaluated. Patients were divided into two groups using bone-patellar tendon-bone (PT) or quadruple semitendinosus (ST) autograft. Preoperative data were obtained from hospital records. At the last visit, clinical examinations and Cybex and KT-1000 measurements were performed. From the X-rays, tibial and femoral tunnel locations, patellar height and osteoarthritis status were evaluated.

Results: Post operative knee pain, patella baja, neeling pain on hard ground were found higher in PT group than ST group. Loss of sensation in front of knee was found high in PT group. Radiologic grade 2 was found to be higher in patients operated in chronic period and in patients whose meniscus was excited instead of repair.

Conclusion: Clinical and functional comparisons of arthroscopic reconstruction with ST or PT autografts provide adequate functional stability with both autograft materials. Consistent with donor site morbidity, anterior knee problems are more prevalent in the PT group.

Keywords

Anterior cruciate ligament,arthroscopy,patellar tendon,semitendinosus tendon.

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Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Anıl Murat Öztürk ^*
0000-0001-8674-8877
Türkiye

Emin Taşkıran
0000-0002-7525-9426
Türkiye

Publication Date

March 14, 2019

Submission Date

August 14, 2018

Acceptance Date

August 18, 2018

Published in Issue

Year 1970 Volume: 58 Number: 1

DOI

https://doi.org/10.19161/etd.464459

IZ

https://izlik.org/JA34RX39EH

Cite

RIS / Bibtex

Vancouver

1.Anıl Murat Öztürk, Emin Taşkıran. Kemik-patellar tendon-kemik otogrefti veya dörtlü semitendinöz otogreft kullanılarak artroskopik ön çapraz bağ rekonstrüksiyonu uygulanan olguların uzun dönem klinik ve radyolojik sonuçları ile donör saha morbiditilerinin karşılaştırılması. EJM. 2019 Mar. 1;58(1):39-45. doi:10.19161/etd.464459