Özet:

The aim of the study is to evaluate the impact on the clinical and functional knee scores of the time passed until the femoral-tibial tunnel placement and surgery in patients using the transtibial method of front-cross bond reconstruction. Method: Between March 2011 and May 2019, 18 women, 96 men and 114 patients, who were involved in the study with the transtibial method of using hamstring tendon injection. The average age was 25.5 years (distribution 17-46 years). The femoral tunnel was placed between 10-11(left knee 13-14) and the tibial tunnel was placed at a angle of 55 degrees near the front of the tibial footprint. In the preoperative and postoperative final control to assess instability, the Lachman test, the Pivot schift test and the KT-2000 arthrometry device were used. The functional results were evaluated by the International Knee Documentation Society (IKDC) and Lysholm Activity Score. In the first 6 months after the trauma, 83 patients undergoing early surgery and 31 patients undergoing late surgery after the 6th month were compared in terms of clinical and functional results with intra-articular pathology. For our work we received the ethical board permission number 1/4/2022-234 from the VM Medical Park Hospital. Results: The average follow-up period of patients was 84 months (distribution 38-112 months). 83 patients undergo an average of 0.65 months in the first 6 months (distribution of 0.2-5.8 months) early surgery, 31 patients undergo an average of 11.2 months after 6 months (distribution of 6-42 months) late surgery. There was a significant difference between the number of joint pathologies observed in the knees before the sixth month of ECHR reconstruction (21 knees) and the number of joint pathologies observed in the knees after the sixth month of ECHR reconstruction (56 knees) (p<0.001). However, in the implementation of early and late OECD reconstruction, there was no significant difference between both groups’ Lysholm score and IKDC score. In all knees applied for OCD reconstruction, a significant difference was found between the pre- and post-chirurgical Lachman test, the Pivot schift test, the KT-200 arthrometer measurement, the Lysholm score and the IKDC score (p<0.001). The result: the placement of the femoral tunnel between 10-11 p.m. and the 55 degrees angle of the tibial tunnel using the transtibial method of hamstring tendon greft was seen as an effective method of significantly improving clinical and functional recovery with front-back and rotating stability. In the first 6 months, the rate of intra-articular pathology in patients who were administered by the reconstruction of the ECHR was significantly reduced. However, there was no significant difference between the Lysholm score and the IKDC score between the patient groups that were applied to the reconstruction of ECHR before and after the 6th month.

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