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Amaç: Hamstring otogrefti kullanılarak yapılan tek demet ön çapraz bağ ÖÇB rekonstrüksiyonlarının sonuçlarının değerlendirilmesi ve fonksiyonel sonuçlara etki eden faktörlerin incelenmesi. Gereç ve Yöntemler: ÖÇB rüptürü nedeniyle 2006-2011 yılları arasında opere edilen 60 hasta retrospektif olarak değerlendirildi. Tüm hastaların ameliyat öncesi ve sonrası şikâyet ve fizik muayene bulguları kayıt altına alındı. Fonksiyonel sonuçların değerlendirilmesi için Tegner-Lysholm skorlama sistemi ve Uluslararası Diz Dokümantasyon Komitesi UDDK değerlendirme formu kullanıldı. İstatistiksel değerlendirme için Mann-Whitney U testi, Ki-kare testi ve Spearman korelasyon analizi SPSS 15.0 da kullanıldı. Bulgular: Çalışmaya dahil edilen 60 hastanın tamamı erkekti. Hastaların ortalama takip zamanı 16 ay 12-20 ay ve yaş ortalamasının 27,3 17-42 yıl olduğu görüldü. Tegner-Lysholm skorlama sistemine göre 45 hastada mükemmel sonuç ve UDDK değerlendirme formuna göre 29 hastada normal diz elde edildiği görüldü. Hastaların ameliyat öncesi ve sonrası ortalama Tegner-Lysholm ve UDDK skorları karşılaştırıldığında arada anlamlı fark olduğu görüldü p=0,026 ve p=0,035 . ÖÇB rekonstrüksiyonu yapılan 28 %46,6 hastada eşlik eden menisküs yırtığı mevcuttu. Hem lateral hem de medial menisküs yırtığı bir arada olan hastalarda Tegner-Lysholm ve UDDK sonuçlarının daha düşük olduğu görüldü ancak anlamlı bir ilişki saptanamadı p=0,217 . Sonuç: Tek demet ÖÇB rekonstrüksiyonu ile hastaların ameliyat sonrası aktivite skorları anlamlı artış göstermektedir. Eşlik eden meniskal patolojilerin rekonstrüksiyon sonrası fonksiyonel sonuçta payları minimaldir
Purpose: Evaluation of the results of the reconstructures of the front cross-connection and the study of the factors affecting the functional results. Instruments and Methods: 60 patients operated between 2006 and 2011 due to ECHR rupture were assessed as retrospective. All patients' complaints before and after surgery and physical examination findings were recorded. The Tegner-Lysholm score system and the UDDK assessment form were used for the assessment of functional results. For statistical assessment, Mann-Whitney U test, Ki-quare test and Spearman correlation analysis were also used SPSS 15.0. Results: All 60 patients involved in the study were male. The patient's average tracking time was 16 months 12-20 months and the average age was 27.3 17-42 years. According to the Tegner-Lysholm score system, 45 patients received excellent results and 29 patients received normal knees according to the UDDK assessment form. The patient's pre- and postoperative average Tegner-Lysholm and UDDK scores were compared to significant differences between p=0,026 and p=0,035 . In 28% of the patients with ECHR reconstruction, 46.6 were accompanied by meniscus breakdowns. In patients with both lateral and medial meniscus break, the Tegner-Lysholm and UDDK results were lower, but a meaningful relationship was not found p=0,217 . The result: with a single set of ECHR reconstruction, the patient’s postoperative activity scores show a significant increase. The proportions of accompanying meniscal pathologies after reconstruction functional results are minimal
Objective: To evaluate the results of single-bundle anterior cruciate ligament ACL reconstructions performed with hamstring autograft and to investigate the factors affecting the functional results.Material and Methods: SSixty patients, who were operated for ACL ruptures between years 20062011, were evaluated retrospectively. Complaints and physical examination findings of all patients before and after surgery were recorded. The Tegner-Lysholm scoring system and International Knee Documentation Committee IKDC evaluation form were used to evaluate the functional results. The Mann-Whitney U test, Chi-square test and Spearman correlation analysis via SPSS 15.0 were used for statistical evaluation.Results: All 60 patients were male. The mean follow-up time of the patients was 16 months 1220 months and the mean age was 27.3 years. Excellent results were obtained in 45 patients according to the Tegner-Lysholm scoring system and a normal knee was found in 29 patients according to the IKDC evaluation form. Preoperative and postoperative mean values of the Tegner-Lysholm and IKDC scores were significantly different p=0.026 and p=0.035 . There were concomitant meniscus tears in 28 patients 46,6% . Although the results were worse in patients with both lateral and medial meniscus tears, there was no statistical difference between concurrent meniscus tears and the Tegner-Lysholm and IKDC results p=0.217 .Conclusion: The postoperative activity scores of the patients increased significantly with single-bundle ACL reconstructions. Concomitant meniscal pathologies have minimal effect on functional outcomes after reconstruction
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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