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Amaç: Hoffa hastalığı infrapatellar yağ yastığı İYY ’nin, akut travma olguların %85’i veya tekrarlayan mikrotravmalar olguların %15’i sonucu tetiklenen inflamasyonu sonrası hipertrofi ve fibrozisiyle, patellofemoral veya femorotibial eklemler arasında sıkışması ile karakterizedir ve diz ön ağrısına neden olur. Ağrılı infrapatellar yağ yastığının Hoffa hastalığı ’nın artroskopik rezeksiyon ile tedavi edilmesinin klinik ve fonksiyonel sonuçlarını değerlendirilmeyi hedefledik.Gereç ve Yöntemler: Diz ön ağrısı olan ve izole bir lezyon olarak Hoffa hastalığı olan 22 hastada artroskopi uygulandı. Tüm olgularda standart anteromedial çalışma portalı ve yüksek anterolateral görüntüleme portalı kullanıldı. Hastalar yağ yastığının etkilenen kısmının rezeke edilerek tedavi edildi. Ameliyat öncesi ve ameliyat sonrası 3 ay ve 1 yıl sonra hastaların Lysholm diz ve Tegner aktiviteleri karşılaştırıldı.Bulgular: Hastaların yaş ortalaması 34 olarak hesaplandı. Ortalama ameliyat öncesi semptomların süresi 14 ay idi . Ortalama takip süresi 18 aydı . Hastaların 9 tanesinin düzenli spor aktivitesi mevcuttu. Üç hastanın dizinde burkulma öyküsü mevcuttu. Üç hasta aktif spor ile uğraşıyordu ve ara ara tekrarlayan burkulma öyküleri mevcut idi. On hastada hiçbir travma öyküsü yoktu. Lysholm skoru preop 56.76, ve post op 3. ay 65.68 ve post op 1. yıl 73.97 olarak hesaplandı. Tegner etkinlik seviyesine göre, 3 hasta dışındaki tüm hastaların şikâyetlerinde düzelme oldu ve yaralanma öncesi durumuna döndü.Sonuç: Nonsteroid antienflamatuvar ilaçlar, fizyoterapi, lokal anestezik veya steroid enjeksiyonu gibi konservatif tedaviler yakınmaların azalmasını sağlayabilir. Ancak konservatif tedavinin genellikle yetersiz kaldığı bildirilmiştir. Konservatif tedavi yetersiz kaldığında yağ yastığının parsiyel rezeksiyonu endikedir. Yağ yastığının artroskopik rezeksiyon sonrası semptom ve fonksiyonlarında düzelme olacağından Hoffa hastalığını artroskopik olarak tedavi edilmesi kanaatindeyiz
Goal: Hoffa disease is characterized by inflamation after hypertrophy and fibrosis, which is triggered by 85% of acute trauma events or 15% of repeated microtrauma events of the inflamation of the hypertrophy and fibrosis of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation of the inflamation. We aimed at evaluating the clinical and functional results of the treatment of the painful infrapathellar oil belt with arthroscopic resection of Hoffa's disease.Caracteristics and Methods: Arthroscopy was applied to 22 patients with knee front pain and a isolated injury of Hoffa's disease. In all cases, a standard anteromedial work portal and a high anterolateral viewing portal were used. Patients were treated by scratching the affected part of the oil wing. 3 months and 1 year after the surgery, Lysholm knee and Tegner activities were compared to patients.The average age of patients was estimated at 34. The average pre-operative symptoms lasted 14 months. The average follow-up period was 18 months. Nine of the patients had regular sports activities. There was a story of three patients. Three patients were engaged in active sports and there were repeated bullying stories. The patient had no trauma history. Lysholm score was preop 56.76, and post op 3 month 65.68 and post op 1 year 73.97. According to Tegner's level of activity, all patients except 3 suffered recovery in the complaints and returned to the pre-ranking condition. Results: Nonsteroid anti-inflammatory drugs, physiotherapy, local anesthetics or steroid injection can help reduce proximity. However, conservative therapy is often
Objective: Hoffa disease is characterized by impingement between the patellofemoral or femorotibial joints because of hypertrophy and fibrosis owing to inflammation triggered by acute trauma 85% of the cases or recurrent micro-traumas 15% of the cases of the infrapatellar fat pad IFP and causes anterior knee pain. We aimed to evaluate the clinical and functional results of the treatment of painful infrapatellar fat pad Hoffa disease with arthroscopic resection.Material and Methods: Arthroscopy was performed in 22 patients with anterior knee pain and Hoffa disease as an isolated lesion. A standard anteromedial working portal and a high anterolateral imaging portal was used in all cases. The patients were treated by resecting the affected part of the fat pad. The Lysholm knee and Tegner activities of the patients were compared pre-operatively and post-operatively at 3 months and 1 year.Results: The average age of the patients was calculated as 34 years . The average preoperative symptom period was 14 months . The mean follow-up period was 18 months . Nine patients were involved in regular sports activity. Three patients had a history of knee sprain. Three patients were actively involved in sports, and had a history of occasional recurrent sprain. Ten patients had no history of trauma. The Lysholm score was calculated as 56.76 preoperatively, 65.68 at the post-operative 3rd month and 73.97 at the post-operative 1st year. According to the Tegner activity score level, the symptoms improved in all patients except three and they returned to pre-injury status.Conclusion: Conservative treatments such as non-steroidal inflammatory drugs, physiotherapy, and local anesthetic or steroid injections can reduce the complaints. However, conservative treatments have been reported to be generally ineffective. Partial resection of the fat pad is indicated when conservative treatment is ineffective. We believe Hoffa disease should be arthroscopically treated as recovery of the symptoms and functions can be expected after arthroscopic resection of the fat pad
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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