Akromiyoklaviküler Eklem Dislokasyonunun Sentetik Bağ ile Tedavisinin Klinik Sonuçları

Year 2020, , 69 - 75, 21.12.2020

Mehmet Akdemir , Ahmet Çağdaş Biçen , Meric Unal , Mustafa Özkan

https://doi.org/10.47493/abantmedj.2020.14

Abstract

Giriş; bu çalışmanın amacı akromiyoklavikuler eklem dislokasyonu nedeniyle sentetik bağlarla tedavi ettiğimiz hastaları değerlendirmek ve farklı bağ seçeneklerinin klinik sonuçlarına etkilerini karşılaştırmaktır.

Materyal ve metod; kliniğimizde 2011-2018 yılları arasında akut veya kronik akromiyoklaviküler eklem çıkığı nedeniyle sentetik bağ kullanarak cerrahi uyguladığımız 18 hasta retrospektif olarak çalışmaya dahil edildi. Hastaların 14’ü erkek (%77.8), 4’ü kadındı (%22.2), ortalama yaşları 36.5 (19-52) idi. Hastalar kullanılan bağa göre iki gruba ayrıldı. Hastaların 11’i LockDown® (%61.1), 7’si ise Tight-rope® (%38.9) sistemi ile tedavi edilmişlerdi. Hastaların klinik değerlendirilmesi Q-DASH skorlamasına göre yapıldı. İstatistiksel değerlendirme ortalama, oran, yüzde olarak yapıldı. İki grubun ortalamalarının farkını değerlendirmek için Mann Whitney-U testi kullanıldı.

Sonuçlar; Hastaların ortalama takip süreleri 19.72 aydı. Hastaların genel Q-DASH skorları ortalama 6.94 (0-20.45) idi. Yapılan istatistiksel değerlendirmede iki grup arasında Q-DASH skorları arasında anlamlı fark yoktu (p:0.771, p>0.05). Hastalarımızda implant yetmezliği, clavikula osteolizi ve akromiyoklaviküler eklemde instabilite gelişmedi. Tüm hastalar eski işlerine geri dönebildiler.

Çıkarımlar; akromiyoklaviküler eklem çıkıklarının sentetik bağlar ile tedavisi klinik olarak iyi sonuçlar vermektedir. Ancak farklı iki sentetik bağ arasında fark yoktur

Keywords

Akromiyoklaviküler Eklem, Dislokasyon, Sentetik Bağ

Clinical Outcomes in Treatment of Acromioclavicular Joint Dislocation by Synthetic Bonds

Abstract

Introduction: The aim of this study is to evaluate the patients treated with synthetic ligaments due to acromioclavicular joint dislocation and to compare the effects of different ligaments on clinical outcomes.

Materials and methods: Eighteen patients who underwent surgery using synthetic ligaments in our clinic between 2011-2018 due to acute or chronic acromioclavicular joint dislocation were included in the study retrospectively. A total of 18 patients were included in the study. 14 of the patients were male (77.8%) and 4 were female (22.2%). Their average age was 36.5 (19-52). The patients were divided into two groups according to the synthetic bonds that were used. Eleven of the patients were treated with LockDown® (61.1%) and 7 were treated with Tight-rope® (38.9%) system. Clinical outcomes were evaluated according to the Q-DASH scores. Statistical evaluation was made as average, rate, percentage. Mann Whitney-U test was used to evaluate the difference of the averages of the two groups.

Results: The mean follow-up time of the patients was 19.72 months. The overall Q-DASH scores of the patients were 6.94 (0-20.45) on average. In the statistical evaluation, there was no significant difference between the two groups between the Q-DASH scores (p:0.771, p>0.05). Implant failure, clavicle osteolysis and instability in the acromioclavicular joint did not develop in our patients. All patients were able to return to their old jobs.

Conclusions; Treatment of acromioclavicular joint dislocations with synthetic ligaments gives good clinical results. However, there is no difference between two different synthetic bonds.

Keywords

Acromioclavicular joint, Dislocation, Sentetik Bağ

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