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Year 2014, , 47 - 52, 01.04.2014

Başar H

https://doi.org/10.18521/ktd.49066

Abstract

Objective: The aim of this study was to determine the results of arthroscopic reconstruction of anterior cruciate ligament with hamstring tendon graft. Method: Thirty-eight patients with a mean age of 27.35 years were analyzed. Functional evaluation was made with Lysholm knee score, IKDC (International Knee Documentation Committee) score, Modified Cincinnati knee score and Tagner Activity score, clinical evaluation was made with stability tests, range of motion of the joint and thigh atropy measurements at the final control (mean 18, range 8 - 28 months). Results: The Lysholm scores were excellent for 27 patients, good for 11 patients and Modified Cincinnati knee scores were excellent for 31 patients, good for 7 patients. The final functional results were significantly better than pre-operative results according to the Lysholm scores, Modified Cincinnati knee scores and Tagner Activity scores. Pre-operative activity results were achieved after operation. The final IKDC scores were significantly better than pre-operative scores. There was not significantly difference between pre-injury and final results. Lachman, Pivot-shift tests were measured as 1 (+) in 8 patients at final control. Compared with the normal side, the thigh circumferences were measured as equal in 24 patients, < 10 mm difference in 10 patients and 10 – 20 mm difference in 4 patients. No flexion or extension losses occurred in the affected knees; mean flexion was measured as 124° (range 115°- 130°). Conclusion: We conclude that arthroscopic reconstructions of anterior cruciate ligament with use of Hamstring tendon autograft which revealed both satisfactory functional results and high personal satisfaction

Keywords

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References

  • Butler DL, Noyes FR, Grood ES. Ligamentous restraints to anterior-posterior drawer in the human knee. J Bone Joint Surg Am 1980; 62(2):259–70.
  • Markolf KL, Mensch JS, Amstutz HC. Stiffness and laxity of the knee: the contributions of the supporting structures. J Bone Joint Surg Am 1976;58(5):583–93.
  • Indelicato PA, Bittar ES. A perspective of lesions associated with ACL deficiency of the knee. Clin Orthop. 1985;198:77–80.
  • Noyes FR, Bassett RW, Grood ES, et al. Arthroscopy in acute traumatic hemarthrosis of the knee: incidence of anterior cruciate ligament tears and other injuries. J Bone Joint Surg Am 1980;62:687–95.
  • DeHaven KE. Diagnosis of acute knee injuries with hemarthrosis. Am J Sports Med. 1980;8(1):9-14.
  • Warren RF, Levy IM. Meniscal lesions associated with anterior cruciate ligament injury. Clin Orthop. 1983;172:32–7.
  • Marzo JM, Warren RF. Results of treatment of anterior cruciate ligament injury: changing perspectives. Adv Orthop Surg. 1991;15:59–69.
  • Freedman KB, D'Amato MJ, Nedeff DD, et al. Arthroscopic anterior cruciate ligament reconstruction: a meta-analysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med. 2003;31(1):2– 11.
  • Adachi N, Ochi M, Uchio Y, et al. Mechanoreceptors in the anterior cruciate ligament contribute to the joint position sense. Acta Orthop Scand 2002;73(3):330-4.
  • Forssblad M, Valentin A, Engström B, Werner S. ACL reconstruction: patellar tendon versus hamstring grafts economical aspects. Knee Surg Sports Traumatol Arthrosc 2006; 14(6):536-41.
  • Howell SM, Wallace MP, Hull ML, et al. Evaluation of the single-incision arthroscopic technique for anterior cruciate ligament replacement: a study of tibial tunnel placement, intraoperative graft tension, and stability. Am J Sports Med. 1999;27(3):284-93.
  • Shelbourne KD, Klootwyk TE, Decarlo MS. Update on accelerated rehabilitation after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 1992;15(6):303-8.
  • Yercan H, Aydoğdu S. ÖÇB yaralanmalarının konservatif tedavisi. Acta Orthop Trauma Turc 1999;33(5):389-9.
  • Fu FH, Harner CD.Biomechanics of knee ligament. Basic consepts and clinical application. Journal of Bone and Joint Surgery 1993;75(1):1716-27.
  • Murrel GA,Maddalli SP,Horavits et al. The effects of time course after anterior cruciate ligament injury in correlation with meniscal and cartilage loss. J Sports Med 2001;29(1):9-14.
  • Gorschewsky O, Klakow A, Riechert K, et al. Clinical comparison of the Tutoplast allograft and autologous patellar tendon (bone-patellar tendon-bone) for the reconstruction of the anterior cruciate ligament: 2- and 6- year results. Am J Sports Med 2005;33(8):1202-9.
  • Indelli P, Francesco P, Michael F, et al. Anterior Cruciate Ligament Reconstruction Using Cryopreserved Allografts. Clin Orthop Relat Res 2004;420:268-75.
  • Eriksson K, Anderberg P, Hamberg P, et al. A comparison of quadruple semitendinosus and patellar tendon grafts in reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 2001; 83(2): 348-54.
  • Tuncay İ, Tosun N, Akpınar F. Otojen patellar ve hamstring tendon ile ön çapraz bağ rekonstrüksiyonunun karşılaştırılması. Acta Orthop Traumatol Turc 2001;35(1):48-55.

Ön Çapraz Bağ Yırtıklarının Dört Katlı Otojen Hamstring Tendon Grefti İle Artroskopik Rekonstrüksiyonu

Year 2014, , 47 - 52, 01.04.2014

Başar H

https://doi.org/10.18521/ktd.49066

Abstract

Amaç: Bu çalışma ile ön çapraz bağ yırtığının otojen Hamstring tendon grefti ile artroskopik rekonstrüksiyonunun sonuçları değerlendirildi. Metod: Ortalama yaşları 27.35 olan 38 hasta değerlendirildi. Son kontrolde (ortalama 18, dağılım 8–28 ay) fonksiyonel değerlendirme Lysholm diz skorlaması, IKDC (International Knee Documentation Committee) skorlaması, Modifiye Cincinnati skorlaması, Tagner Aktivite skorlaması ile klinik değerlendirme stabilite testleri, diz eklem hareket açıklığı ve uyluk atrofisi ölçümü ile yapıldı. Bulgular: Son kontrollerde Lysholm skoru 27 hastada mükemmel, 11 hastada iyi, Modifiye Cincinnati skoru 31 hastada mükemmel, 7 hastada iyi olarak bulundu. Lysholm skoru, Modifiye Cincinnati skoru ve Tagner Aktivite skoru cerrahi öncesine göre anlamlı derecede iyi bulundu. Operasyon sonrası yaralanma öncesi aktivite değerlerine ulaşıldı. Son kontrollerdeki IKDC ( International Knee Documentation Committee) skoru cerrahi öncesine göre anlamlı dercede iyi bulunudu. Yaralanma öncesi ve son kontrollerdeki sonuçlarda anlamlı bir fark bulunmadı. Son kontrolde 8 hastada Lachman, Pivot-shift testi (+) olarak bulundu, 24 hastada uyluk çevreleri arasında fark yokken 10 hastada < 10 mm, 4 hastada da 10 – 20 mm arasında fark saptandı, hiçbir opere edilen dizde ekstansiyon kısıtlılığı saptanmadı ve ortalama fleksiyon hareket açıklıları 124°(dağılım 115° – 130°) olarak bulundu. Sonuç: Ön çapraz bağ yırtığının otojen hamstring tendon grefti ile yapılan atroskopik rekonstrüksiyonunda hem fonksiyonel hemde hasta memnuniyeti açısından memnun edici sonuçlara ulaşılmıştır

Keywords

Artroskopik Onarım Önçapraz Bağ Otojen Hamstring Tendon

References

  • Butler DL, Noyes FR, Grood ES. Ligamentous restraints to anterior-posterior drawer in the human knee. J Bone Joint Surg Am 1980; 62(2):259–70.
  • Markolf KL, Mensch JS, Amstutz HC. Stiffness and laxity of the knee: the contributions of the supporting structures. J Bone Joint Surg Am 1976;58(5):583–93.
  • Indelicato PA, Bittar ES. A perspective of lesions associated with ACL deficiency of the knee. Clin Orthop. 1985;198:77–80.
  • Noyes FR, Bassett RW, Grood ES, et al. Arthroscopy in acute traumatic hemarthrosis of the knee: incidence of anterior cruciate ligament tears and other injuries. J Bone Joint Surg Am 1980;62:687–95.
  • DeHaven KE. Diagnosis of acute knee injuries with hemarthrosis. Am J Sports Med. 1980;8(1):9-14.
  • Warren RF, Levy IM. Meniscal lesions associated with anterior cruciate ligament injury. Clin Orthop. 1983;172:32–7.
  • Marzo JM, Warren RF. Results of treatment of anterior cruciate ligament injury: changing perspectives. Adv Orthop Surg. 1991;15:59–69.
  • Freedman KB, D'Amato MJ, Nedeff DD, et al. Arthroscopic anterior cruciate ligament reconstruction: a meta-analysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med. 2003;31(1):2– 11.
  • Adachi N, Ochi M, Uchio Y, et al. Mechanoreceptors in the anterior cruciate ligament contribute to the joint position sense. Acta Orthop Scand 2002;73(3):330-4.
  • Forssblad M, Valentin A, Engström B, Werner S. ACL reconstruction: patellar tendon versus hamstring grafts economical aspects. Knee Surg Sports Traumatol Arthrosc 2006; 14(6):536-41.
  • Howell SM, Wallace MP, Hull ML, et al. Evaluation of the single-incision arthroscopic technique for anterior cruciate ligament replacement: a study of tibial tunnel placement, intraoperative graft tension, and stability. Am J Sports Med. 1999;27(3):284-93.
  • Shelbourne KD, Klootwyk TE, Decarlo MS. Update on accelerated rehabilitation after anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 1992;15(6):303-8.
  • Yercan H, Aydoğdu S. ÖÇB yaralanmalarının konservatif tedavisi. Acta Orthop Trauma Turc 1999;33(5):389-9.
  • Fu FH, Harner CD.Biomechanics of knee ligament. Basic consepts and clinical application. Journal of Bone and Joint Surgery 1993;75(1):1716-27.
  • Murrel GA,Maddalli SP,Horavits et al. The effects of time course after anterior cruciate ligament injury in correlation with meniscal and cartilage loss. J Sports Med 2001;29(1):9-14.
  • Gorschewsky O, Klakow A, Riechert K, et al. Clinical comparison of the Tutoplast allograft and autologous patellar tendon (bone-patellar tendon-bone) for the reconstruction of the anterior cruciate ligament: 2- and 6- year results. Am J Sports Med 2005;33(8):1202-9.
  • Indelli P, Francesco P, Michael F, et al. Anterior Cruciate Ligament Reconstruction Using Cryopreserved Allografts. Clin Orthop Relat Res 2004;420:268-75.
  • Eriksson K, Anderberg P, Hamberg P, et al. A comparison of quadruple semitendinosus and patellar tendon grafts in reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 2001; 83(2): 348-54.
  • Tuncay İ, Tosun N, Akpınar F. Otojen patellar ve hamstring tendon ile ön çapraz bağ rekonstrüksiyonunun karşılaştırılması. Acta Orthop Traumatol Turc 2001;35(1):48-55.
There are 19 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Başar H This is me

Publication Date April 1, 2014
Published in Issue Year 2014

Cite

APA H, B. (2014). Ön Çapraz Bağ Yırtıklarının Dört Katlı Otojen Hamstring Tendon Grefti İle Artroskopik Rekonstrüksiyonu. Konuralp Medical Journal, 6(1), 47-52. https://doi.org/10.18521/ktd.49066
AMA H B. Ön Çapraz Bağ Yırtıklarının Dört Katlı Otojen Hamstring Tendon Grefti İle Artroskopik Rekonstrüksiyonu. Konuralp Medical Journal. April 2014;6(1):47-52. doi:10.18521/ktd.49066
Chicago H, Başar. “Ön Çapraz Bağ Yırtıklarının Dört Katlı Otojen Hamstring Tendon Grefti İle Artroskopik Rekonstrüksiyonu”. Konuralp Medical Journal 6, no. 1 (April 2014): 47-52. https://doi.org/10.18521/ktd.49066.
EndNote H B (April 1, 2014) Ön Çapraz Bağ Yırtıklarının Dört Katlı Otojen Hamstring Tendon Grefti İle Artroskopik Rekonstrüksiyonu. Konuralp Medical Journal 6 1 47–52.
IEEE B. H, “Ön Çapraz Bağ Yırtıklarının Dört Katlı Otojen Hamstring Tendon Grefti İle Artroskopik Rekonstrüksiyonu”, Konuralp Medical Journal, vol. 6, no. 1, pp. 47–52, 2014, doi: 10.18521/ktd.49066.
ISNAD H, Başar. “Ön Çapraz Bağ Yırtıklarının Dört Katlı Otojen Hamstring Tendon Grefti İle Artroskopik Rekonstrüksiyonu”. Konuralp Medical Journal 6/1 (April 2014), 47-52. https://doi.org/10.18521/ktd.49066.
JAMA H B. Ön Çapraz Bağ Yırtıklarının Dört Katlı Otojen Hamstring Tendon Grefti İle Artroskopik Rekonstrüksiyonu. Konuralp Medical Journal. 2014;6:47–52.
MLA H, Başar. “Ön Çapraz Bağ Yırtıklarının Dört Katlı Otojen Hamstring Tendon Grefti İle Artroskopik Rekonstrüksiyonu”. Konuralp Medical Journal, vol. 6, no. 1, 2014, pp. 47-52, doi:10.18521/ktd.49066.
Vancouver H B. Ön Çapraz Bağ Yırtıklarının Dört Katlı Otojen Hamstring Tendon Grefti İle Artroskopik Rekonstrüksiyonu. Konuralp Medical Journal. 2014;6(1):47-52.