Hamstring ÖÇB rekonstrüksiyonunda transtibial ve transportal TransFix® ile femoral tespitin kısa dönem klinik sonuçlarının karşılaştırılması
Amaç: Bu çal›flman›n amac› ÖÇB rekonstrüksiyonunda transtibial ve transportal TransFix® metotla- r›n›n klinik sonuçlar›n› karfl›laflt›rmakt›. Çal›flma plan›: Hamstring ÖÇB rekonstrüksiyonu için 168 hasta transtibial (n=88) ve transportal (n=80) TransFix® femoral tespit gruplar›na ayr›ld›. Hastalar klinik geçmifl ve fiziksel muayenenin yan› s›ra Uluslararas› Diz Dokümantasyon Komitesi (IKDC) ve Lysholm skorlamas› ile 18 ayl›k bir zaman dilimi içinde rolimetre ile de¤erlendirildi. Bulgular: IKDC skorlamas›na göre transtibial gruba göre (25) transportal grupta daha fazla (37) nor- mal diz vard›. Ortalama Lysholm skoru transtibial grupta 78.32±10.7, transportal grupta 81.41±8.2 idi (p=0.037). Ortalama rolimetre de¤eri transtibial grupta 2.2±1.13 mm, transportal grupta ise 1.73±0.85 mm olarak kaydedildi (p=0.002). Son kontrolde, transtibial gruptan 20 hasta ve transportal gruptan 10 hastan›n Lachman testinden 2 ya da 3 puan ald›lar. Transportal grupta greft geçifl zorlu¤u ve posteri- or duvar›n k›r›lmas› aç›s›ndan daha fazla intraoperatif komplikasyon görüldü. Ç›kar›mlar: Transportal TransFix® tekni¤i geleneksel transtibial tekni¤ine göre daha iyi klinik sonuç- lar vermektedir.
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1. Cuomo P, Edwards A, Giron F, Bull AM, Amis AA, Aglietti P. Validation of the 65 degrees Howell guide for anterior cru- ciate ligament reconstruction. Arthroscopy 2006;22:70-5.2. Simmons R, Howell S, Hull ML. Effect of the angle of the femoral and tibial tunnels in the coronal plane and incremen- tal excision of the posterior cruciate ligament on tension of an anterior cruciate ligament graft: an in vitro study. J Bone Joint Surg Am 2003;85:1018-29.
3. Milano G, Mulas PD, Ziranu F, Piras S, Manunta A, Fabbriciani C. Comparison between different femoral fixa- tion devices for ACL reconstruction with doubled hamstring tendon graft: a biomechanical analysis. Arthroscopy 2006;22: 660-8.
4. Clark R, Olsen RE, Larson BJ, Goble EM, Farrer RP. Cross- pin femoral fixation: a new technique for hamstring anterior cruciate ligament reconstruction of the knee. Arthroscopy 1998;14:258-67.
5. Arnold MP, Kooloos J, vanKampen A. Single-incision tech- nique misses the anatomical femoral anterior cruciate liga- ment insertion: a cadaver study. Knee Surg Sports Traumatol Arthrosc 2001;9:194-9.
6. Cain EL Jr, Clancy WG Jr. Anatomic endoscopic anterior cruciate ligament reconstruction with patella tendon auto- graft. Orthop Clin North Am 2002;33:717-25.
7. Kohn D, Busche T, Carls J. Drill hole position in endoscop- ic anterior cruciate ligament reconstruction. Results of an advanced arthroscopy course. Knee Surg Sports Traumatol Arthrosc 1998;6 Suppl 1:S13-5.
8. Hefzy MS, Grood ES, Noyes FR. Factors affecting the region of most isometric femoral attachments. Part II: the anterior cruciate ligament. Am J Sports Med 1989;17:208-16.
9. Klos TV, Harman MK, Habets RJ, Devilee RJ, Banks SA. Locating femoral graft placement from lateral radiographs in anterior cruciate ligament reconstruction: a comparison of 3 methods of measuring radiographic images. Arthroscopy 2000;16:499-504.
10. Musahl V, Plakseychuk A, VanScyoc A, Sasaki T, Debski RE, Mc Mahon PJ, et al. Varying femoral tunnels between the anatomical foot print and isometric positions: effect on kine- matics of the anterior cruciate ligament-reconstructed knee. Am J Sports Med 2005;33:712-8.
11. Pujol N, David T, Bauer T, Hardy P. Transverse femoral fix- ation in anterior cruciate ligament (ACL) reconstruction with hamstrings grafts: an anatomic study about the relationships between the transcondylar device and the posterolateral structures of the knee. Knee Surg Sports Traumatol Arthrosc 2006;14:724-9.
12. Kokkinakis M, Ashmore A, El-Guindi M. Intraoperative complications using the Bio-Transfix femoral fixation implant in anterior cruciate ligament reconstruction. Arch Orthop Trauma Surg 2010;130:375-9.
13. Sommer C, Friederich NF, Müller W. Improperly placed anterior cruciate ligament grafts: correlation between radio- logical parameters and clinical results. Knee Surg Sports Traumatol Arthrosc 2000;8:207-13.
14. Hantes ME, Dailiana Z, Zachos VC, Varitimidis SE. Anterior cruciate ligament reconstruction using the Bio- TransFix femoral fixation device and anteromedial portal technique. Knee Surg Sports Traumatol Arthrosc 2006;14: 497-501.
15. Markolf KL, Jackson SR, McAllister DR. A comparison of 11 o'clock versus oblique femoral tunnels in the anterior cruci- ate ligament-reconstructed knee: knee kinematics during a simulated pivot test. Am J Sports Med 2010;38:912-7.
16. Abebe ES, Kim JP, Utturkar GM, Taylor DC, Spritzer CE, Moorman CT 3rd, et al. The effect of femoral tunnel place- ment on ACL graft orientation and length during in vivo knee flexion. J Biomech 2011;44:1914-20.
17. Bowers AL, Bedi A, Lipman JD, Potter HG, Rodeo SA, Pearle AD, et al. Comparison of anterior cruciate ligament tunnel position and graft obliquity with transtibial and antero- medial portal femoral tunnel reaming techniques using high- resolution magnetic resonance imaging. Arthroscopy 2011;27: 1511-22.
18. Brophy RH, Voos JE, Shannon FJ, Granchi CC, Wickiewicz TL, Warren RF, et al. Changes in the length of virtual ante- rior cruciate ligament fibers during stability testing: a com- parison of conventional single-bundle reconstruction and native anterior cruciate ligament. Am J Sports Med 2008;36: 2196-203.
19. Piasecki DP, Bach BR Jr, Espinoza Orias AA, Verma NN. Anterior cruciate ligament reconstruction: can anatomic femoral placement be achieved with a transtibial technique? Am J Sports Med 2011;39:1306-15.
20. Alentorn-Geli E, Lajara F, Samitier G, Cugat R. The transtibial versus the anteromedial portal technique in the arthroscopic bone-patellar tendon-bone anterior cruciate lig- ament reconstruction. Knee Surg Sports Traumatol Arthrosc 2010;18:1013-37.
21. Aglietti P, Buzzi R, Giron F, Simeone AJ, Zaccherotti G. Arthroscopic-assisted anterior cruciate ligament reconstruc- tion with the central third patellar tendon. A 5-8-year follow- up. Knee Surg Sports Traumatol Arthrosc 1997;5:138-44.
22. Hui C, Salmon LJ, Kok A, Maeno S, Linklater J, Pinczewski LA. Fifteen-year outcome of endoscopic anterior cruciate lig- ament reconstruction with patellar tendon autograft for "iso- lated" anterior cruciate ligament tear. Am J Sports Med 2010;39:89-98.
23. Biau DJ, Katsahian S, Kartus J, Harilainen A, Feller JA, Sajovic M, et al. Patellar tendon versus hamstring tendon autografts for reconstructing the anterior cruciate ligament: a meta-analysis based on individual patient data. Am J Sports Med 2009;37:2470-8.
24. Brophy RH, Pearle AD. Single-bundle anterior cruciate liga- ment reconstruction: a comparison of conventional, central, and horizontal single-bundle virtual graft positions. Am J Sports Med 2009;37:1317-23.
25. Fabbriciani C, Milano G, Mulas PD, Ziranu F, Severini G. Anterior cruciate ligament reconstruction with doubled semi- tendinosus and gracilis tendon graft in rugby players. Knee Surg Sports Traumatol Arthrosc 2005;13:2-7.
26. Choi NH, Lee JH, Victoroff BN. Do broken cross-pins com- promise stability after anterior cruciate ligament reconstruc- tions with hamstring tendons? Arthroscopy 2007;23:1334-40.
27. Chen NC, Boykin RE, Millett PJ. Broken femoral cross pin after hamstring anterior cruciate ligament reconstruction: a case report. J Knee Surg 2007;20:245-8.
28. Dargel J, Schmidt-Wiethoff R, Fischer S, Mader K, Koebke J, Schneider T. Femoral bone tunnel placement using the transtib- ial tunnel or the anteromedial portal in ACL reconstruction: a radiographic evaluation. Knee Surg Sports Traumatol Arthrosc 2009;17:220-7.
- ISSN: 1017-995X
- Başlangıç: 2015
- Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
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