Emre Anıl ÖZBEK, Mustafa Onur KARACA, Furkan YILMAZ, Mustafa Mert TERZİ, Merve DURSUN, Ramazan AKMEŞE

Parsiyel Ön Çapraz Bağ Rüptüründe Remnant Koruyucu Tek Demet Rekonstrüksiyon Cerrahisi Etkili Bir Yöntem Midir?

Amaç: Ön çapraz bağ (ÖÇB) yaralanmalarının %10-%27’si parsiyel rüptürlerden oluşmaktadır. Parsiyel ÖÇB rüptürlerinin cerrahi tedavisi için henüz altın standart tedavi konusunda bir konsensüs sağlanamamıştır. Tek demet ÖÇB primer onarımı, tek demet ÖÇB rekonstrüksiyonu ve total ÖÇB rekonstrüksiyon yöntemleri tarif edilmiştir. Çalışmamızın amacı; remnant koruyucu yöntem ile tek demet ÖÇB rekonstrüksiyonu yapılan hastaların, klinik sonuçlarının ve manyetik rezonans (MR) görüntülemede greftin ligamentizasyonunun değerlendirilmesidir. Gereç ve Yöntem: Kliniğimizce ÖÇB rekonstrüksiyonu yapılan 257 hastadan, tek demet ÖÇB rekonstrüksiyonu yapılan 15 [posterolateral demet (n=5), anteromedial demet (n=10)] hasta dahil edilmiştir. Retrospektif çalışmaya dahil edilme kriterleri; diz burkulma öyküsü, pozitif Lachman testi, negatif veya 1+ pivot shift testi, MR görüntülemede parsiyel ÖÇB rüptür şüphesi olan hastalar ve kesin tanı olarak intraoperatif artroskopik görüntülemede parsiyel ÖÇB rüptürü olmasıdır. Çalışma dışı bırakılma kriterleri ise; geçirilmiş diz cerrahisi öyküsü, çoklu bağ yaralanması, total ÖÇB rekonstrüksiyonu yapılmasıdır. Tüm hastaların preopeatif, postoperatif 3., 6., 12. ve 24. aylardaki ön çekmece, Lachman ve pivot shift sonuçları, International Knee Documentation Commitee (IKDC) ve Lysholm skorları karşılaştırılmıştır. Bulgular: Lachman ve pivot shift için, preoperatif sonuçlar anlamlı yüksek saptandı (p=0,0149, p=0,005). Hastaların preoperatif, postoperatif 3., 6., 12. ve 24. aylardaki Lysholm ve IKDC skorları arasında anlamlı fark saptandı (p

Is Remnant Preserving Single Bundle Reconstruction Surgery an Effective Method in Partial Anterior Cruciate Ligament Rupture?

Objectives: 10%-27% of anterior cruciate ligament (ACL) injuries are partial ruptures. There is no consensus yet on the gold standard surgical treatment for the partial ACL ruptures. Single-bundle ACL primary repair, single-bundle ACL reconstruction, and total ACL reconstruction methods are described. The aim of our study is the evaluation of the clinical results, and the ligamentization of the graft in magnetic resonance (MR) imaging of patients who underwent single-bundle ACL reconstruction with the remnant-sparing method. Materials and Methods: Of the 257 patients who underwent ACL reconstruction at our clinic, 15 [posterolateral bundle (n=5), anteromedial bundle (n=10)] patients who underwent single-bundle ACL reconstruction were included. Inclusion criteria for the retrospective study were the presence of knee sprain history, positive Lachman test, negative or 1+ pivot shift test, suspected partial ACL rupture on MR imaging, and partial ACL rupture at intraoperative arthroscopic imaging as definitive diagnosis. The exclusion criteria included the history of previous knee surgery, multiple ligament injury, and total ACL reconstruction. Anterior drawer, Lachman and pivot shift results, International Knee Documentation Commitee (IKDC) and Lysholm scores of all patients at preoperative period, postoperative 3rd , 6th , 12th and 24th months were compared. Results: For Lachman and pivot shift, preoperative results were significantly higher (p=0.0149, p=0.005). There was a significant difference between the Lysholm and IKDC scores of the patients at preoperative period, postoperative 3rd , 6 th , 12 th and 24 th months (p

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