Ferdi SARI, Murat ÖZŞAHİN, Nezih ZİROĞLU

Ön Çapraz Bağ Rekonstrüksiyonu Sonrası Operasyonun Fonksiyonel Sonuçlarının Sportif Aktivitelerle İlişkisi

Amaç: Bu çalışmada, amatör olarak spor yapan ve ön çapraz bağ (ÖÇB) rekonstrüksiyonu yapılan bireylerde, operasyonun fonksiyonel sonuçları ve sportif aktiviteleriyle olan ilişkisinin araştırılması amaçlandı. Gereç ve Yöntemler: Ön çapraz rüptürü nedeniyle dört katlı hamstring otogrefti ile artroskopik rekonstrüksiyon uygulanan hastaların fonksiyonel sonuçlarını Lysolm ve Tegner aktivite skorlama sistemi ile retrospektif olarak analiz ettik. Kinezyofobi değerlendirilmesi Tampa ölçeği kullanarak yapıldı. Bulgular: Çalışmaya dahil olan 61 kişinin tamamı erkekti (yaş dağılım: 17 - 48 yıl, ortalama: 30,6±6,9). Takip süresi en kısa 27 ay iken en uzunu 74 ay olmak üzere ortalama 47.4±20.5 ay idi. Ameliyat öncesi 59,1±27,4 (dağılım: 5 - 90) olan Lysholm skoru son kontrolde 95,9±12,2 idi (dağılım 69 - 100). Tegner aktivite skorları ortalaması travma öncesi 6,4±2,8 (dağılım: 3-10), ameliyat sonrası 5,2±3,5 (dağılım: 3-10) idi. Tampa kinezyofobi ölçeği ortalaması 41,2±9,7 (29-49) olarak bulundu. Sonuç: Cerrahi sonucunda, hastaların çoğunda fonksiyonel sonuçlar tatmin edici olarak tespit edilirken, yaklaşık yarısında ise aktivite skorları istenilen düzeye ulaşmıştı. Tampa kinezyofobi ölçeği yüksek bulunması, ÖÇB cerrahisinde ne kadar titiz davranılsa da ameliyat öncesinde ve sonrasında alacağı profesyonel fizyoterapi ve psikolojik danışmanlığın da önemli derecede etkili olabileceğini gösterdi.

The Relationship Between Functional Results of Operations After Anterior Cruciate Ligament Reconstruction and Sports Activities

Aim: In this study, it was aimed to investigate the functional results of the operation and its relationship with sportive activities in individuals who do sports amateur and undergo anterior cruciate ligament (ACL) reconstruction. Material and Methods: We retrospectively analyzed the functional results of patients who underwent arthroscopic reconstruction with a four-layer hamstring autograft due to ACL rupture using Lysolm and Tegner activity scoring system. Kinesiophobia was evaluated using the Tampa scale. Results: All 61 people included in the study were male (age range: 17 to 48 years, mean: 30.6± 6.9). The duration of follow-up was 47.4±20.5 months, with the shortest 27 months and the longest 74 months. The Lysholm score, which was 59.1±27.4 (range: 5 to 90) preoperatively, was 95.9±12.2 at the last control (range 69 to 100). Mean Tegner activity scores were 6.4±2.8 (range: 3-10) before trauma and 5.2±3.5 (range: 3-10) postoperatively. The mean of Tampa kinesophobia scale was found to be 41.2±9.7 (29-49). Conclusion: As a result of ACL surgery, functional results were found to be satisfactory in most of the patients, while activity scores reached the desired level in approximately half. On the other hand, Tampa kinesophobia scale was found to be high. Therefore, it can be considered that professional physiotherapy and psychological counseling that patients will receive before and after the operation can be significantly effective, even if the ACL surgery is meticulously.

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