Kemal ERTİLAV, Zeki Serdar ATAİZİ, Serdar ERCAN

TARSAL TUNNEL SENDROMU TEDAVİ SEÇENEKLERİ VE CERRAHİ MÜDAHALE SONUÇLARININ İNCELENMESİ

Giriş: Posterior tibial sinirin veya dallarının medial malleol ve retinaculum arasında tuzaklanması sonucu oluşan tursal tunnel sendromu ikinci en sık gözlenen periferik sinir nöropatisidir. Çalışmamızda kliniğimize başvuran tarsal tunnel sendromu bulunan hastalarda cerrahi tedavi öncesi ve sonrası semptomlarında değişiklikler incelenmiştir. Bulgular: Postoperatif VAS skorunun her iki cinstede preoperatif skorlara göre anlamlı bir şekilde düşük olduğu izlendi. Ancak cinsiyetler arası sağ ve sol tuzaklanma arasında bir farklılık gözlenmedi. Etyolojik çeşitliliğin cerrahi tedavi sonuçlarına etkisi izlenmedi. Sonuç: Tarsal Tunnel Sendromu bulunan hastalara cerrahi tedavi uygulandığında semptomlarda anlamlı ölçüde düzelme olmaktadır. Diabet hastalığı olan hastalarda iyileşme daha geç izlenmektedir.

Anahtar Kelimeler:

Tarsal Tunnel Sendromu, Tibial sinir, nöropati

THE TREATMENT OPTIONS OF TARSAL TUNNEL SYNDROME AND THE RESAULTS OF SURGICAL THERAPY

The tarsal tunnel syndrome, caused by the entrapment of posterior tibail nerve and the branches, is the second most common peripheral neuropathy. Our study has aimed to compare the differences between preoperative and the postoperative symptoms of tarsal tunnel syndrome.Results: It is observed that the postoperative VAS score was significantly less than the preoperative VAS scores. There was no difference of VAS scores between both sexes. Conclusion: The symptoms of the tarsal tunnel syndrome decrease significantly after the surgical treatment. The recovery advances more gradually at the patients who has diabetes.

Keywords:

tunnel syndrome, Tibial nerve, Neuropathy,

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