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    Anatomical single bundle anterior cruciate ligament reconstruction with three portal technique
    (Turgut Özal Tıp Merkezi Dergisi, 2016) Sipahioğlu, Serkan; Sarıkaya, Baran
    Abstract Objective: Anatomic reconstruction of anterior cruciate ligament is becoming more important as the knee anatomy and biomechanics are being understood much more. In order to place femoral tunnel at its original point, it should be drilled from another porta which is more medial instead of from tibial tunnel. In this article we aimed to present clinical and radiologic results of ACL reconstructions that we placed femoral tunnel from a third anteromedial portal. Material and methods: The study included 43 patients (four female, 39 males; mean age 29.3 years; range 18 to 42) with ACL injury. ACL reconstruction was performed to all of the patients with the three portal anatomic single bundle technique using hamstring autograft. Preoperative and postoperative clinical evaluation was done by Lysholm knee score, Tegner activity score, International Knee Documentation Committee (IKDC) score. Anteroposterior instability evaluation was done by anterior drawer and pivot shift tests. Results: According to IKDC score, preoperatively 22 patients were D (51%) and 21 were C (49%) and postoperatively 33 were A (%76), 10 were B (%23) and 1 was C (%2). Preoperative mean Lysholm knee score was 54,87 (45-66) and increased to 89,86 (59-99) at the last control. Tegner activity score was 4,70 preoperatively and 5,22 postoperatively. Conclusion: In ACL reconstruction, restoring knee biomechanics is possible by placing graft near normal anatomy. As defined for this purpose, three portal technique can place tibial and femoral tunnel as anatomic as possible. This technique is an applicable technique with good results. Keywords: Anterior Cruciate Ligament; Knee Injuries; Arthroscopic Surgical Procedures.
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    Outcomes of arthroscopic debridement and microfracture for osteochondral lesions of the talus
    (2017) Bozkurt, Celal; Sarıkaya, Baran; Sipahioğlu, Serkan; Altay, Mehmet Akif; Işıkan, Uğur Erdem
    Abstract:Aim: Osteochondral Lesions of the Talus (OLT) is a common pathology in orthopedic injuries. Recently arthroscopic microfracture treatment is widely used as a simple technique with clinically satisfactory outcomes. The present study aimed to reveal the outcomes of arthroscopic OLT treatment and determine the appropriate patient group. Material and Methods: 21 patients who underwent arthroscopic debridement and microfracture for OLT were evaluated retrospectively between March 2015 and May 2016. The clinical assessment was performed by using The American Orthopaedic Foot & Ankle Society (AOFAS) and Visual Analog Scale (VAS) prior to the surgery and at the final follow up. Results: The mean diameter of lesions were measured as 1.1 cm2 (0.7-1.7) arthroscopically. The mean age of the patients was 35 (18-55) years. Lesions were located at the medial side in 17 patients and lateral side in 4 patients. The mean value of preop AOFAS score was 65.4±7.3 (55-78) and it was 86.6 ± 8.3 (68-100) at the final follow up. VAS scores of the patients were 6.7±1.2 (5-9) prior to the surgery and 2.2±1.3 (0-5) at the final follow up. Conclusion: Arthroscopic treatment of OLTs is a beneficial technique with low complication rate in broad range of patients. Patient’s age and lesion size are guideway in patients requiring arthroscopic treatment. As the age and lesion size increase, surgical treatment becomes less beneficial.