Diz eklemi kıkırdak hasarına yönelik mikrokırık uyguladığımız hastaların orta ve uzun dönem sonuçları
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Tarih
2021
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İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Diz ekleminde kıkırdak hasarı için mikrokırık uygulanan hastaların orta ve uzun dönem fonksiyonel sonuçlarını sunmayı amaçladık. Materyal ve Metod: Ocak 2010 -Aralık 2015 yılları arasında artroskopik yöntemle diz eklemi kıkırdak hasarına mikrokırık uygulanan 45 hasta çalışmaya dahil edildi. Hastaların ameliyat öncesi ve sonrası fonksiyonel durum değerlendirmeleri Lysholm diz skorlaması, VOMAC (Western Ontario Mmaster) ve KOSS (Knee injury and osteoarthritis outcome score) ölçekleri ile yapıldı. Ek olarak yaş, cinsiyet, yaralanma sebebi, anatomik bölge, kıkırdak yaralanma evresi, defekt boyutu, takip süresi ve vücut kitle indeksinin fonksiyonel sonuçlar üzerindeki etkileri incelendi. Bulgular: Hastaların 26'sı erkek, 19'u kadındı. Ortalama yaşları 39,06 (18 -58) yıl ve ortalama takip süreleri ise 80,3 (60-120) aydı. Hastaların operasyon öncesi ve sonrası Lysholm, VOMAC ve KOSS skorlamaları istatiksel olarak iyi sonuç yönünde anlamlıydı (p<0,05). Yaşın 50' den küçük, vücut kitle indeksinin 30 kg/m2 altında olması ve erkek cinsiyetin iyi sonuç elde edilmesinde etkili olduğu istatiksel olarak anlamlı bulundu (p<0,05). Defekt boyutunun fonksiyonel sonuçlarda istatiksel olarak anlamlı fark oluşturmadığı bulundu (p>0,05). Memnuniyet değerlendirmesinde 45 hastanın 26'sı (%57,8) memnun fakat 5'i (%11,1) memnun değildi. Sonuç: Kıkırdak hasarlarında mikrokırık yöntemi etkin bir tedavidir. Doğru hasta seçimiyle birlikte iyi sonuçlar elde edilmektedir. Çalışmamızın sonuçlarına göre bu yöntemin başarısı, hastalar erkek, 50 yaş altı, travma öyküsü ve vücut kitle indeksi 30 kg /m2'nin altında olduğunda artmaktadır. Anahtar Kelimeler: Diz artroskopisi, kıkırdak hasarı, mikrokırık.
Aim: We aimed to evaluate the mid and long term functional results of patients who underwent microfractures for cartilage injuries in the knee joint. Material and Methods: Forty five patients who underwent arthroscopic microfracture for knee joint cartilage injury between January 2010 and December 2015 were included in the study. Preoperative and postoperative functional status evaluations of the patients were made using scales such as Lysholm knee scoring, VOMAC (Western Ontario Mmaster) and KOSS (Knee injury and osteoarthritis outcome score). In addition, the effects of age, gender, mechanism of injury, anatomical consideration, cartilage injury stage, defect size, follow-up time and body mass index on functional results were evaluated. Results: Of the forty five patients included in the study, twenty six of them were male and nineteen were female. Their mean age was 39,06 (18-58) years, and the mean follow-up period was 80,3 (60-120) months. Lysholm, VOMAC and KOSS scores of the patients prior to and after the operation were statistically significant (p <0,05). Statistically, good results were achieved with male gender, age below 50 years and body mass index below 30 kg/m2 (p <0,05). It was observed statistically that the size of the defect does not influence the functional results (p>0,05). When the patients were questioned regarding functional satisfication, 26 (%57,8) of the 45 patients were satisfied, but 5 (%11,1) were not. Conclusion: Microfracture is an effective treatment modality in the management of cartilage injuries. With appropirate patient selection, good results can be obtained. According to the results of our study, the success of this method increases when the patients are male, under 50 years of age, have a history of trauma and a body mass index below 30 kg/m2 . Keywords: Cartilage injury, knee arthroscopy, microfracture.
Aim: We aimed to evaluate the mid and long term functional results of patients who underwent microfractures for cartilage injuries in the knee joint. Material and Methods: Forty five patients who underwent arthroscopic microfracture for knee joint cartilage injury between January 2010 and December 2015 were included in the study. Preoperative and postoperative functional status evaluations of the patients were made using scales such as Lysholm knee scoring, VOMAC (Western Ontario Mmaster) and KOSS (Knee injury and osteoarthritis outcome score). In addition, the effects of age, gender, mechanism of injury, anatomical consideration, cartilage injury stage, defect size, follow-up time and body mass index on functional results were evaluated. Results: Of the forty five patients included in the study, twenty six of them were male and nineteen were female. Their mean age was 39,06 (18-58) years, and the mean follow-up period was 80,3 (60-120) months. Lysholm, VOMAC and KOSS scores of the patients prior to and after the operation were statistically significant (p <0,05). Statistically, good results were achieved with male gender, age below 50 years and body mass index below 30 kg/m2 (p <0,05). It was observed statistically that the size of the defect does not influence the functional results (p>0,05). When the patients were questioned regarding functional satisfication, 26 (%57,8) of the 45 patients were satisfied, but 5 (%11,1) were not. Conclusion: Microfracture is an effective treatment modality in the management of cartilage injuries. With appropirate patient selection, good results can be obtained. According to the results of our study, the success of this method increases when the patients are male, under 50 years of age, have a history of trauma and a body mass index below 30 kg/m2 . Keywords: Cartilage injury, knee arthroscopy, microfracture.
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KARAMAN, S. (2021). Diz eklemi kıkırdak hasarına yönelik mikrokırık uyguladığımız hastaların orta ve uzun dönem sonuçları, İnönü Üniversitesi / Tıp Fakültesi / Ortopedi ve Travmatoloji Ana Bilim Dalı.
