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Ön Çapraz Bağ Yırtığına Eşlik Eden Anterolateral Bağ Yırtığı Ön Çapraz Bağ Tamiri Sonuçlarını Etkilemez

Year 2019, Volume: 26 Issue: 1, 46 - 50, 04.03.2019
https://doi.org/10.17343/sdutfd.427517

Abstract

Amaç

Ön çapraz bağ (ÖÇB) yaralanmasına eşlik eden anterolateral bağ (ALL)
yaralanmalarını MR görüntüleme ile değerlendirmek ve ALL yaralanmasının ÖÇB
tamiri sonuçlarına etkisini araştırmak. Çalışmamızın hipotezi ise; yaralanmış
ALL, ÖÇB tamiri sonrası fonksiyonel sonuçlarına etkisinin olmadığıdır.

Materyal ve Metod

Kliniğimizde 2012-2016 yılları arasında ÖÇB tamiri yapılan (en az iki
yıllık takip) 62 hastanın MR görüntüleri ALL yaralanması açısından retrospektif
incelendi. ALL açısından hastalar sağlam (normal) ve hasarlı (anormal) olarak
iki gruba ayrıldı. ALL açısından tedavi görmeyen hastalara tek bandanterolateral
(anatomik) ÖÇB rekonstrüksiyonu uygulandı. Gruplar fonksiyonel sonuçlar
açısından Uluslararası Diz Dokümantasyon Komitesi’nin (IKDC) diz skoru ve
Lysholm skoru testleri ile değerlendirildi.

Sonuç

Hastanın 36’sında (%58) ALL yaralanmasının  eşlik ettiği gözlendi. Bu
ALL yaralaması olan hastaların 6’sında segond kırığı  gözlendi (%10). IKDC
skorları son kontrolde; ALL sağlam olan grupta A ve B,  ALL hasarlı olan
grupta A ve B olarak bulundu. Lsyholm skorları son kontrolde;  ALL sağlam
olan grupta mükemmel-iyi sonuç ortalama  92,2 (86-100) ALL hasarlı
olan  grupta mükemmel-iyi sonuç ortalama 91,4 (82-100) olarak bulundu.
IKDC, Lysholm skoru bakımından her iki grupta da sonuçlar tatmin ediciydi ancak
gruplar arasında anlamlı fark yoktu (p:0.186,p:0.680).

Çıkarımlar















ÖÇB rüptürüne eşlik eden ALL hasarı, tamir edilmese de ÖÇB tamiri
sonuçlarını fonksiyonel olarak etkilememektedir. 

References

  • KAYNAKLAR1.Boden B, Dean GS, Feagin JA, Garrett WE. Mechanisms of anterior cruiate ligament Injury Ortopedics. 2000 ;23(6):573-578
  • 2. Musahl V, Rahnemai-Azar AA, Costello J, Arner JW, Fu FH, Hoshino Y et all. The Influence of Meniscal and Anterolateral Capsular Injury on Knee Laxity in Patients With Anterior Cruciate Ligament Injuries. Am J Sports Med. 2016 Dec;44(12):3126-3131
  • 3. Segond P. Recherches cliniques et expérimentales sur les épanchements sanguins du genou par entorse. 1879 Progrès Médical (Paris) ,1-85
  • 4. Campos JC, Chung CB, Lektrakul N, et all. Pathogenesis of the Segond fracture: anatomic and MR imaging evidence of an iliotibial tract or anterior oblique band avulsion. Radiology 2001;219:381–386.
  • 5. Kosy JD, Soni A, Venkatesh R and Mandalia VI. The anterolateral ligament of the knee: unwrapping the enigma. Anatomical study and comparison to previous reports. J Orthop Traumatol 2016 Dec; 17(4): 303–308.
  • 6. Claes S, Vereecke E, Maes M, Victor J, Verdonk P and Bellemans J . Anatomy of the anterolateral ligament of the knee. J Anat. 2013 Oct; 223(4): 321–328. doi: 10.1111/joa.12087
  • 7. Helito CP, Helito PV, Costa HP, Bordalo-Rodrigues M, Pecora JR, Camanho GL, Demange MK. MRI evaluation of the anterolateral ligament of the knee: assessment in routine 1.5-T scans. Skeletal Radiol. 2014 Oct;43(10):1421-7.
  • 8. Coquart B, Le Corroller T, Laurent PE, Ollivier M, Pradel V, Champsaur P, Guenoun D. Anterolateral ligament of the knee: myth or reality? Surg Radiol Anat. 2016 Oct;38(8):955-62.
  • 9. Van Dyck P, De Smet E, Lambrecht V, Heusdens CH, Van Glabbeek F, Vanhoenacker FM et all The Anterolateral Ligament of the Knee: What the Radiologist Needs to Know. . Semin Musculoskelet Radiol. 2016 Feb;20(1):26-32. 10.Alan M. Hirahara,M.D., FRCS Board Certified in Orthopaedic Surgery& Orthopaedic Sports Medicine Specializing in artroscopic shoulder surgery
  • 11. Parsons E.M., Gee A.O., Spiekerman C., Cavanagh P.R. The biomechanical function of the anterolateral ligament of the knee. Am J Sports Med. 2015;20:669–674.
  • 12. Monaco E., Maestri B., Labianca L. Navigated knee kinematics after tear of the ACL and its secondary restraints: Preliminary results. Orthopedics. 2010;33(suppl):87–93.
  • 13. Sonnery-Cottet B., Thaunat M., Freychet B., Pupim B.H., Murphy C.G., Claes S. Outcome of a combined anterior cruciate ligament and anterolateral ligament reconstruction technique with a minimum 2-year follow-up. Am J Sports Med. 2015;43:1598–1605.
  • 14. Assem Zein, Mohamed Ali, Hesham Ali, Ahmed Nady Saleh Elsaid, Alaa Zenhom Mahmoud, Mohamed K. Osman and Amr Mohamed Mohamed Soliman. Combined Anatomic Reconstruction of the Anterior Cruciate and Anterolateral Ligaments Using Hamstring Graft Through a Single Femoral Tunnel and With a Single Femoral Fixation. Artrosc tech. 2017 jun 6(3):e567-e577
  • 15)Imbert, P. Minimally invasive extra-articular anterolateral reinforcement: a new technique. Arthroscopy. 2007;23(8):907.e1-4. 16) Claes S, Bartholomeeusen S, Bellemans J. Ön çapraz bağ yaralanan dizlerin manyetik rezonans görüntülerinde anterolateral ligaman anomalilerinin yüksek prevalansı . Acta Orthop Belgica 2014; 80 : 45-9
  • 17) Helito CP, Helito PVP, Leão RV, Demange MK, Bordalo-Rodrigues M. Anterolateral ligament abnormalities are associated with peripheral ligament and osseous injuries in acute ruptures of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2017 Apr;25(4):1140-1148.
  • 18) Monaco E, Ferretti A, Labianca L, et al. ACL'nin kesilmesinden sonra diz kinematikte gezindi ve sekonder kısıtlaması . Diz Surgu Spor Travmatolojisi Arthrosc 2012; 20 : 870-7
  • 19) Zaffagnini S, Marcheggiani Muccioli GM, Lopomo N, et al. Can the pivot-shift be eliminated by anatomic double-bundle anterior cruciate ligament reconstruction? Knee Surg Sports Traumatol Arthrosc.2012;20:743–751.
  • 20) Marcacci M, Zaffagnini S, Giordano G, ve ark. Anterior cruciate ligament reconstruction associated with extra-articular tenodesis: A prospective clinical and radiographic evaluation with 10- to 13-year follow-up. Am J Sports Med2009; 37 : 707-14
  • 21)Dejour D, Vanconcelos W, Bonin N and Saggin PRF. Comparative study between mono-bundle bone-patellar tendon-bone, double-bundle hamstring and mono-bundle bone-patellar tendon-bone combined with a modified Lemaire extra-articular procedure in anterior cruciate ligament reconstruction. Int Orthop. 2013 Feb; 37(2): 193–199.
  • 22) Bonasia DE, D’Amelio A, Pellegrino P, Rosso F and Rossi R.Anterolateral Ligament of the Knee: Back to the Future in Anterior Cruciate Ligament Reconstruction.Orthop Rev (Pavia) 2015 Jun 3; 7(2): 5773

Contaminant anterolateral ligament rupture does effect anterior cruciate ligament reconstruction outcome

Year 2019, Volume: 26 Issue: 1, 46 - 50, 04.03.2019
https://doi.org/10.17343/sdutfd.427517

Abstract

Purpose

To evaluate the anterolateral ligament
(ALL) injuries associated with anterior cruciate ligament (ACL) injury by MR
imaging and to investigate the effect of ALL injury on ACL repair results. The
hypothesis of our study is as follows; injured ALL, has no effect on functional
outcomes after ACL repair

Methods

We retrospectively reviewed the MR images
of 62 patients who underwent ACL repair (with at least two years follow-up)
between 2012 and 2016 in our clinic. In terms of ALL, patients were divided
into two groups one as healthy (normal) and the other as damaged (abnormal).
Patients not being treated for ALL had only one band anterolateral (anatomic)
ACL reconstruction performed. Groups were assessed by knee score and Lysholm
score test of the International Knee Documentation Committee (IKDC) for
functional outcomes.

Results 

During the study it was found that 36 of the
study’s patients (58%) were accompanied by anterolateral ligament injury. Of
these patients with anterolateral ligament injury, 6 of the patients had a
segond fracture observed (10%). ICDC scores were recorded on the final
follow-up; A and B were found in the ALL intact group, and A and B in the ALL
tie group. Excellent-good results in the ALL intact group and excellent-good
results in the group with an average 92.2 (86-100) ALL rupture were 91.4
(82-100). IKDC, Lysholm scores were satisfactory in both groups, but there was
no significant difference between the groups (p: 0.186, p: 0.680).

 

Conclusion

















ALL injury associated with the ACL rupture does not
functionally affect the repair results, even if not repaired. 

References

  • KAYNAKLAR1.Boden B, Dean GS, Feagin JA, Garrett WE. Mechanisms of anterior cruiate ligament Injury Ortopedics. 2000 ;23(6):573-578
  • 2. Musahl V, Rahnemai-Azar AA, Costello J, Arner JW, Fu FH, Hoshino Y et all. The Influence of Meniscal and Anterolateral Capsular Injury on Knee Laxity in Patients With Anterior Cruciate Ligament Injuries. Am J Sports Med. 2016 Dec;44(12):3126-3131
  • 3. Segond P. Recherches cliniques et expérimentales sur les épanchements sanguins du genou par entorse. 1879 Progrès Médical (Paris) ,1-85
  • 4. Campos JC, Chung CB, Lektrakul N, et all. Pathogenesis of the Segond fracture: anatomic and MR imaging evidence of an iliotibial tract or anterior oblique band avulsion. Radiology 2001;219:381–386.
  • 5. Kosy JD, Soni A, Venkatesh R and Mandalia VI. The anterolateral ligament of the knee: unwrapping the enigma. Anatomical study and comparison to previous reports. J Orthop Traumatol 2016 Dec; 17(4): 303–308.
  • 6. Claes S, Vereecke E, Maes M, Victor J, Verdonk P and Bellemans J . Anatomy of the anterolateral ligament of the knee. J Anat. 2013 Oct; 223(4): 321–328. doi: 10.1111/joa.12087
  • 7. Helito CP, Helito PV, Costa HP, Bordalo-Rodrigues M, Pecora JR, Camanho GL, Demange MK. MRI evaluation of the anterolateral ligament of the knee: assessment in routine 1.5-T scans. Skeletal Radiol. 2014 Oct;43(10):1421-7.
  • 8. Coquart B, Le Corroller T, Laurent PE, Ollivier M, Pradel V, Champsaur P, Guenoun D. Anterolateral ligament of the knee: myth or reality? Surg Radiol Anat. 2016 Oct;38(8):955-62.
  • 9. Van Dyck P, De Smet E, Lambrecht V, Heusdens CH, Van Glabbeek F, Vanhoenacker FM et all The Anterolateral Ligament of the Knee: What the Radiologist Needs to Know. . Semin Musculoskelet Radiol. 2016 Feb;20(1):26-32. 10.Alan M. Hirahara,M.D., FRCS Board Certified in Orthopaedic Surgery& Orthopaedic Sports Medicine Specializing in artroscopic shoulder surgery
  • 11. Parsons E.M., Gee A.O., Spiekerman C., Cavanagh P.R. The biomechanical function of the anterolateral ligament of the knee. Am J Sports Med. 2015;20:669–674.
  • 12. Monaco E., Maestri B., Labianca L. Navigated knee kinematics after tear of the ACL and its secondary restraints: Preliminary results. Orthopedics. 2010;33(suppl):87–93.
  • 13. Sonnery-Cottet B., Thaunat M., Freychet B., Pupim B.H., Murphy C.G., Claes S. Outcome of a combined anterior cruciate ligament and anterolateral ligament reconstruction technique with a minimum 2-year follow-up. Am J Sports Med. 2015;43:1598–1605.
  • 14. Assem Zein, Mohamed Ali, Hesham Ali, Ahmed Nady Saleh Elsaid, Alaa Zenhom Mahmoud, Mohamed K. Osman and Amr Mohamed Mohamed Soliman. Combined Anatomic Reconstruction of the Anterior Cruciate and Anterolateral Ligaments Using Hamstring Graft Through a Single Femoral Tunnel and With a Single Femoral Fixation. Artrosc tech. 2017 jun 6(3):e567-e577
  • 15)Imbert, P. Minimally invasive extra-articular anterolateral reinforcement: a new technique. Arthroscopy. 2007;23(8):907.e1-4. 16) Claes S, Bartholomeeusen S, Bellemans J. Ön çapraz bağ yaralanan dizlerin manyetik rezonans görüntülerinde anterolateral ligaman anomalilerinin yüksek prevalansı . Acta Orthop Belgica 2014; 80 : 45-9
  • 17) Helito CP, Helito PVP, Leão RV, Demange MK, Bordalo-Rodrigues M. Anterolateral ligament abnormalities are associated with peripheral ligament and osseous injuries in acute ruptures of the anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2017 Apr;25(4):1140-1148.
  • 18) Monaco E, Ferretti A, Labianca L, et al. ACL'nin kesilmesinden sonra diz kinematikte gezindi ve sekonder kısıtlaması . Diz Surgu Spor Travmatolojisi Arthrosc 2012; 20 : 870-7
  • 19) Zaffagnini S, Marcheggiani Muccioli GM, Lopomo N, et al. Can the pivot-shift be eliminated by anatomic double-bundle anterior cruciate ligament reconstruction? Knee Surg Sports Traumatol Arthrosc.2012;20:743–751.
  • 20) Marcacci M, Zaffagnini S, Giordano G, ve ark. Anterior cruciate ligament reconstruction associated with extra-articular tenodesis: A prospective clinical and radiographic evaluation with 10- to 13-year follow-up. Am J Sports Med2009; 37 : 707-14
  • 21)Dejour D, Vanconcelos W, Bonin N and Saggin PRF. Comparative study between mono-bundle bone-patellar tendon-bone, double-bundle hamstring and mono-bundle bone-patellar tendon-bone combined with a modified Lemaire extra-articular procedure in anterior cruciate ligament reconstruction. Int Orthop. 2013 Feb; 37(2): 193–199.
  • 22) Bonasia DE, D’Amelio A, Pellegrino P, Rosso F and Rossi R.Anterolateral Ligament of the Knee: Back to the Future in Anterior Cruciate Ligament Reconstruction.Orthop Rev (Pavia) 2015 Jun 3; 7(2): 5773
There are 20 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Articles
Authors

Yüksel Uğur Yaradılmış

Mustafa Caner Okkaoğlu This is me

Hakan Şeşen This is me

Mahmut Özdemir This is me

İsmail Demirkale This is me

Murat Altay This is me

Publication Date March 4, 2019
Submission Date May 27, 2018
Acceptance Date August 11, 2018
Published in Issue Year 2019 Volume: 26 Issue: 1

Cite

Vancouver Yaradılmış YU, Okkaoğlu MC, Şeşen H, Özdemir M, Demirkale İ, Altay M. Ön Çapraz Bağ Yırtığına Eşlik Eden Anterolateral Bağ Yırtığı Ön Çapraz Bağ Tamiri Sonuçlarını Etkilemez. Med J SDU. 2019;26(1):46-50.

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