Başdelioğlu, Koray | Meriç, Gökhan | Pündük, Zekine | Akseki, Devrim | Atik, Aziz | Sargın, Serdar

Article | 2019 | Acta Orthopaedica et Traumatologica Turcica53 ( 2 ) , pp.86 - 91

Objective: The aim of the study was to compare the outcomes of the transtibial and anatomical femoralsingle tunnel surgical techniques in ACL reconstruction.Methods: A total of 30 patients, with 16 patients (15 males and 1 female; mean age: 27.2 7.04) withanatomical femoral single-tunnel technique (AFT) and 14 (12 males and 2 females; mean age:29.4 8.82) with transtibial technique (TT) were included into the study. All patients were evaluatedwith isokinetic tests at an angular velocity of 60/s and 180/s and the IKDC and Lysholm tests wereperformed preoperatively and in third, sixth, and 12th months postoperatively. The results werec . . .ompared between the groups. The mean follow-up time was 17.1 6.48 months.Results: Postoperative third month changes in extension parameters of peak torque (AFT: 93.286,TT: 61.500), peak work (AFT: 77.071, TT: 47.500), peak torque ext/kg (AFT: 1.182, TT: 0.773), peakwork ext/kg (AFT: 0.982, TT: 0.604), peak work (AFT: 55.143 TT: 33.063) at an angular velocity of60/s and postoperative third month change in extension parameter of peak power (AFT: 86.786TT: 54.875) at an angular velocity of 180/s were found to be better in the transtibial group (p 0.05)and postoperative sixth month peak torque (AFT: 1.429, TT: 5.688) value at an angular velocity of 60/s was found to be less in the anatomical femoral single-tunnel group (p 0.05). The IKDC (AFT: 94.671,TT: 90.025) (p 0.05) and Lysholm (AFT: 96.714, TT: 92.375) (p 0.05) scores of the anatomical femoralsingle-tunnel group were better than the transtibial group regarding to the postoperative final follow-up.There are positive intermediate correlations between preoperative IKDC and Lysholm scores with preoperative and postoperative some isokinetic test ratio (r ¼ 0.539; p ¼ 0.031), and preoperative peakpower extension (r ¼ 0.541; p ¼ 0.030) at the both angular velocity of 60/s and 180/s in the transtibialgroup. There was no significant difference between the two groups with regards to the Lachman, anteriordrawer and pivot shift tests (p 0.05).Conclusion: There were differences in terms of isokinetic parameters in early outcomes but there was nostatistical difference between isokinetic parameters at the end of 1st year between two groups. Therewere some correlations between IKDC and Lysholm scores with some isokinetic parameters Daha fazlası Daha az