Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Vibrasyon Duyusu Ön Çapraz Bağ Rekonstrüksiyonuna Ek Olarak Yapılan Menisküs Müdahalelerinden Etkilenir mi?
Is the Vibration Sense Affected by Meniscus Interventions in Addition to Anterior Cruciate Ligament Reconstruction?
Betül DORİKa, Gökhan POLATb, Defne KAYAc
aRealta Clinic, Mostarstown Upper Kilkenny Road, Carlow, İRLANDA
bİstanbul Üniversitesi İstanbul Tıp Fakültesi, Ortopedi ve Travmatoloji ABD, İstanbul, TÜRKİYE
cBursa Uludağ Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Bursa, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2021;6(1):37-47
doi: 10.5336/healthsci.2020-73895
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, ön çapraz bağ rekonstrüksiyonu (ÖÇB-R)na ek olarak yapılan menisküs tamiri veya menisektomi cerrahileri sonrası vibrasyon duyusunu değerlendirmek amacıyla planlanmıştır. Gereç ve Yöntemler: Çalışmaya, ÖÇB-R'ye ek menisküs tamiri (ÖÇBR+ MT) (Grup 1; 21 hasta) ve ÖÇB-R'ye kısmi menisektomi (ÖÇBR+ KM) (Grup 2; 22 hasta) yapılan hastalar dâhil edildi. Vibrasyon duyusu, 128 Hz frekanslı diyapazon, hareket korkusu Tampa Kinezyofobi Ölçeği, işlevsellik ise tek bacak öne hoplama testi ve Uluslar arası Diz Dokümantasyon Komitesi Subjektif Diz Değerlendirme Formu ile değerlendirildi. Bulgular: Hem cerrahi hem de diğer ekstremitenin diz bölgesine ait vibrasyon duyusu sonuçları açısından gruplar arasında fark yoktu (p>0,05). Hastaların ameliyatlı ve diğer taraflarından alınan vibrasyon duyu değerleri kesme değere göre karşılaştırıldığında, her 2 gruptaki hastaların, her 2 ekstremitelerinde de vibrasyon duyusunda azalma vardı. ÖÇB-R+KM'deki hastaların sonuçları, kesme değerine daha yakındı. ÖÇB-R+MT'deki hastaların medial kondillerinden alınan vibrasyon duyu sonuçları ile IKDC skorları arasında pozitif ilişki vardı (p<0,05). Sonuç: Bu çalışmanın sonucu, ÖÇB-R'ye ek olarak yapılan menisküs müdahalelerinde, kısmi menisektomi cerrahisinin vibrasyon duyusu üzerine olumlu etkisinin, menisküs tamirine oranla daha fazla olduğunu işaret etmektedir. ÖÇB yaralanması sonrası ile rekonstrüksiyon cerrahisi ve farklı menisküs müdahaleleri sonrası vibrasyon duyusunu karşılaştıracak çalışmalara ihtiyaç vardır.

Anahtar Kelimeler: Vibrasyon; ön çapraz bağ; menisküs
ABSTRACT
 Objective: The aim of the present study was to investigate vibration sense after meniscus repair and partial menisectomy in addition to anterior cruciate ligament reconstruction (ACL-R). Material and Methods: Patients who underwent meniscus repair (ACL-R+MR) (Group 1; 21 patients) and partial menisectomy (ACL-R+PM) (Group 2; 22 patients) in addition to ACL-R were included in the study. Vibration sense was evaluated with 128 Hz tuning fork, fear of movement was determined with Tampa Kinesiophobia Scale. Functional levels of the patients were assessed by the International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form and one leg anterior hop test. Results: There was no difference in vibration sense between the groups in terms of both the surgical and other extremities (p>0.05). According to cut-off value of vibration sense, decreased vibration sense was found at both of sides of patients. Vibration sense results of the patients who underwent partial menisectomy in addition to anterior cruciate ligament reconstruction (ACL-R+PM) were closer to the cut-off value. There was a positive correlation between the vibration sense of the medial condyle and the IKDC results of the patients who underwent meniscus repair (ACL-R+MR) (p<0.05). Conclusion: The results of the present study indicate that partial menisectomy are more advantageous than meniscus repairs in the patients with ACL-R additional meniscus interventions. The results of the present study indicate that meniscus repairs are more advantageous than partial menisectomy in the patients with ACL-R additional meniscus interventions. Studies are needed to compare the vibration sense after ACLR with different meniscus surgeries.

Keywords: Vibration; anterior cruciate ligament; meniscus
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