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BTDMJB. 2013; 9(1): 24-27


Assessment of patients treated with semitendinosus and gracilis autograft reconstruction because of neglected patellar tendon rupture

Erdem Edipoğlu, Mustafa Gökhan Bilgili, Halil Nadir Öneş, Bülent Tanrıverdi, Cemal Kural, Mustafa Cevdet Avkan.

Abstract
Objective: Assessment of patients with neglected patellar tendon ruptures treated with semitendinosus and gracilis autograft reconstruction
Material and Methods: We assessed 6 patients with neglected patellar tendon ruptures treated with semitendinosus and gracilis autograft reconstruction retrospectively. Lysholm score, physical examination, muscle strength and range of movement (ROM) were evaluated.
Results: 6 patients were included in the study. All patients were female. The mean age was 57.1 (49-62). The mean time between the injury and presentation was 12.8 months (11-15). The mean follow up time was 17.8 months (11-26). The mean Lysholm score was 82. ROM was between 0-110° with 5/5 muscle strength.
Conclusion: The use of a semitendinosus and gracilis autograft for neglected patellar tendon ruptures reduces donor site morbidity, avoid specific risks related to allografts and does not require surgical revision to remove materials used to protect the reconstructed tendon.

Key words: Neglected patellar tendon rupture, semitendinosus/gracilis, reconstruction



Kronik patellar tendon rüptürünün semitendinozus ve grasilis otogreftleriyle rekonstruksiyon sonuçları

Özet
Amaç: Bu çalışmada kronik patellar tendon rüptürü olgularının semitendinozus ve grasilis tendon otogreftleri ile rekonstruksiyonlarının sonuçları değerlendirilmiştir.
Gereç ve Yöntem: Kliniğimizde ihmal edilmiş patellar tendon rüptürü nedeniyle hamstring tendonlarıyla rekonstrüksiyon yapılan altı hasta retrospektif olarak değerlendirildi. Hastaların son takiplerindeki durumları Lysholm skoru, fizik muayene, kas gücü ve hareket açıklığı ile değerlendirildi.
Bulgular: Hastaların hepsi kadındı, ortalama yaş 57.1(49-62), başvuruya kadar geçen ortalama süre 12.8 ay (11-15), ortalama takip süresi 17.8 (11-26) aydı. Ortalama Lysholm skoru 82 bulundu. Tüm hastalarda tam ekstansiyon ve ortalama 110° şeksiyon ve 5/5 kas gücü mevcuttu.
Sonuç: Kronik patellar tendon rüptürü tedavisinde semitendinozus otogrefti kullanımı, donor bölge morbiditesini azaltır, allogreftle ilgili riskleri içermez ve rekonstrukte tendonu korumak amaçlı kullanılan materyalleri çıkarmak için ikinci bir cerrahiye gereksinim oluşturmaz.

Anahtar Kelimeler: İhmal edilmiş patellar tendon rüptürü, semitendinosus/gracilis, rekonstrüksiyon



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