Ön çapraz bağ operasyonları sonrasıtibial torsiyon açısının değerlendirilmesi
Özet
SUMMARY The Evaluation of Tibial Torsion Angle After Anterior Cruciate Ligament Reconstruction Introduction: There are several factors, such as biological, anatomical, travmatic factors cause of operated ACL re-injuries. One of the anatomical factors, the lower extremity torsional problems, especially increased tibial torsion angle (TTA). There is no study of the literature regarding the relationship increased TTA and re-injury. The purpose of this study was to determine how that affected the tibial torsion angle of the knee operated on, and is to understand the relationship between post-operative rehabilitation and TTA. Materials and Methods: 21 male patients between the ages of 18-40 were participated in this study. Patients have isolated ACL injury which has been operated using the hamstring auto-graft. And there were in post-operative rehabilitation 6 months and 24 months period. Lachman, KT-1000 measurements and Lysholm scores were evaluated. Patients both knees were tested at 60 and 180 degrees of angular velocities with isokinetic dinamometer. Both lower extremity TTA's were evaluated with computed tomography and physical examination. Results: TTA did not change the comparison of normal and operated knees.(p> 0.05). Both angular velocity in isokinetic test, a positive correlation has been found between the TTA and the force difference between the knees (p <0.05). At 180 ° / s speed of flexion, has been found corelation between the difference of the TTA and loss of strength (p <0.05). Due to the high re-injury rates, accelerated rehabilitation protocols, and criteria for the controversial sport has made time to return. Return to sport as a TTA criterion recommended follow-up. Rehabilitation protocols as well as maximal strength, muscular endurance exercises should be emphasized, especially in the direction of flexion. Keywords: Anterior cruciate ligament, anterior cruciate ligament reconstruction, re-injury, tibial torsion, tibial torsion angle, anterior cruciate ligament rehabilitation, isokinetic test, return to sports.