Yıl: 2021 Cilt: 32 Sayı: 2 Sayfa Aralığı: 169 - 175 Metin Dili: Türkçe DOI: 10.21653/tjpr.804197 İndeks Tarihi: 27-10-2022

AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ

Öz:
Amaç: Aşil tendon kopmaları sonrası fonksiyon kazanımı için aşil tendon tamiri (ATT)uygulanmaktadır. Bu çalışmanın amacı perkütan ATT uygulanan bireylerde cerrahi taraf ile sağlamtaraf arasında uzun dönem fonksiyonel sonuçları karşılaştırmaktı.Yöntem: Çalışmaya 20 ATT’li birey (yaş=40,15±7,32 yıl, vücut kitle indeksi=27,17±3,27 kg/m²)dahil edildi. Alt ekstremite fonksiyonel performansını belirlemek için Y denge testi, parmak ucunayükselme testi ve ayak-ayak bileği araştırması (FAOS) anketi kullanıldı. İstatiksel analiz için cerrahitaraf ile sağlam tarafı karşılaştırmada paired t testi kullanıldı.Sonuçlar: ATT’li bireylerin cerrahi sonrası geçen süre ortalama 5,02±3,64 (min-maks=2-13) idi.ATT’li bireylerin Y denge testi öne uzanma mesafesi (p=0,008) ve posteromedial uzanma mesafesi(p=0,014) ile parmak ucuna yükselme seviyesi cerrahi tarafta daha düşük bulundu (p<0,001).Bireylerin, FAOS alt parametreleri, belirtiler ve tutukluluk skoru 87,90±12,34 (min-maks=61-100);ağrı skoru 93,60±11,55 (min-maks=58-100); iş ve günlük yaşam aktiviteleri skoru 94,95±9,76 (minmaks=66-100); iş, spor ve eğlence faaliyetleri skoru 86,75±17,03 (min-maks=50-100) ve yaşamkalitesi skoru 78,15±17,50 (min-maks=50-100) idi.Tartışma: Perkütan ATT’li bireylerde cerrahi sonrası dinamik denge ve parmak ucuna yükselmemesafesinde ekstremiteler arası farklılıkların devam ettiği belirlendi. Bu farklılıklara sebepolabilecek tendon boyundaki farklılıklar, kas kuvvet yetersizlikleri, tendon ve kas gövdesindekimimari değişimler gibi faktörlerin araştırılması gerektiğini düşünmekteyiz.
Anahtar Kelime: Aşil Tendonu Fonksiyon Tendon yaralanmaları

AN INVESTIGATION OF LONG-TERM POSTOPERATIVE FUNCTIONAL RESULTS IN INDIVIDUALS WITH ACHILLES TENDON REPAIR

Öz:
Purpose: Achilles tendon repair (ATR) is applied to gain function after Achilles tendon ruptures. The present study aimed to compare long term functional results between the surgery side with the uninjured side in percutaneous ATR individuals. Methods: Twenty individuals with ATR (age=40.15±7.32 years, body mass index=27.17±3.27 kg/ m²) were included in the study. The lower extremity functional performance was assessed with Y balance test, Foot and Ankle Outcome Scale (FAOS) and heel-rise test. The side to side differences were assessed by using a Paired samples t-test. Results: The mean time following surgery in individuals with ATR was 5.02±3.64 years (minmax=2-13). Y balance test anterior direction (p=0.008) and posteromedial direction (p=0.014) reach distances and heel-rise levels (p<0.001) were lower in the surgery side. The FAOS subscale scores were other symptoms 87.90±12.34 (min-max=61-100), foot and ankle pain score 93.60±11.55 (min-max=58-100), activities of the daily living score 94.95±9.76 (min-max: 66-100), function in sports and recreation score 86.75±17.03 (min-max=50-100) and foot and ankle related quality of life score 78.15±17.50 (min-max=50-100). Conclusion: The side to side differences of heel rise distance and dynamic balance in individuals with ATR persist following surgery. The factors such as changes in tendon length, muscle strength deficiencies, architectural changes in tendon and muscle body, which may cause the functional differences should be investigated.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Tan F, Guney H, ULUSOY B, HARPUT G, Dönmez G, doral m (2021). AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ. , 169 - 175. 10.21653/tjpr.804197
Chicago Tan Fırat,Guney Hande,ULUSOY Burak,HARPUT GULCAN,Dönmez Gürhan,doral mahmut nedim AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ. (2021): 169 - 175. 10.21653/tjpr.804197
MLA Tan Fırat,Guney Hande,ULUSOY Burak,HARPUT GULCAN,Dönmez Gürhan,doral mahmut nedim AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ. , 2021, ss.169 - 175. 10.21653/tjpr.804197
AMA Tan F,Guney H,ULUSOY B,HARPUT G,Dönmez G,doral m AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ. . 2021; 169 - 175. 10.21653/tjpr.804197
Vancouver Tan F,Guney H,ULUSOY B,HARPUT G,Dönmez G,doral m AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ. . 2021; 169 - 175. 10.21653/tjpr.804197
IEEE Tan F,Guney H,ULUSOY B,HARPUT G,Dönmez G,doral m "AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ." , ss.169 - 175, 2021. 10.21653/tjpr.804197
ISNAD Tan, Fırat vd. "AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ". (2021), 169-175. https://doi.org/10.21653/tjpr.804197
APA Tan F, Guney H, ULUSOY B, HARPUT G, Dönmez G, doral m (2021). AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32(2), 169 - 175. 10.21653/tjpr.804197
Chicago Tan Fırat,Guney Hande,ULUSOY Burak,HARPUT GULCAN,Dönmez Gürhan,doral mahmut nedim AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32, no.2 (2021): 169 - 175. 10.21653/tjpr.804197
MLA Tan Fırat,Guney Hande,ULUSOY Burak,HARPUT GULCAN,Dönmez Gürhan,doral mahmut nedim AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), vol.32, no.2, 2021, ss.169 - 175. 10.21653/tjpr.804197
AMA Tan F,Guney H,ULUSOY B,HARPUT G,Dönmez G,doral m AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(2): 169 - 175. 10.21653/tjpr.804197
Vancouver Tan F,Guney H,ULUSOY B,HARPUT G,Dönmez G,doral m AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(2): 169 - 175. 10.21653/tjpr.804197
IEEE Tan F,Guney H,ULUSOY B,HARPUT G,Dönmez G,doral m "AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ." Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32, ss.169 - 175, 2021. 10.21653/tjpr.804197
ISNAD Tan, Fırat vd. "AŞİL TENDON TAMİRLİ BİREYLERDE CERRAHİ SONRASI UZUN DÖNEM FONKSİYONEL SONUÇLARIN İNCELENMESİ". Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32/2 (2021), 169-175. https://doi.org/10.21653/tjpr.804197