Kronik lateral ayak bileği instabilitesinde artroskopik tamir ile Ahlgren larsson metodunun klinik sonuçlarının karşılaştırılması


Thesis Type: Expertise In Medicine

Institution Of The Thesis: Gazi Üniversitesi, Tıp Fakültesi, Turkey

Approval Date: 2019

Thesis Language: Turkish

Student: COŞKUN ULUCAKÖY

Supervisor: MUHAMMET BAYBARS ATAOĞLU

Abstract:

Purpose: Ankle sprains are common injuries and there are several treatment methods defined for chronic ankle instability. Although there has been reported good results for the most of the techniques, there has been no accepted gold standard surgical method. Materials and Methods: The patients who were operated with the diagnosis of chronic lateral ankle instability in the Orthopedics and Traumatology Department of the Gazi University Faculty of Medicine between 2012-2018 years were evaluated retrospectively. Preoperative and postoperative clinical evaluation of the patients were performed with AOFAS back foot scoring, FAOS and Cumberland scores. Results: Sixty patients with chronic lateral ankle instability were evaluated. 28 patients underwent Ahlgren-Larsson method and 32 patients underwent arthroscopic repair. Of the patients, 36 were female, 24 were male and the mean age was 45 years. In both groups clinical functional improvement was observed postoperatively (p<0,05). There was no statistically significant difference between the groups in terms of functionality (p>0,05), However, a statistically significant difference was found in terms of VAS pain or satisfaction scores in favor of arthroscopy group (p<0,05). Conclusions : Within the limitations of this study, successful results were obtained with both Ahlgren-Larsson method and arthroscopic repair in the treatment of chronic lateral ankle instability. The arthroscopic method was found.to be more successful in terms of pain and patient satisfaction than the Ahlgren group because of its minimally invasive and less morbidity