RESULTS OF PLASTY OF THE ANTERIOR CRUCIATE LIGAMENT USING THE HAMSTRING TENDONS.
Keywords:
restoration of the ACL, Ultrabutton Smith-Nephew, instability of the knee jointAbstract
Stable, reliable minimally invasive surgical treatment for anterior cruciate ligament injury using tendons of thin and semi-tendon muscles using Ultrabutton Smith-Nephew.
The work is based on the experience of treating 110 patients with anterior cruciate ligament injuries in Samarkand branch of the republican scientific and practical medical center of traumatology and orthopedics, where the technique of plastic surgery using tendons of thin, semi-tendon muscles was used in the period from 2020 to 2022.
Excellent results - 42 (38.1%) - 85-90 points, good results - 64 (58,2%) – 65-85 points, satisfactory - 3 (2,8%) - up to 65 points, 1 (0,9%) patient retained slightly pronounced sensations of stiffness and discomfort in the joint until 1 year after surgery, which were stopped over time against the background of a rehabilitation program including physical therapy, physiotherapy, a course of chondroprotectors and intra-articular injections of synovial fluid protectors.
Autografts from the tendons of the popliteal hip flexors have been successfully used to restore the stability of knee joints with a damaged anterior ligament in both acute and chronic situations. This technique is a highly effective way to prevent the occurrence of complications, especially problems with stiffness and patellar pain.
References
Gerasimenko M.A., Beletsky A.V. Damage to the menisci of the knee joint. In the diagnosis and treatment of injuries and orthopedic diseases of the knee joint Minsk 2010. pp. 34-46. (in Russ).
Zedgenidze I.V., Prokhorenko V.M. Therapeutic tactics for meniscus injuries // Bulletin of the All-Russian Scientific Research Center of the Russian Academy of Medical Sciences, 2011, No. 4(80), part 1, pp. 76-79. (in Russ).
Zubi Yu.Kh., Saidalin D.M., Kurbansupiev M.D. Arthroscopy of the knee joint in case of injuries // Bulletin of KazNMU No. 2, 2015, pp. 305-307. (in Russ).
Kavalersky G.M. Silin S.S., Garkavi A.V. Traumatology and orthopedics. Textbook for students M. 2005. p. 624. (in Russ).
Trufanov G.E., Fokin V.A. Meniscus rupture. In the book of MRI of the joint of the lower limb M. 2018. pp. 309-321. (in Russ).
Kostrub A.R. Meniscal injuries and their treatment.and others In the book. Rehabilitation after arthroscopic surgery in athletes. Kiev, 2015. pp. 220-228. (in Russ).
Zobel M.S., Borzello, M.J., Stevart N.R. Pediatric knee MR imaging: Patterns of injecfies the Immature skeleton // Radiology – 1994. Vol. 190 – p. 397- 401.
Miller J.A. Prospective study comparing the accuracy of the clinical diagnosis of meniscus tear with magnetic resonance imaging and its affection clinical out come // Arthroscopy – 1996 – vol. 12 P. 406-413.
Статья поступила в редакцию 11.07.2024; одобрена после рецензирования 21.08.2024; принята к публикации 24.08.2024.
The article was submitted 11.07.2024; approved after reviewing 21.08.2024; accepted for publication 24.08.2024.
Информaтсия об авторах:
Холхужаев Фаррух Икрамович- PhD, ассистент, кафедры травматологии и ортопедии. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: farrux.xolxujayev@mail.ru, https://orcid.org/0009-0007-0823-5124.
Онорбойев Дилмурод Абдусатторович- клиник ординатор кафедры травматологии и ортопедии. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: farrux.xolxujayev@mail.ru, https://orcid.org/0009-0007-0823-5110.
Источники финансирования: Работа не имела специального финансирования.
Конфликт интересов: Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикaтсей настоящей статьи.
Вклад авторов:
Холхужаев Ф.И. — идеологическая концепция работы, написание текста; редактирование статьи;
Онорбоев Д.А. — сбор и анализ источников литературы, написание текста.
Information about the authors:
Kholkhuzhaev Farrukh Ikramovich - PhD, Assistant, Department of Traumatology and Orthopedics. Samarkand State Medical University, Samarkand, Uzbekistan. Е-mail: farrux.xolxujayev@mail.ru, https://orcid.org/0009-0007-0823-5124.
Onorboev Dilmurod Abdusattorovich is a clinical resident of the Department of Traumatology and Orthopedics. Samarkand State Medical University, Samarkand, Uzbekistan. E-mail: farrux.xolxujayev@mail.ru , https://orcid.org/0009-0007-0823-5110.
Sources of funding: The work did not receive any specific funding.
Conflict of interest: The authors declare no explicit or potential conflicts of interest associated with the publication of this article.
Contribution of the authors:
Kholkhuzhaev F.I.— ideological concept of the work, writing the text; editing the article;
Onorboyev D.A.— collection and analysis of literature sources, writing the text.