Murat ÇINAR, Alihan DERİNCEK, Sercan AKPINAR

Redükte edilemeyen diz çıkığı:İki aşamalı tedavi

Travmatik diz çıkığı sonrası kapalı redükte edilemeyen olgu sayısı oldukça azdır. Eklem medialindeki yumuşak dokuların femoral kondil ile tibia platosu arasına girmesi başarısız redüksiyonun sebebi olarak gösterilmiştir. Bu durumda açık eklem redüksiyonu önerilen tedavi yöntemidir. Çalışmamızda, motosiklet kazası sonrası açık diz çıkığı gelişen 16 yaşındaki erkek hasta sunulmuştur. Kapalı olarak eklem redüksiyonu sağlanamayan hastada, birinci aşama olarak açık eklem redüksiyonu ile medial kollateral bağ ve retinakulum onarımı uygulandı. İkinci aşamada ise artroskopik ön ve arka çapraz bağ rekonstrüksiyonu yapıldı.

Anahtar Kelimeler:

Kazalar, Ergen, Artroskopi, Erkek, Ön çapraz bağ, Yaralanma şiddeti skoru, Diz çıkığı, İç yan bağ, diz, Arka çarpraz bağ

Irreducible dislocation of the knee joint: two-stage treatment

Closed reduction attempts may be unsuccessful after traumatic knee dislocations on rare occa sions. The interposition of the soft tissues on the medial aspect of the joint into the femoral condyle and tibial plateau is shown to be the cause of an unsuccessful reduction. In such cases, open reduction is the recommended method of treatment. In our study, we presented a 16-year- old male with an open knee dislocation after a motorcycle accident. As our closed reduction attempt failed, open joint reduction and repair of the medial collateral ligament and retinaculum was performed in the first stage of treatment. In the second stage, arthroscopic anterior cruciate ligament and posterior cruciate ligament reconstructions were carried out.

Keywords:

Accidents, Adolescent, Arthroscopy, Male, Anterior Cruciate Ligament, Injury Severity Score, Knee Dislocation, Medial Collateral Ligament, Knee, Posterior Cruciate Ligament,

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