Ramazan AKMEŞE - Academia.edu (original) (raw)

Papers by Ramazan AKMEŞE

Research Square (Research Square), Apr 22, 2024

Background: End-stage ankle arthrosis causes severe pain and limited movement. In this case, tibi... more Background: End-stage ankle arthrosis causes severe pain and limited movement. In this case, tibiotalocalcaneal arthrodesis (TTCA) surgery forms the basis for surgical treatment in the appropriate patient group. TTCA with arthroscopy-assisted hindfoot nailing can be used to achieve a high union rate and low complication rate. In this study, we aimed to examine the early-and mid-term results of patients treated with this technique from various perspectives and to evaluate them by comparing them with the current literature. Methods: Data were collected from 25 patients who met the established criteria and underwent TTCA with posterior approach arthroscopic-assisted hindfoot nailing. In addition to the demographic data of the patients, their clinical and pain scores were evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS). These scoring data were collected preoperative, postoperative 3rd month, postoperative 12th month, and at the final postoperative followup (18-24th months). Additionally, the union time and complication data during the follow-up period were examined. Results: When the AOFAS and VAS scores of the 25 patients were examined, a significant improvement was observed in the preoperative period and early postoperative period comparisons (p < 0.001). No significant change was observed between the comparison of the postoperative 12th month and last postoperative control clinical scores. While the union rate of the patients was observed to be 92%, the average union time was 13.1 ± 3.5 weeks. During follow-up, peri-implant fracture, deep infection, and non-union were observed in one patient each (12%). Conclusion: The early-and mid-term postoperative results of patients treated with TTCA surgery with posterior approach arthroscopic-assisted hindfoot nailing show that this technique may be an option with low complication and high union rates for the appropriate group of patients planned for ankle arthrodesis.

Elsevier Masson, Dec 27, 2012

... Yönden Deneysel Olarak Karşılaştırılması Prof. Dr. Ali Kemal US Op. ... lk adım 1914'de ... more ... Yönden Deneysel Olarak Karşılaştırılması Prof. Dr. Ali Kemal US Op. ... lk adım 1914'de Hibbs tarafından yapılan posterior füzyon ameliyatıyla atılmıştır (1,2). Skolyoz cerrahisindeki en büyük ilerleme ise Harrington tarafından geliştirilen enstrumentasyon olmuştur. ...

The European Research Journal, Sep 29, 2022

Objectives: Our study aimed to determine how often the osteophyte located underneath the anterior... more Objectives: Our study aimed to determine how often the osteophyte located underneath the anterior intermeniscal ligament is observed in patients who underwent arthroscopic surgery due to degenerative meniscal tears, how often this osteophyte can be diagnosed by magnetic resonance imaging, and whether this osteophyte could be an indication for the surgery to be performed for degenerative meniscopathy. Methods: Our retrospective study included 47 patients operated for degenerative meniscus tears between 2017 and 2018, with a minimum follow-up of 2 years. Visual analog scale (VAS), Lysholm knee, and Western Ontario Meniscal Evaluation Tool (WOMET) scores were applied to all patients included in the study preoperatively and at the postoperative 3 rd , 6 th , 12 th , and 24 th months. The operated patients were grouped into two groups with and without osteophytes beneath the anterior intermeniscal ligament in magnetic resonance imaging (Group A and B). Preoperative and postoperative values of the patients were compared among themselves. Results: The average age of the patients included in our study was 57 (range: 42 to 72) years. Forty (85%) participants were female. Osteophyte was detected in 36.1% (n = 17) of the patients in preoperative magnetic resonance imagings (Group-A). There was a statistically significant difference between preoperative VAS, Lysholm, and WOMET scores and postoperative 3 rd , 6 th , 12 th , and 24 th months (p < 0.05). Mean follow-up time was 32 (range: 24 to 60) months. Conclusions: We believe that arthroscopic control of the inferior intermeniscal ligament for the presence of any osteophytes in patients treated surgically for degenerative meniscal tears is one of the main steps of this surgery.

İnönü Üniversitesi Turgut Özal Tıp Merkezi dergisi, 2013

Aim: We aimed to show that successful results can be obtained by combining the fractured parts ov... more Aim: We aimed to show that successful results can be obtained by combining the fractured parts over the operating table and fixing them with an anatomic plate in Mason type 3 - 4 multi-fragmented and / or displaced radial head fractures. Materials and Methods: Eleven cases of the 29 patients, operated in Yildirim Beyazit University Ankara Ataturk Education and Research hospital with the diagnosis of Mason type 3-4 radius head fracture, between June 2005nOctober 2011, in which fracture reducted outside, than providing the head reconstruction and fixing with radius head plate; were evaluated retrospectively. Results: Eight patients were male, 3 were female. Patient's ages ranged from 24 to 47 years of age with a mean age of 35 years. Mean follow-up was 44,9 months. Patients were evaluated for elbow with disabilities of the arm, shoulder and hand outcome measures and Mayo elbow performance index with radiological examination of the fractures. Conclusion: Radial head is secondary stabilizer to the elbow and forearm. In the cases of undergoing resection and/or prostetic replacement after unsuccessful reduction of radius head fractures because of crash or deplacement such as Mason type 3 n 4, trying to combine the parts of the fracture at the surgery table, than reconstruction of the head following by fixation with anatomic plate, can be an operational alternative especially in younger patients. Key words: Radius Fractures; Fractures-Comminuted; Fracture Fixation-Internal; Arthroplasty-Replacement.

Arthroscopy techniques, Sep 1, 2021

The medial patellofemoral ligament (MPFL) is the main medial stabilizer of the patella, while rec... more The medial patellofemoral ligament (MPFL) is the main medial stabilizer of the patella, while reconstruction of the ligament is a common surgery performed by orthopedic surgeons. Although several surgical methods have been described regarding MPFL reconstruction, the common goals of these surgeries are to imitate the anatomic features of the native MPFL. In the single-incision and single patellar tunnel and double-bundle MPFL reconstruction technique, we will present the anatomical footprint of the MPFL located in the medial aspect of the patella, which is filled with the graft. In this technique, graft fixation is performed in the femoral tunnel using only one bioabsorbable screw without the need for fixation in the patella.

Orthopaedics & traumatology: surgery & research, Jun 1, 2012

Background: Anterior knee pain is still a major problem in total knee arthroplasty (TKA). Althoug... more Background: Anterior knee pain is still a major problem in total knee arthroplasty (TKA). Although the most widely accepted opinion is that anterior knee pain is often associated with a patellofemoral etiology, there is no clear consensus as to etiology or treatment. Disabling pain receptors by electrocautery could theoretically achieve denervation of the anterior knee region. The present prospective randomized controlled study aimed to evaluate results after patellar denervation with electrocautery in TKA at a minimum follow-up of 2 years. Hypothesis: Patellar denervation provides some benefit in terms of pain and clinical outcomes after TKA without patellar resurfacing. Patients and methods: Clinical and radiological results for 35 patients with single-stage bilateral TKA (70 knees; 26 women, nine men; mean age, 68 years [range, 58 to 77 years]) were reviewed. In addition to removal of all osteophytes, patellar denervation by electrocautery was performed on one patella; and debridement alone, removing all osteophytes, was performed on the contralateral patella, as a control. KSS score and a visual analog scale (VAS) were used to assess pre-and postoperative anterior knee pain. Results: Mean follow-up was 36 months (24 to 60 months). No revisions or re-operations were performed. There were no patellar fractures. On all parameters (KSS score, range of motion and VAS), there was a statistically significant pre-to postoperative difference in favor of the denervation group. Discussion: Patellar denervation with electrocautery can reduce anterior knee pain, with satisfactory clinical and radiological outcome, in TKA without patellar resurfacing. Level of evidence: Level II: low-powered prospective randomized trial.

Orthopaedic Journal of Sports Medicine, Sep 1, 2022

Background: Soft tissue interposition between a suspensory cortical button and the lateral femora... more Background: Soft tissue interposition between a suspensory cortical button and the lateral femoral condyle is the most common cause of postoperative suspensory cortical button migration in patients undergoing anterior cruciate ligament reconstruction (ACLR). Purpose: To investigate the effects of soft tissue interposition and suspensory cortical button migration after ACLR on functional outcomes and graft ligamentization. Study Design: Cohort study; Level of evidence, 3. Methods: Included were 249 patients who underwent single-bundle ACLR with hamstring tendon autografts. To measure soft tissue imposition, the patients were divided into 2 groups: those in whom the suspensory cortical button was in contact with (group 1) or at least 1 mm away from (group 2) the lateral femoral condyle on 1-day postoperative radiographs. To measure suspensory cortical button migration, the patients in group 2 were further divided into 2 subgroups: those with button migration (group M) and those without migration (group non-M) as observed on 12-month postoperative radiographs. Ligamentization was evaluated according to Howell classification (grades 1-4) on 12-month follow-up magnetic resonance imaging scans. Also recorded were preoperative and 24-month postoperative Lysholm and Tegner scores and 24-month postoperative arthrometer measurements for anterior knee laxity. Results: There was no significant difference between groups 1 and 2 or between groups M and non-M in terms of demographic characteristics or additional intra-articular pathologies detected intraoperatively. Normal anterior laxity (<3 mm) was detected in 83.7% of the patients postoperatively, and all patients showed statistically significant pre- to postoperative improvement on the Tegner (from 4.1 to 4.3) and Lysholm (from 44.0 to 89.2) scores ( P < .05 for both). No significant difference in postoperative functional results or graft ligamentization was found between either the soft tissue interposition groups (groups 1 and 2) or the suspensory cortical button migration groups (groups M and non-M). Conclusion: Differences between patients in soft tissue interposition and suspensory cortical button migration did not significantly affect postoperative clinical or functional outcomes or graft ligamentization after single-bundle ACLR.

Orthopaedic Journal of Sports Medicine, Apr 1, 2022

Background: Ramp lesions are encountered in 16% to 24% of all anterior cruciate ligament (ACL) ru... more Background: Ramp lesions are encountered in 16% to 24% of all anterior cruciate ligament (ACL) ruptures. However, isolated ramp lesions without a ruptured ACL have also been reported. Purpose: To evaluate outcomes after type 3 hidden ramp lesions without ACL rupture were treated with all-inside sutures passed through the standard anterior portal. Study Design: Case series, Level of evidence, 4. Methods: Included were 41 patients (26 female; 63.4%) with isolated type 3 ramp lesions who underwent surgery between January 2017 and January 2019. Patients with concomitant lateral meniscal injuries and revision meniscal surgeries were excluded. We retrospectively recorded patient age, sex, and body mass index (BMI), as well as follow-up periods, comorbidities, and postoperative and early midterm complications. The Lysholm, visual analog scale (VAS) for pain, and International Knee Documentation Committee (IKDC) scores were compared preoperatively to final follow-up. In addition, patients were classified as having either a sedentary or active lifestyle according to Sedentary Behavior Research Network (SBRN) criteria. The Shapiro-Wilk test was used to evaluate the normality of the data, and the Wilcoxon and Mann-Whitney U tests were used to compare preoperative and postoperative outcome scores. The Spearman test was employed to evaluate the correlation between patient variables. Results: The mean follow-up period was at 37.6 (range, 25-49) months. A total of 17 patients (41.46%) had a sedentary lifestyle based on SBRN criteria. All scores improved significantly from preoperatively to final follow-up (VAS, from 8.43 ± 1.53 to 2.34 ± 2.9; Lysholm, from 47.73 ± 17.02 to 85.37 ± 14.01; and IKDC, from 27.12 ± 14.81 to 85.32 ± 8.78; P &lt; .001 for all). Although no significant relationship was established between patient activity level and postoperative Lysholm and IKDC scores, an inverse correlation was observed between BMI and Lysholm ( r =–0.9906) and BMI and IKDC ( r =–0.9402). Conclusion: Satisfactory postoperative clinical results were obtained in patients with type 3 ramp lesions not accompanied by ACL rupture who were treated with all-inside suturing through standard anterior portals.

Harran Üniversitesi Tıp Fakültesi Dergisi, Aug 1, 2008

Bu çalışmanın amacı çocuk deplase suprakondiler humerus kırıklarının tedavisinde kapalı redüksiyo... more Bu çalışmanın amacı çocuk deplase suprakondiler humerus kırıklarının tedavisinde kapalı redüksiyon çapraz Kirschner (K) teli uygulaması ile mini lateral insizyon çapraz K teli uygulamalarının bu kırıkların tedavisindeki alternatif yöntemler olarak fonksiyonel sonuçlar açısından karşılaştırılmasıdır. Gereç-yöntem: Çalışmaya kliniğimizde 2005-2006 yıllarında Gartland tip 3 kırığı olan ve takibi yapılabilen suprakondiler humerus kırığı geçirmiş 28 çocuk hasta dahil edildi. Kapalı redüksiyonu takiben iki adet çapraz K teli ile tespit yapılan 11 çocuk hasta bir grupta (Grup 1), lateralden mini açık redüksiyon ve çapraz K teli uygulaması yapılan 17 çocuk hasta bir diğer grupta (Grup 2) toplanmıştır. Grup 1 de ortalama yaş 4,6 , Grup 2 de ise 4,9 olarak tespit edildi. Ortalama takip süresi 16.2 ay idi. Hastaların kırık oluşumu ile ameliyata alınmaları arasında geçen ortalama süre Grup 1 de 4, Grup 2 de 6 saat olarak tespit edildi. Bulgular: Hastaların fonksiyonel ve kozmetik bakımdan sonuçları incelendiğinde Grup 1de % 91, Grup 2 de ise % 89 tatminkar sonuç elde edildi. Tüm hastalar göz önüne alındığında ise tatminkar sonuç oranı %90 olarak tespit edildi. Her iki grubun son kontrollerindeki Baumann ve taşıma açıları arasında anlamlı fark bulunamadı. Sonuç: Çalışmamızda cerrahi redüksiyon ve tespit gereken deplase çocuk suprakondiler humerus kırıklarının tedavisinde, kapalı redüksiyon ve çapraz K teli tespiti yapılamayan vakalarda alternatif olarak mini lateral insizyonla açık redüksiyon sonrasındaki çapraz K teli uygulamasının güvenli bir alternatif yöntem olarak uygulanabileceği sonucuna vardık.

Revue de Chirurgie Orthopédique et Traumatologique, Jun 1, 2012

ABSTRACT Background Anterior knee pain is still a major problem in total knee arthroplasty (TKA).... more ABSTRACT Background Anterior knee pain is still a major problem in total knee arthroplasty (TKA). Although the most widely accepted opinion is that anterior knee pain is often associated with a patellofemoral etiology, there is no clear consensus as to etiology or treatment. Disabling pain receptors by electrocautery could theoretically achieve denervation of the anterior knee region. The present prospective randomized controlled study aimed to evaluate results after patellar denervation with electrocautery in TKA at a minimum follow-up of 2 years. Hypothesis Patellar denervation provides some benefit in terms of pain and clinical outcomes after TKA without patellar resurfacing. Patients and methods Clinical and radiological results for 35 patients with single-stage bilateral TKA (70 knees; 26 women, nine men; mean age, 68 years [range, 58 to 77 years]) were reviewed. In addition to removal of all osteophytes, patellar denervation by electrocautery was performed on one patella; and debridement alone, removing all osteophytes, was performed on the contralateral patella, as a control. KSS score and a visual analog scale (VAS) were used to assess pre- and postoperative anterior knee pain. Results Mean follow-up was 36 months (24 to 60 months). No revisions or re-operations were performed. There were no patellar fractures. On all parameters (KSS score, range of motion and VAS), there was a statistically significant pre- to postoperative difference in favor of the denervation group. Discussion Patellar denervation with electrocautery can reduce anterior knee pain, with satisfactory clinical and radiological outcome, in TKA without patellar resurfacing. Level of evidence Level II: low-powered prospective randomized trial.

Türkiye klinikleri tıp bilimleri dergisi, 2011

The purpose of this study was to compare the early outcomes of total knee arthroplasty (TKA) usin... more The purpose of this study was to compare the early outcomes of total knee arthroplasty (TKA) using midvastus (MV) versus medial parapatellar (MPP) approaches on both knees. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Fifty two consecutive patients (104 knees) who underwent singlestage bilateral TKA performed by two surgeons between August 2004 and December 2007 were evaluated retrospectively at a minimum follow-up duration of two years. Patients were divided into two groups. In the MV group, consisted of 27 patients, a midvastus approach was performed on both knees. Besides, in the MPP group, consisted of 25 patients, a medial parapatellar approach was performed on both knees. R Re es su ul lt ts s: : Mean follow-up duration was 40.2 months (27-66 months) and 42.3 months (25-61 months) for the MV and MPP groups, respectively. The Knee Society Clinical Rating System (knee and function score), the range of motion, patellofemoral pain questionnaire, patient satisfaction questionnaire and radiography were used for the evaluation of both groups. Lateral retinacular release (LRR) was performed on four knees in the MPP group whereas it was not used in the MV group. There was a significant difference between the two groups with regard to the rate of LRR (p= 0.034). Axial radiographs revealed that six patellas in the MPP group, but only one in the MV group exhibited lateral displacement postoperatively (p= 0.039). C Co on nc cl lu us si io on n: : The preservation of normal patellar tracking is important for TKA. In this study, the midvastus approach required significantly less LRR as compared to the medial parapatellar approach. K Ke ey y W Wo or rd ds s: : Arthroplasty, replacement, knee; orthopedic procedures Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışmanın amacı her iki dize midvastus (MV) ve mediyal parapatellar (MPP) yaklaşımları ile uygulanan total diz artroplastisi (TKA) nın erken sonuçlarını karşılaştırmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Ağustos 2004 ile Aralık 2007 arasında iki cerrah tarafından yapılan ve minimum izlem süresi iki yıl olan ardışık 52 hasta (104 diz) retrospektif olarak değerlendirildi. Hastalar iki gruba ayrıldılar. MV grubu midvastus yaklaşımı uygulanan 27 hastadan oluşuyordu. Bunun yanında MPP grubu her iki dize mediyal parapatellar yaklaşım uygulanan 25 hastadan oluşmaktaydı. S So on nu uç çl la ar r: : Ortalama izlem süresi MV ve MPP grubunda, sırasıyla, 40.2 (27-66 ay) ve 42.3 aydı (25-61 ay). Diz Derneği Klinik Derecelendirme Sistemi (Diz ve Fonksiyon Skoru), hareket aralığı, patellofemoral ağrı anketi, hasta doyum anketi ve radyolojik incelemeler her iki grubun değerlendirilmesi için kullanıldı. Lateral retinaküler serbestleştirme (LRP) MPP grubunda dört dizde uygulanırken, MV grubunda hiçbir dizde uygulanmadı. İki grup arasında LRP oranı açısından anlamlı bir farklılık mevcuttu (p= 0.034). Aksiyel grafilerde postoperatif dönemde lateral yerdeğiştirme MPP grubunda altı patellada, MV grubunda ise bir patellada gözlendi (p= 0.039). T Ta ar rt tı ış şm ma a: : Normal patellar çizgisel yerleşimin korunması TKA'da önemlidir. Bu çalışmada midvastus yaklaşımının mediyal parapatellar yaklaşıma göre anlamlı düzeyde daha az LRR'ye gereksinim gösterdiği gözlendi.

Clinical Biomechanics, Aug 1, 2020

Background: Medial patellofemoral ligament reconstruction becomes first-choice surgical procedure... more Background: Medial patellofemoral ligament reconstruction becomes first-choice surgical procedure for patients with a history of lateral patellar dislocations but there is limited knowledge about neuromuscular activation patterns of individuals with a history of patellar dislocation who underwent medial patellofemoral ligament reconstruction. Objective: The aim of this study was to compare muscle activation levels and knee valgus during step down performance test between individuals with a history of medial patellofemoral ligament reconstruction and healthy individuals. Methods: Fifteen individuals with medial patellofemoral ligament reconstruction and 15 healthy individuals were included. Vastus medialis obliquus, vastus lateralis and gluteus medius muscle activation levels and knee valgus were measured during 60-s-step down performance test. Two-way repeated-measures of analysis of covariance was used for statistical analysis. Findings: Compared to the healthy individuals, individuals with medial patellofemoral ligament reconstruction showed lower vastus medialis obliquus (p = .04) and gluteus medius (p = .005) activation levels, and higher knee valgus (p = .002) in last period of the step down performance test. Interpretation: Since the significant results were only observed in the fatiguing section of the test, endurance tests may provide more information about neuromuscular control of the individuals with history of medial patellofemoral ligament reconstruction. Future studies should investigate whether endurance exercises that target to improve vastus medialis obliquus and gluteus medius activity result in better clinical outcomes than conventional programs for individuals with medial patellofemoral ligament reconstruction.

ISRN Orthopedics (Print), Apr 21, 2013

A series of five cases were presented in which similar fractures of the shaft of the humerus occu... more A series of five cases were presented in which similar fractures of the shaft of the humerus occurred during the hand grenade throwing activity during the military education. All the fractures were in the 1/3 distal humeral shaft, and butterfly fragments were accompanying in two soldiers. All the fractures healed without any clinical complications with conservative treatment. The mechanism of the fracture is discussed with reference to the recent literature.

Journal of the American Academy of Orthopaedic Surgeons, Jan 5, 2021

Osteochondral lesions in the talus are frequently seen disorders that can cause chronic ankle pai... more Osteochondral lesions in the talus are frequently seen disorders that can cause chronic ankle pain. Surgical treatment is determined by the size and location of the lesion. The microfracture procedure and additional application of scaffold technique have gained popularity for the treatment of small osteochondral defects. However, these techniques may be insufficient and have poor outcomes in deep lesions. Therefore, several different invasive surgical techniques that require the malleolar osteotomy have been described. Problems associated with the invasive surgical intervention may be seen such as reduction loss in the osteotomy site, delayed union or nonunion, permanent pain, and/or swelling. We describe a new all-arthroscopic technique for the treatment of deep talus osteochondral lesions using an autologous bone graft taken from the tibial plafond region together with a chitosan-based noncellular scaffold.

Türk Ortopedi ve Travmatoloji Birliği Derneği dergisi, 2018

OKL çoğu zaman travmatik nedene bağlı iken, travmatik olmayanların oranı %24'tür. [10,11] Hastala... more OKL çoğu zaman travmatik nedene bağlı iken, travmatik olmayanların oranı %24'tür. [10,11] Hastaların %70'ini erkekler oluşturur ve en sık görülen yaş aralığı 20-30'dur. [12] En belirgin şikayet, diğer ayak bileği problemlerinde olduğu gibi aktiviteyle artış gösteren ağrı, hareket kısıtlılığı ve şişliktir. Bu durum, tanıda klinik bulgulardan ziyade görüntüleme yöntemlerinin kullanımını baskın kılmıştır. [13,14] Semptomlar fiziksel aktiviteyle artış gösterirken, kronik ayak bileği instabilitesinin talus OKL için bir risk faktörü olduğu unutulmamalıdır. Bu nedenle, bu hastalara instabilite muayenesi mutlaka S adece ABD'de günde 27.000 ayak bileği burkulmaktadır. [1] Akut ayak bileği burkulması ya da kırıklarının yarısında kondral ya da osteokondral lezyon (OKL) görülebilmektedir. [2-6] OKL, kıkırdağın avasküler yapısı iyileşmesinde problemler yarattığı gibi, zamanla lezyon boyutunda büyümeye yol açar ve dejeneratif artroza neden olur. [7,8] Geniş bir literatür taraması ile oluşturulan bir çalışma, ortopedistler için problemli ve zor olgular olarak kabul edilen talus OKL hakkında genel bilgiler ve özellikle son yıllarda gelişme gösteren farklı tedavi yaklaşımlarını içermektedir. [9] Ayak bileği ostekondral lezyonları Osteochondral lesions of the ankle

DergiPark (Istanbul University), Sep 1, 2012

Archives of Orthopaedic and Trauma Surgery, Oct 29, 2013

No previous description has been made about an objective method to test the graft resistance in M... more No previous description has been made about an objective method to test the graft resistance in MPFL reconstruction intraoperatively. In our study, we aimed to obtain intraoperative objective data about the graft resistance using contact pressure-sensitive surfaces and measuring pressure formed under the graft. In 2012, double-layered contact pressure-sensitive Fuji Prescale Film bands were placed under MPFL in 15 fresh-frozen high above-knee amputates (Group 1) and under graft in 10 patients who underwent MPFL reconstruction (Group 2). Measured values at different flexion angles were compared between and in groups. Statistical analysis was performed by Student&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s t test. It has been found that the pressure under the graft was higher in patients having reconstruction as compared to the pressure under natural MPFL. Decreasing pressure values were observed with increasing flexion angles in both groups. Contact pressure-sensitive surfaces provided objective data when placed under the graft in natural MPFL and during surgery. Therefore, they may be used as an objective marker providing information about graft resistance.

Bozok tıp dergisi, Mar 1, 2013