Minimal İnvaziv Total Kalça Artroplastisi Cerrahisinde İnsizyon Uzunluğu Gerçekten Önemli midir?
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P: 160-166
Ağustos 2020

Minimal İnvaziv Total Kalça Artroplastisi Cerrahisinde İnsizyon Uzunluğu Gerçekten Önemli midir?

J Ankara Univ Fac Med 2020;73(2):160-166
Bilgi mevcut değil.
Bilgi mevcut değil
Alındığı Tarih: 15.01.2020
Kabul Tarihi: 02.04.2020
Yayın Tarihi: 21.07.2020
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Amaç:

Bu çalışmanın amacı insizyon uzunluğundaki minimal invaziv tekniklerin standart tekniklere göre üstünlüğünü araştırmaktır.

Gereç ve Yöntem:

Grup 1 olarak tanımlanan ve minimal invaziv teknikle ameliyat edilen 31 hasta (8 erkek, 23 kadın) ve grup 2 olarak tanımlanan ve standart teknikle ameliyat edilen 42 hasta (11 erkek, 31 kadın) vardı. Kalça fonksiyonu Harris Kalça Puanı (HHS) ile, ağrı Görsel Analog skala (VAS) ve genel fiziksel ve zihinsel durumu Kısa Form - 36 ile değerlendirildi.

Bulgular:

Grup 1’de ortalama takip süresi 21,8 ay (15-31 ay) ve grup 2’de 58,5 ay (42-75 ay) idi. Ameliyat süresi ve hastanede yatış süresi grup 2’de daha uzun idi (p<0,05). İntraoperatif kan kaybı grup 2’de yüksekti (p<0,05). Postoperatif 3. ayda grup 1’deki SF - 36, VAS ve HHS skorları anlamlı olarak daha iyi idi (p<0,05).

Sonuç:

Uygun koşullarda bile, minimal invaziv bir tekniğin uygulanması skar dokusu için standart tekniklerden daha iyi kozmetik sonuçlar vermeyebilir.

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