Ayak Bileği Artrodezinde Farklı Üç Tekniğin Uzun Dönemli Sonuçları
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Dosyalar
Tarih
2021
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada, ayak bileği artrozu tanısı ile üç farklı yaklaşımla opere edilen hastaların uzun dönem klinik fonksiyonel sonuçlarınıdeğerlendirmeyi amaçladık.Yöntem: 2002-2013 tarihleri arasında opere edilen 49 olgu retrospektif olarak değerlendirildi. İlizarov tekniği ile artrodez yapılan hastalar İABA grubu(n:8) olarak isimlendirildi. Vida ile artrodez yapılan hastalar VABA grubu (n:25) olarak isimlendirildi. Kalkaneotalotibial çivi ile artrodez yapılanhastalar ise KABA grubu (n:16) olarak isimlendirildi. Gruplar; hastane yatış süresi, cerrahi süre, komplikasyon oranı, preoperatif ve postoperatif görselanalog ölçeği (Visual Analogue Scale; VAS) ve postoperatif Maryland ayak skoru açısından değerlendirildi.Bulgular: Gruplara göre preoperatif VAS değerlendirilmesinde anlamlı bir farklılık gözlemlenmedi (p=0,452). İABA grubunda VAS diğer iki grubagöre anlamlı düzeyde düşük olarak gözlemlendi (p=0,01). Gruplara göre Maryland ayak skoru değerlendirmesinde anlamlı bir farklılık gözlemlenmedi(p=0,145). İABA grubunda diğer iki gruba göre daha fazla komplikasyon gözlemlenmiştir. KABA grubunda diğer iki gruba göre daha az komplikasyongözlemlendi (p=0,004).Sonuç: İABA grubunda, diğer gruplara göre VAS daha az olarak bulundu fakat daha yüksek komplikasyon oranı gözlemlendi. KABA grubunda diğeriki gruplara göre daha az komplikasyon oranı gözlemlendi. Postoperatif Maryland ayak skoru açısından; göre gruplar arasında farklılık gözlemlenmedi.
Aim: In this study, we aimed to evaluate the long-term clinical functional results of patients who were operated with the diagnosis of ankle arthrosis with three different techniques. Methods: 49 cases who were operated between 2002 and 2013 were evaluated retrospectively. The patients who underwent arthrodesis with Ilizarov technique were evaluated as IABA group (n: 8). The patients who underwent arthrodesis with screws were evaluated as VABA group (n: 25). The patients who underwent arthrodesis with the calcaneotalotibial nail were evaluated as KABA group (n: 16). Duration of hospitalization, duration of surgery, complication rates, preoperative and postoperative visual analog scales (VAS), and postoperative Maryland foot scores were evaluated. Results: No significant difference was observed in the preoperative evaluation of VAS according to the groups (p= 0.452). It was observed that the VAS of the IABA group was significantly lower than the other two groups (p= 0.01). No significant difference was observed in Maryland foot score evaluation according to the groups (p= 0.145). More complication rates were observed in the IABA group compared to the other two groups. Less complication rates were observed in the KABA group compared to the other two groups (p= 0.004). Conclusion: It was observed that VAS was less in the IABA group compared to other groups, but the IABA group had higher complication rates. A lower complication rate was observed in the KABA group compared to the other other groups. There was no difference between the groups according to the Maryland foot score.
Aim: In this study, we aimed to evaluate the long-term clinical functional results of patients who were operated with the diagnosis of ankle arthrosis with three different techniques. Methods: 49 cases who were operated between 2002 and 2013 were evaluated retrospectively. The patients who underwent arthrodesis with Ilizarov technique were evaluated as IABA group (n: 8). The patients who underwent arthrodesis with screws were evaluated as VABA group (n: 25). The patients who underwent arthrodesis with the calcaneotalotibial nail were evaluated as KABA group (n: 16). Duration of hospitalization, duration of surgery, complication rates, preoperative and postoperative visual analog scales (VAS), and postoperative Maryland foot scores were evaluated. Results: No significant difference was observed in the preoperative evaluation of VAS according to the groups (p= 0.452). It was observed that the VAS of the IABA group was significantly lower than the other two groups (p= 0.01). No significant difference was observed in Maryland foot score evaluation according to the groups (p= 0.145). More complication rates were observed in the IABA group compared to the other two groups. Less complication rates were observed in the KABA group compared to the other two groups (p= 0.004). Conclusion: It was observed that VAS was less in the IABA group compared to other groups, but the IABA group had higher complication rates. A lower complication rate was observed in the KABA group compared to the other other groups. There was no difference between the groups according to the Maryland foot score.
Açıklama
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Kaynak
Kocaeli Üniversitesi Sağlık Bilimleri Dergisi
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Scopus Q Değeri
Cilt
7
Sayı
2
