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Total Kalça ve Diz Protezi Yapılan Osteoartritli Yaşlı Kadınların Ağrı, Fonsiyonel Durum ve Günlük Yaşam Aktivitelerinin Belirlenmesi

Yıl 2020, Cilt: 42 Sayı: 4, 434 - 443, 13.07.2020
https://doi.org/10.20515/otd.554098

Öz

Çalışma, total kalça ve diz protezi
yapılan osteoartritli yaşlı kadınlarda ağrı, fonksiyonel durum ve günlük yaşam
aktivitelerinin belirlenmesi amacıyla tanımlayıcı şekilde yapılmıştır.
Çalışmanın örneklemini bir üniversite hastanesinin Ortopedi ve Travmatoloji
Polikliniğine Ağustos 2017- Kasım 2018 tarihleri arasında başvuran total kalça
ya da diz protezi ameliyatı olan 290 osteoartritli yaşlı kadın hasta
oluşturmuştur. Çalışmanın verileri Tanıtıcı Bilgi Formu, Görsel Analog Skoru
(VAS), Fonksiyonel Değerlendirme Formu ve Barthel Günlük Yaşam Aktiviteleri
İndeksi kullanılarak toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı
istatistikler 
ve Wilcoxon testi
kullanılmıştır. Çalışmanın sonucunda total kalça ya da diz protezi yapılan
hastalarda artroplasti sonrası 6. haftada tüm hastaların hafif düzeyde devam
eden ağrısı olduğu; ağrı, enfeksiyon, dislokasyon korkusu, artrodez, düşme
korkusu gibi nedenlerden dolayı mobilizasyon kısıtlılığı olduğu belirlenmiştir.
Ayrıca hastaların fonksiyonel düzeylerinin artroplasti öncesine göre daha iyi
hale geldiği, buna bağlı olarak Fonksiyonel Değerlendirme puan ortancası ve
Barthel İndeksi puan ortancasının istatistiksel olarak anlamlı düzeyde arttığı
görülmüştür. Çalışma sonucunda, hastaların artroplasti öncesine göre daha az
olmakla birlikte, ağrı ve fonksiyonel kısıtlama yaşadıkları belirlenlenmiştir.

Kaynakça

  • Bruce S. Estrogen Actions in The Central Nervous System. Mcewen, Stephen E, Editors. Endocr Rev. 1999;20(3):279–307.
  • 2. Şirin A. Klimakteryum Ve Menopoz. In: Şirin A, Editor. Kadın Sağlığı. Ankara: Bedray Basın Yayıncılık; 2008. P. 255–69. 3. Tanamas S., Wijethilake P, Wluka A., Davies-Tuck ML, Urquhart DM, Wang YY, Et Al. Sex Hormones And Structural Changes İn Osteoarthritis: A Systematic Review. Maturitas. 2011;69(2):141–56.
  • 4. Rizzoli R. No Title. In: Atlas Of Postmenopausal Osteoporosis. Third Edit. London: Current Medicine Group; 2010. P. 33–58.
  • 5. Nevitt MC. Association Of Estrogen Replacement Therapy With The Risk Of Osteoarthritis Of The Hip İn Elderly White Women. Arch Intern Med. 1996;156(18):2073.
  • 6. Anderson S, Loeser R. Why İs Osteoarthritis An Age-Related Disease? Best Pr Res Clin Rheumatol. 2010;24(1):15–20.
  • 7. Mcalindon T, Cooper C, Kirwan J, Dieppe P. Knee Pain And Disability İn The Community. Br J Rheumatol. 1992;31:189–92.
  • 8. O’Connor M. Sex Differences İn Osteoarthritis Of The Hip And Knee. J Am Acad Orthop Surg. 2007;15:23–5. 9. Debi R, Mor A, Segal O, Segal G, Debbi E, Agar G. Differences İn Gait Patterns, Function, And Quality Of Life Between Males And Females With Knee Osteoarthritis: A Clinical Trial. BMC Musculoskelet Disord. 2009;10:127–37. 10. Parazzini F. Progretto Menopausa Italia Study Group Menopausal Status, Hormone Replacement Therapy Use And Risk Of Self-Reported Physiciandiagnosed Osteoarthritis İn Women Attending Menopause Clinics İn Italy. Maturitas. 2003;20(46):207–12.
  • 11. Kirazlı Y. Osteoartrit. In: Klinik Romatoloji. İstanbul; 1999. P. 542–3.
  • 12. Mahoney OM, Mcclung CD, Dela Rosa MA, Schmalzried TP. The Effect Of Total Knee Arthroplasty Design On Extensor Mechanism Function. J Arthroplasty. 2002;17(4):416–21.
  • 13. Bakırhan S, Ünver B, Karatosun V. Tek Taraflı Ve İki Taraflı Total Diz Artroplastili Hastaların Ameliyat Sonrası Erken Dönem Fonksiyonel Hareketlerinin Karşılaştırılması. Acta Orthop Traumatol Turc. 2009;43(6):478–83.
  • 14. Steckelberg J, Osmon D. Prosthetic Joint İnfection. In: Waldvogel F, Bisno A, Editors. Infection Sassociated Withind Welling Medical Devices. 3rd Editio. Washington: American Society For Microbiology; 2000. P. 173–209.
  • 15. Leitch KK, Dalgorf D, Borkhoff CM, Kreder HJ. Bilateral Total Knee Arthroplasty--Staged Or Simultaneous? Ontario’s Orthopedic Surgeons Reply. Can J Surg. 2005;48(4):273–6.
  • 16. Guerra M, Singh P, Taylor N. Early Mobilization Of Patients Who Have Had A Hip Or Knee Joint Replacement Reduces Length Of Stay İn Hospital: A Systematic Review. Clin Rehabil. 2015;29(9):844–54.
  • 17. Brander V, Stulberg SD. Rehabilitation After Hip- And Knee-Joint Replacement. An Experience- And Evidence-Based Approach To Care. Am J Phys Med Rehabil. 2006;85(11 Suppl):S98-118; Quiz S119-23.
  • 18. Heiberg KE, Ekeland A, Bruun-Olsen V, Mengshoel AM. Recovery And Prediction Of Physical Functioning Outcomes During The First Year After Total Hip Arthroplasty. Arch Phys Med Rehabil. 2013;94(7):1352–9. 19. Vincent HK, Alfano AP, Lee L, Vincent KR. Sex And Age Effects On Outcomes Of Total Hip Arthroplasty After İnpatient Rehabilitation. Arch Phys Med Rehabil. 2006;87(4):461–7.
  • 20. Ekşioğlu E, Gürçay E. Total Diz Artroplastisi Sonrası Rehabilitasyon. İst Tıp Fak Derg. 2013;76(1):16–21.
  • 21. Kılıç E, Sinici E, Tunay V, Hasta D, Tunay S, Başbozkurt M. Evaluation Of Quality Of Life Of Female Patients After Bilateral Total Knee Arthroplasty. Acta Orthop Traumatol Turc. 2009;43(3):248–53. 22. Açıksöz S, Uzun Ş. Total Kalça Protezi Uygulanan Bireylerin Günlük Yaşam Aktivitelerine Yönelik Evde Bakımda Karşılaşılan Güçlükler. CÜ Hemşirelik Yüksekokulu Derg. 2007;11(1):8–16.
  • 23. Jones CA, Voaklander DC, Johnston DW, Suarez-Almazor ME. Health Related Quality Of Life Outcomes After Total Hip And Knee Arthroplasties İn A Community Based Population. J Rheumatol. 2000;27(7):1745–52.
  • 24. Fortina M, Carta S, Gambera D, Crainz E, Ferrata P, Maniscalco P. Recovery Of Physical Function And Patient’s Satisfaction After Total Hip Replacement (THR) Surgery Supported By A Tailored Guide-Book. Acta Biomed. 2005;76(3):152–6.
  • 25. Knutsson S, Engberg IB. An Evaluation Of Patients’ Quality Of Life Before, 6 Weeks And 6 Months After Total Hip Replacement Surgery. J Adv Nurs. 1999;30(6):1349–59.
  • 26. Van Egmond J, Verburg H, Mathijssen N. The First 6 Weeks Of Recovery After Total Knee Arthroplasty With Fast Track. Acta Orthop. 2015;86(6):708–13. 27. Hawker G, Mian S, Kendzerska T, French M. Measures Of Adult Pain. Arthritis Care Res. 2011;63(S11):240–52.
  • 28. Yolcu S, Akın S, Durna Z. Evaluation Of Postoperative Patients’ Mobility Levels And Factors Associated With Mobility Level. Hemşirelikte Eğitim Ve Araştırma Derg. 2016;13(2):129–38.
  • 29. Müller RG, Bundgaard-Nielsen M, Kehlet H. Orthostatic Function And The Cardiovascular Response To Early Mobilization After Breast Cancer Surgery. Br J Anaesth. 2010;104(3):298–304.
  • 30. Hatipoğlu S. Cerrahi Yoğun Bakım Hemşireliği İlkeleri. Gülhane Tıp Derg. 2002;44(4):475–9.
  • 31. Hawker G, Mian S, Kendzerska T, French M. Measures Of Adult Pain. Arthritis Care Res. 2011;63(S11):240–52.
  • 32. Erkin G, Gülşen E, Dülgeroğlu D, Aybay C, Özel S. Kas İskelet Sistemi Hastalığı Olan Yaşlı Hastaların Sistemik Hastalıkları Ve İlaçlarının Değerlendirimesi. Türk Geriatr Derneği. 2004;7(3):155–8.
  • 33. Beksaç B, Uzun M, Özden V, Dikmen G. Ağrılı Total Kalça Protezinin Değerlendirilmesi. Türkiye Klin J Orthop&Traumatol-Special Top. 2014;7(3):7–10.
  • 34. Erdil F, Bayraktar N. Yaşlı Bireylerde Kas-İskelet Sorunlarına Yönelik Hemşirelik Yaklaşımları. Florence Nightingale Hemşirelik Derg. 2010;18(2):106–13.
  • 35. Çınar C, Alanoğlu E, Sezgin M, Bal A, Çakçı A. Diz Osteoartritli Hastalarda Total Diz Artroplastisinin Ağrı, Fonksiyon Ve Sağlıkla İlişkili Yaşam Kalitesi Üzerine Etkisi. Fiz Tıp. 2003;6(1):1–7. 36. Akyol O, Karayurt O, Salmond S. Experiences Of Pain And Satisfaction With Pain Management İn Patients Undergoing Total Knee Replacement. Orthop Nurs. 2009;28(2):79–85.
  • 37. Dahlen L, Zimmerman L, Barron C. Pain Perception And İts Relation To Functional Status Post Total Knee Arthroplasty: A Pilot Study. Orthop Nurs. 2006;25(4):264–70.
  • 38. Hill N, Davis P. Nursing Care Of Total Joint Replacement. J Orthop Nurs. 2000;4(1):41–5.
  • 39. Leveau B. Hip. In: Richardson J, Iglarsh Z, Editors. Clinical Orthopaedic Physical Therapy. Philadelphia:W.B. Saunders Company; 1994. P. 386–91.
  • 40. Vincent HK, Dejong G, Mascarenas D, Vincent KR. The Effect Of Body Mass İndex And Hip Abductor Brace Use On İnpatient Rehabilitation Outcomes After Total Hip Arthroplasty. Am J Phys Med Rehabil. 2009;88(3):201–9.
  • 41. Salmon P, Hall GM, Peerbhoy D, Shenkin A, Parker C. Recovery From Hip And Knee Arthroplasty: Patients’ Perspective On Pain, Function, Quality Of Life, And Well-Being Up To 6 Months Postoperatively. Arch Phys Med Rehabil. 2001;82(3):360–6.
  • 42. Dahlen L, Zimmerman L, Barron C. Pain Perception And İts Relation To Functional Status Post Total Knee Arthroplasty: A Pilot Study. Orthop Nurs. 2006;25(4):264–70.
  • 43. Cremeans-Smith JK, Millington K, Sledjeski E, Greene K, Delahanty DL. Sleep Disruptions Mediate The Relationship Between Early Postoperative Pain And Later Functioning Following Total Knee Replacement Surgery. J Behav Med. 2006;29(2):215–22.
  • 44. Pagnano M, Mclamb L, Trousdale R. Total Knee Arthroplasty For Patient 90 Years Of Age And Older. Clin Orthop Relat Res. 2004;418:179–83.
  • 45. Amin A, Sales J, Brenkel I. Obesity And Total Knee And Hip Replacement. Curr Orthop. 2006;20:216–21. 46. Moreland JR. Mechanisms Of Failure İn Total Knee Arthroplasty. Clin Orthop Relat Res. 1988;(226):49–64.
  • 47. Benjamin J, Johnson R, Porter S. Knee Scores Change With Length Of Follow-Up After Total Knee Arthroplasty. J Arthroplasty. 2003 Oct;18(7):867–71.
  • 48. Vincent HK, Dejong G, Mascarenas D, Vincent KR. The Effect Of Body Mass İndex And Hip Abductor Brace Use On İnpatient Rehabilitation Outcomes After Total Hip Arthroplasty. Am J Phys Med Rehabil. 2009;88(3):201–9.
  • 49. Deshmukh RG, Hayes JH, Pinder IM. Does Body Weight İnfluence Outcome After Total Knee Arthroplasty? A 1-Year Analysis. J Arthroplasty. 2002;17(3):315–9.
  • 50. Bilik Ö. Kalça Protezi Uygulanmış Olan Hastaların Evde Telefonla İzlenmesinin İyileşmeye Etkisi. Ege Üniversitesi Sağlık Bilimleri Enstitüsü. Doktora Tezi; 200

Total Hip and Knee Prosthesis in Older Women with Osteoarthritis Determination of Pain, Functional Status and Daily Living Activities

Yıl 2020, Cilt: 42 Sayı: 4, 434 - 443, 13.07.2020
https://doi.org/10.20515/otd.554098

Öz

The study was carried out
descriptively aiming order to determine the pain, functional status and daily
life activities of elderly women with osteoarthritis who underwent total hip or
knee prosthesis. The study included 290 women with osteoarthritis who underwent
total hip and knee arthroplasty and admitted to Orthopedics and Traumatology
outpatient of Ibni Sina Hospital between August 2017 and November 2018. Data of
the study were collected using The Introductory Information Form, Visual Analog
Scale (VAS), Functional Assesment Form and Barthel Daily Living Activities
Index. Descriptive statistics 
and
Wilcoxon test were for data analysis. As a result of the study: all patients at
the 6th week after arthroplasty had mild persistent pain; pain after
arthroplasty, infection, fear of dislocation, arthrodesis, fear of falling, and
other causes limitation of mobility of the patients; it was founded that the
functional levels of the patients after arthroplasty were better than those
before the arthroplasty, and the median of the Functional Assessment point and
Barthel Index score increased significantly. According to the results of the
study, patients are less painful and have functional restraint than before. 

Kaynakça

  • Bruce S. Estrogen Actions in The Central Nervous System. Mcewen, Stephen E, Editors. Endocr Rev. 1999;20(3):279–307.
  • 2. Şirin A. Klimakteryum Ve Menopoz. In: Şirin A, Editor. Kadın Sağlığı. Ankara: Bedray Basın Yayıncılık; 2008. P. 255–69. 3. Tanamas S., Wijethilake P, Wluka A., Davies-Tuck ML, Urquhart DM, Wang YY, Et Al. Sex Hormones And Structural Changes İn Osteoarthritis: A Systematic Review. Maturitas. 2011;69(2):141–56.
  • 4. Rizzoli R. No Title. In: Atlas Of Postmenopausal Osteoporosis. Third Edit. London: Current Medicine Group; 2010. P. 33–58.
  • 5. Nevitt MC. Association Of Estrogen Replacement Therapy With The Risk Of Osteoarthritis Of The Hip İn Elderly White Women. Arch Intern Med. 1996;156(18):2073.
  • 6. Anderson S, Loeser R. Why İs Osteoarthritis An Age-Related Disease? Best Pr Res Clin Rheumatol. 2010;24(1):15–20.
  • 7. Mcalindon T, Cooper C, Kirwan J, Dieppe P. Knee Pain And Disability İn The Community. Br J Rheumatol. 1992;31:189–92.
  • 8. O’Connor M. Sex Differences İn Osteoarthritis Of The Hip And Knee. J Am Acad Orthop Surg. 2007;15:23–5. 9. Debi R, Mor A, Segal O, Segal G, Debbi E, Agar G. Differences İn Gait Patterns, Function, And Quality Of Life Between Males And Females With Knee Osteoarthritis: A Clinical Trial. BMC Musculoskelet Disord. 2009;10:127–37. 10. Parazzini F. Progretto Menopausa Italia Study Group Menopausal Status, Hormone Replacement Therapy Use And Risk Of Self-Reported Physiciandiagnosed Osteoarthritis İn Women Attending Menopause Clinics İn Italy. Maturitas. 2003;20(46):207–12.
  • 11. Kirazlı Y. Osteoartrit. In: Klinik Romatoloji. İstanbul; 1999. P. 542–3.
  • 12. Mahoney OM, Mcclung CD, Dela Rosa MA, Schmalzried TP. The Effect Of Total Knee Arthroplasty Design On Extensor Mechanism Function. J Arthroplasty. 2002;17(4):416–21.
  • 13. Bakırhan S, Ünver B, Karatosun V. Tek Taraflı Ve İki Taraflı Total Diz Artroplastili Hastaların Ameliyat Sonrası Erken Dönem Fonksiyonel Hareketlerinin Karşılaştırılması. Acta Orthop Traumatol Turc. 2009;43(6):478–83.
  • 14. Steckelberg J, Osmon D. Prosthetic Joint İnfection. In: Waldvogel F, Bisno A, Editors. Infection Sassociated Withind Welling Medical Devices. 3rd Editio. Washington: American Society For Microbiology; 2000. P. 173–209.
  • 15. Leitch KK, Dalgorf D, Borkhoff CM, Kreder HJ. Bilateral Total Knee Arthroplasty--Staged Or Simultaneous? Ontario’s Orthopedic Surgeons Reply. Can J Surg. 2005;48(4):273–6.
  • 16. Guerra M, Singh P, Taylor N. Early Mobilization Of Patients Who Have Had A Hip Or Knee Joint Replacement Reduces Length Of Stay İn Hospital: A Systematic Review. Clin Rehabil. 2015;29(9):844–54.
  • 17. Brander V, Stulberg SD. Rehabilitation After Hip- And Knee-Joint Replacement. An Experience- And Evidence-Based Approach To Care. Am J Phys Med Rehabil. 2006;85(11 Suppl):S98-118; Quiz S119-23.
  • 18. Heiberg KE, Ekeland A, Bruun-Olsen V, Mengshoel AM. Recovery And Prediction Of Physical Functioning Outcomes During The First Year After Total Hip Arthroplasty. Arch Phys Med Rehabil. 2013;94(7):1352–9. 19. Vincent HK, Alfano AP, Lee L, Vincent KR. Sex And Age Effects On Outcomes Of Total Hip Arthroplasty After İnpatient Rehabilitation. Arch Phys Med Rehabil. 2006;87(4):461–7.
  • 20. Ekşioğlu E, Gürçay E. Total Diz Artroplastisi Sonrası Rehabilitasyon. İst Tıp Fak Derg. 2013;76(1):16–21.
  • 21. Kılıç E, Sinici E, Tunay V, Hasta D, Tunay S, Başbozkurt M. Evaluation Of Quality Of Life Of Female Patients After Bilateral Total Knee Arthroplasty. Acta Orthop Traumatol Turc. 2009;43(3):248–53. 22. Açıksöz S, Uzun Ş. Total Kalça Protezi Uygulanan Bireylerin Günlük Yaşam Aktivitelerine Yönelik Evde Bakımda Karşılaşılan Güçlükler. CÜ Hemşirelik Yüksekokulu Derg. 2007;11(1):8–16.
  • 23. Jones CA, Voaklander DC, Johnston DW, Suarez-Almazor ME. Health Related Quality Of Life Outcomes After Total Hip And Knee Arthroplasties İn A Community Based Population. J Rheumatol. 2000;27(7):1745–52.
  • 24. Fortina M, Carta S, Gambera D, Crainz E, Ferrata P, Maniscalco P. Recovery Of Physical Function And Patient’s Satisfaction After Total Hip Replacement (THR) Surgery Supported By A Tailored Guide-Book. Acta Biomed. 2005;76(3):152–6.
  • 25. Knutsson S, Engberg IB. An Evaluation Of Patients’ Quality Of Life Before, 6 Weeks And 6 Months After Total Hip Replacement Surgery. J Adv Nurs. 1999;30(6):1349–59.
  • 26. Van Egmond J, Verburg H, Mathijssen N. The First 6 Weeks Of Recovery After Total Knee Arthroplasty With Fast Track. Acta Orthop. 2015;86(6):708–13. 27. Hawker G, Mian S, Kendzerska T, French M. Measures Of Adult Pain. Arthritis Care Res. 2011;63(S11):240–52.
  • 28. Yolcu S, Akın S, Durna Z. Evaluation Of Postoperative Patients’ Mobility Levels And Factors Associated With Mobility Level. Hemşirelikte Eğitim Ve Araştırma Derg. 2016;13(2):129–38.
  • 29. Müller RG, Bundgaard-Nielsen M, Kehlet H. Orthostatic Function And The Cardiovascular Response To Early Mobilization After Breast Cancer Surgery. Br J Anaesth. 2010;104(3):298–304.
  • 30. Hatipoğlu S. Cerrahi Yoğun Bakım Hemşireliği İlkeleri. Gülhane Tıp Derg. 2002;44(4):475–9.
  • 31. Hawker G, Mian S, Kendzerska T, French M. Measures Of Adult Pain. Arthritis Care Res. 2011;63(S11):240–52.
  • 32. Erkin G, Gülşen E, Dülgeroğlu D, Aybay C, Özel S. Kas İskelet Sistemi Hastalığı Olan Yaşlı Hastaların Sistemik Hastalıkları Ve İlaçlarının Değerlendirimesi. Türk Geriatr Derneği. 2004;7(3):155–8.
  • 33. Beksaç B, Uzun M, Özden V, Dikmen G. Ağrılı Total Kalça Protezinin Değerlendirilmesi. Türkiye Klin J Orthop&Traumatol-Special Top. 2014;7(3):7–10.
  • 34. Erdil F, Bayraktar N. Yaşlı Bireylerde Kas-İskelet Sorunlarına Yönelik Hemşirelik Yaklaşımları. Florence Nightingale Hemşirelik Derg. 2010;18(2):106–13.
  • 35. Çınar C, Alanoğlu E, Sezgin M, Bal A, Çakçı A. Diz Osteoartritli Hastalarda Total Diz Artroplastisinin Ağrı, Fonksiyon Ve Sağlıkla İlişkili Yaşam Kalitesi Üzerine Etkisi. Fiz Tıp. 2003;6(1):1–7. 36. Akyol O, Karayurt O, Salmond S. Experiences Of Pain And Satisfaction With Pain Management İn Patients Undergoing Total Knee Replacement. Orthop Nurs. 2009;28(2):79–85.
  • 37. Dahlen L, Zimmerman L, Barron C. Pain Perception And İts Relation To Functional Status Post Total Knee Arthroplasty: A Pilot Study. Orthop Nurs. 2006;25(4):264–70.
  • 38. Hill N, Davis P. Nursing Care Of Total Joint Replacement. J Orthop Nurs. 2000;4(1):41–5.
  • 39. Leveau B. Hip. In: Richardson J, Iglarsh Z, Editors. Clinical Orthopaedic Physical Therapy. Philadelphia:W.B. Saunders Company; 1994. P. 386–91.
  • 40. Vincent HK, Dejong G, Mascarenas D, Vincent KR. The Effect Of Body Mass İndex And Hip Abductor Brace Use On İnpatient Rehabilitation Outcomes After Total Hip Arthroplasty. Am J Phys Med Rehabil. 2009;88(3):201–9.
  • 41. Salmon P, Hall GM, Peerbhoy D, Shenkin A, Parker C. Recovery From Hip And Knee Arthroplasty: Patients’ Perspective On Pain, Function, Quality Of Life, And Well-Being Up To 6 Months Postoperatively. Arch Phys Med Rehabil. 2001;82(3):360–6.
  • 42. Dahlen L, Zimmerman L, Barron C. Pain Perception And İts Relation To Functional Status Post Total Knee Arthroplasty: A Pilot Study. Orthop Nurs. 2006;25(4):264–70.
  • 43. Cremeans-Smith JK, Millington K, Sledjeski E, Greene K, Delahanty DL. Sleep Disruptions Mediate The Relationship Between Early Postoperative Pain And Later Functioning Following Total Knee Replacement Surgery. J Behav Med. 2006;29(2):215–22.
  • 44. Pagnano M, Mclamb L, Trousdale R. Total Knee Arthroplasty For Patient 90 Years Of Age And Older. Clin Orthop Relat Res. 2004;418:179–83.
  • 45. Amin A, Sales J, Brenkel I. Obesity And Total Knee And Hip Replacement. Curr Orthop. 2006;20:216–21. 46. Moreland JR. Mechanisms Of Failure İn Total Knee Arthroplasty. Clin Orthop Relat Res. 1988;(226):49–64.
  • 47. Benjamin J, Johnson R, Porter S. Knee Scores Change With Length Of Follow-Up After Total Knee Arthroplasty. J Arthroplasty. 2003 Oct;18(7):867–71.
  • 48. Vincent HK, Dejong G, Mascarenas D, Vincent KR. The Effect Of Body Mass İndex And Hip Abductor Brace Use On İnpatient Rehabilitation Outcomes After Total Hip Arthroplasty. Am J Phys Med Rehabil. 2009;88(3):201–9.
  • 49. Deshmukh RG, Hayes JH, Pinder IM. Does Body Weight İnfluence Outcome After Total Knee Arthroplasty? A 1-Year Analysis. J Arthroplasty. 2002;17(3):315–9.
  • 50. Bilik Ö. Kalça Protezi Uygulanmış Olan Hastaların Evde Telefonla İzlenmesinin İyileşmeye Etkisi. Ege Üniversitesi Sağlık Bilimleri Enstitüsü. Doktora Tezi; 200
Toplam 42 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm ORİJİNAL MAKALELER / ORIGINAL ARTICLES
Yazarlar

Merve Akıncı Bu kişi benim 0000-0003-3019-8444

Sevgisun Kapucu 0000-0003-3908-3846

Yayımlanma Tarihi 13 Temmuz 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 42 Sayı: 4

Kaynak Göster

Vancouver Akıncı M, Kapucu S. Total Kalça ve Diz Protezi Yapılan Osteoartritli Yaşlı Kadınların Ağrı, Fonsiyonel Durum ve Günlük Yaşam Aktivitelerinin Belirlenmesi. Osmangazi Tıp Dergisi. 2020;42(4):434-43.


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