İleri evre halluks rijiduslu hastalarda yerli üretim total eklem artroplastisi ile tedavi sonuçlarımız

Year 2019, , 215 - 224, 28.05.2019

Turan Cihan Dülgeroğlu , Nihat Demirhan Demirkıran , Mehmet Erduran

https://doi.org/10.31362/patd.465511

Abstract

Giriş: Bu çalışmada ileri evre halluks rijiduslu hastalarda uyguladığımız 1. Metatarso-falangeal eklem total artroplastisi tedavi sonuçları değerlendirilmiştir. 

Gereç ve Yöntem: Coughlin ve Shurnas sınıflamasına göre evre 3 ve 4 halluks rijidus tanılı 18 hastaya yerli üretim total başparmak artroplastisi uygulanmıştır. Ameliyat sonrası en az 12 ay takipli ve yeterli verisi bulunan hastalarda retrospektif olarak eklem hareket açıklığı, görsel analog ağrı göstergesi (VAS) ve Amerikan Ortopedik Ayak ve Ayak Bileği Cemiyeti (AOFAS) skorları ile değerlendirme yapılmıştır. 

Bulgular: Çalışmaya kabul edilen hastaların yaş ortalaması (64,44 ±7,16) idi. Ortalama takip süresi 18,4±2.43 aydı. 1.metatarso-falangeal eklem total artroplastisi yapılan hastalarda eklem hareket açıklığı (p=0,001), VAS (p<0,001) ve AOFAS (p=0,001) skorlarında ameliyat öncesine göre anlamlı düzelme gözlendi.Takip süreleri boyunca implant yetmezliği, kırık oluşumu, ciddi enfeksiyon vb. komplikasyonlar gözlenmedi. 

Sonuç: İleri evre halluks rijidus hastaları için güncel bir tedavi olarak total eklem artroplastisi eklem hareket açıklığında sağladığı artış ve ağrıyı azaltması sayesinde umut vadetmektedir.

Keywords

Halluks rijidus, dejeneratif artrit, eklem artroplastisi

Our results with local production total arthroplasty in patients with advanced stage hallux rijidus

Abstract

Objective: In this study, we evaluated
the treatment results of the 1. metatarsophalangeal joint total arthroplasty in
patients with advanced stage of hallux rigidus.

Materials and
Methods:
Total joint arthroplasty was applied to 18 patients with stage 3 and 4 hallux
rigidus according to Coughlin and Shurnas classification. Range of motion,
visual analogue scale (VAS) and American Orthopedic Foot and Ankle Association
(AOFAS) scores were evaluated retrospectively twelve months after surgery.

Results: The average age of the
patients was 64.44±7.16. The mean follow-up period was 18.4±2.43 months.
Significant improvement was observed in the range of motion degrees (p=0,001), VAS (p<0,001) and AOFAS (p=0,001)
scores in patients with metatarsophalangeal joint total arthroplasty.
Complications such as implant failure, fracture, severe infection were not
observed during follow-up periods.

Conclusion: Total joint arthroplasty as
a current treatment for advanced-stage hallux rigidus patients is promising
with good results.

Keywords

hallux rigidus, degenerative arthritis, arthroplasty

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