FEMUR ŞAFT KIRIĞINA BAĞLI İNTERNAL FİKSASYON CERRAHİSİ GEÇİRMİŞ GENÇ ERİŞKİNLERDE GEÇ DÖNEM FONKSİYONEL SONUÇLAR VE YAŞAM KALİTESİ: KESİTSEL BİR ÇALIŞMA

Öz

Amaç: Femur cisim kırığı (FCK) için yapılan internal fiksasyon cerrahilerinde kaynama oranları yüksek olmakla birlikte, yaralanmaların travmatik yapısı nedeniyle oluşan ek sağlık durumları hastaların fonksiyonelliğini ve yaşam kalitesini olumsuz etkileyebilmektedir. Bu kesitsel çalışmanın amacı, izole FCK’larında internal fiksasyon uygulanan genç erişkinlerin geç dönem fonksiyonel sonuçlarını ve yaşam kalitelerini sağlıklı yaşıtlarıyla karşılaştırmaktır. Yöntem: Çalışmaya 18-55 yaş arasında olan ve internal tespit cerrahisi geçirmiş 20 genç yetişkin gönüllü (ortalama yaş: 39,55±11,92 yıl; ameliyat sonrası süre: 28±7,2 ay) ve benzer yaş ve cinsiyette 20 sağlıklı birey (ortalama yaş: 42,75±8,83) dahil edildi. Katılımcıların fonksiyonelliğini değerlendirmek için Harris Kalça Skoru ve Merdiven Çıkma Testi kullanıldı. Yaşam kalitesini değerlendirmek için EuroQol Yaşam Kalitesi Ölçeği kullanıldı. Sonuçlar: Cerrahi geçiren bireylerde, kalça fonksiyonelliği ve yaşam kalitesi puanları, sağlıklılara göre daha düşük bulunurken (p<0.001); merdiven çıkma test süresi, sağlıklı bireylerden daha uzun bulundu (p<0.001). Tartışma: Bu çalışmanın sonuçları, femur cisim kırığına bağlı internal fiksasyon cerrahisi geçiren bireylerde, 2 yıl sonra bile kalça ile ilişkili fonksiyonel sonuçların ve yaşam kalitesinin sağlıklı akranlarına göre yeterince düzelmediğini performans testlerinde de yetersizlik olduğunu göstermiştir. Cerrahiden sonra uzun dönemde femur cisim kırığına bağlı internal fiksasyon cerrahisi geçiren bireylerde fonksiyonel yetersizliklerin devam etmesi fizyoterapi ve rehabilitasyon uygulamalarının kalçanın fonksiyonel ve yaşam kalitesi ile ilişkili sonuçlarının geliştirilmesi için bireysel ihtiyaçlara göre devam ettirilmesinin gerekli olduğunu düşünüyoruz.

Anahtar Kelimeler

• Femur
• Yaşam kalitesi
• femoral kırıklar
• fonksiyon

LONG-TERM FUNCTIONAL OUTCOMES AND QUALITY OF LIFE IN YOUNG ADULTS WITH INTERNAL FIXATION OF FEMORAL SHAFT FRACTURE: A CROSS-SECTIONAL STUDY

Abstract

Purpose: Although internal fixation surgery of femoral shaft fracture (FSF) has high rates of union, it affects the patient’s functionality and quality of life due to additional health conditions depending on the traumatic nature of these injuries. This cross-sectional study aimed to investigate the long-term functional outcomes and quality of life of young adults who underwent internal fixation of isolated FSF to compare with healthy peers. Methods: The Harris Hip Score (HHS) and Stair Climb Test (SCT) were used to evaluate the functionality of the participants. The EuroQol 5-Dimension Questionnaire (EQ-5D) was used to assess the quality of life. Results: Twenty young adult volunteers with internal fixation surgery aged 18-55 years are included in the FSF group (mean age: 39.55±11.92 years; duration after surgery: 28±7.2 months) and 20 healthy peers (mean age: 42.75±8.83 years) as the control group. The HHS and EQ-5D scores were lower (p<0.001) in patients with FSF; however, the SCT test time was longer in patients with FSF compared to healthy controls (p<0.001). Conclusion: The results of the present study demonstrated that functional outcomes and quality of life in patients with FSF did not improve well enough compared to healthy peers 2 years after internal fixation surgery. We suggest that assessment of patients with FSF in a long-term period is needed, even after fracture union, to have a better outcome.

Keywords

• Fracture
• Quality of life
• Femoral Fractures
• Function

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