Year 2019, Volume 12, Issue 2, Pages 215 - 224 2019-05-28

Our results with local production total arthroplasty in patients with advanced stage hallux rijidus
İleri evre halluks rijiduslu hastalarda yerli üretim total eklem artroplastisi ile tedavi sonuçlarımız

Turan cihan Dülgeroğlu [1] , Nihat demirhan Demirkıran [2] , Mehmet Erduran [3]

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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.


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.

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Primary Language tr
Subjects Medicine
Published Date Mayıs 2019
Journal Section Research Article
Authors

Author: Turan cihan Dülgeroğlu
Institution: Dumlupınar Üniversitesi Evliya Çelebi Eğitim Araştırma Hastanesi
Country: Turkey


Orcid: 0000-0002-0724-9672
Author: Nihat demirhan Demirkıran
Institution: Dumlupınar Üniversitesi Evliya Çelebi Eğitim Araştırma Hastanesi
Country: Turkey


Author: Mehmet Erduran
Institution: Dokuz Eylül Üniversitesi
Country: Turkey


Bibtex @research article { patd465511, journal = {Pamukkale Tıp Dergisi}, issn = {}, eissn = {1308-0865}, address = {Pamukkale University}, year = {2019}, volume = {12}, pages = {215 - 224}, doi = {10.31362/patd.465511}, title = {İleri evre halluks rijiduslu hastalarda yerli üretim total eklem artroplastisi ile tedavi sonuçlarımız}, key = {cite}, author = {Dülgeroğlu, Turan cihan and Demirkıran, Nihat demirhan and Erduran, Mehmet} }
APA Dülgeroğlu, T , Demirkıran, N , Erduran, M . (2019). İleri evre halluks rijiduslu hastalarda yerli üretim total eklem artroplastisi ile tedavi sonuçlarımız. Pamukkale Tıp Dergisi, 12 (2), 215-224. DOI: 10.31362/patd.465511
MLA Dülgeroğlu, T , Demirkıran, N , Erduran, M . "İleri evre halluks rijiduslu hastalarda yerli üretim total eklem artroplastisi ile tedavi sonuçlarımız". Pamukkale Tıp Dergisi 12 (2019): 215-224 <http://dergipark.org.tr/patd/issue/45448/465511>
Chicago Dülgeroğlu, T , Demirkıran, N , Erduran, M . "İleri evre halluks rijiduslu hastalarda yerli üretim total eklem artroplastisi ile tedavi sonuçlarımız". Pamukkale Tıp Dergisi 12 (2019): 215-224
RIS TY - JOUR T1 - İleri evre halluks rijiduslu hastalarda yerli üretim total eklem artroplastisi ile tedavi sonuçlarımız AU - Turan cihan Dülgeroğlu , Nihat demirhan Demirkıran , Mehmet Erduran Y1 - 2019 PY - 2019 N1 - doi: 10.31362/patd.465511 DO - 10.31362/patd.465511 T2 - Pamukkale Tıp Dergisi JF - Journal JO - JOR SP - 215 EP - 224 VL - 12 IS - 2 SN - -1308-0865 M3 - doi: 10.31362/patd.465511 UR - https://doi.org/10.31362/patd.465511 Y2 - 2019 ER -
EndNote %0 Pamukkale Tıp Dergisi İleri evre halluks rijiduslu hastalarda yerli üretim total eklem artroplastisi ile tedavi sonuçlarımız %A Turan cihan Dülgeroğlu , Nihat demirhan Demirkıran , Mehmet Erduran %T İleri evre halluks rijiduslu hastalarda yerli üretim total eklem artroplastisi ile tedavi sonuçlarımız %D 2019 %J Pamukkale Tıp Dergisi %P -1308-0865 %V 12 %N 2 %R doi: 10.31362/patd.465511 %U 10.31362/patd.465511
ISNAD Dülgeroğlu, Turan cihan , Demirkıran, Nihat demirhan , Erduran, Mehmet . "İleri evre halluks rijiduslu hastalarda yerli üretim total eklem artroplastisi ile tedavi sonuçlarımız". Pamukkale Tıp Dergisi 12 / 2 (May 2019): 215-224. https://doi.org/10.31362/patd.465511