Ortopedik açıdan Covid-19'un bıraktıkları: Femur başı avasküler nekrozu

Öz

Amaç: Covid-19 pandemisi sonrasında kliniğimizde femur başı Avasküler Nekrozu (AVN) olgularının sayısında artış gözlemledik. Bu çalışmanın amacı COVID-19 sonrası femur başı AVN vakalarında anlamlı bir artış olup olmadığını araştırmak ve bu hastaların tedavisinde kullanılan steroid tedavilerinin etkilerini incelemektir. Gereç ve Yöntemler: Hastanemizde 2018-2023 yıllarına ait hasta kayıtlarının kapsamlı bir retrospektif incelemesini yapıldı. Femur başı AVN tanısı alan hastaları belirlendi ve demografik verileri, başvuru tarihleri, şikayet dönemleri, COVID-19 tanıları, yoğun bakım tedavileri ve steroid kullanımları kaydedildi. Bulgular: Hastanemizde son altı yılın kayıtları incelendiğinde, 26 hastanın femur başı AVN tanısı aldığı tespit edildi. Bu hastalardan 5'i (%19,2) ülkemizdeki ilk COVID-19 vakasının görüldüğü Mart 2020 tarihinden önce, 21'i (%80,8) ise bu tarihten sonra tanı almıştır. Yıllara göre dağılım incelendiğinde 2022 yılında 10 (%38,4) hastanın, 2023 yılında ise 8 (%30,7) hastanın başvurduğu, bunun da Covid-19 öncesi yıllara göre hastane ortalamasının yaklaşık dört katına denk geldiği görüldü. Sonuç: COVID-19'un neden olduğu dolaşım sorunları femur başı AVN gelişimi için bir risk faktörü olabilir. Ayrıca, pandemi döneminde kortikosteroidler yaygın olarak kullanıldığından, gelecekte femur başı AVN vakalarında artış olabilir.

Anahtar Kelimeler

• Femur başı nekrozu
• COVID-19
• kalça

What Covid-19 left behind in orthopedics: Avascular necrosis of the femoral head

Öz

Aim: Following the COVID-19 pandemic, a rise in the number of femoral head avascular necrosis (AVN) cases in orthopedic clinics was detected. The purpose of the current study was to research whether there has been a significant increase in femoral head AVN cases after COVID- 19, and to examine the effects of COVID-19 and steroid treatments used in the care of these patients. Material and Methods: A comprehensive retrospective review of patient records from 2018 to 2023 was conducted in our hospital. In this study, patients diagnosed with femoral head AVN and treated were recorded. We identified patients diagnosed with femoral head AVN and recorded their demographic data, admission dates, complaint periods, COVID-19 status, intensive care treatment, and steroid use. Results: When examining the records of the past six years at our hospital, 26 patients were found to have been diagnosed with femoral head avn. Of these patients, 5 (19.2%) were diagnosed before March 2020, the first Covid-19 case in our country, while 21 (80.8%) were diagnosed after this date. Examining the distribution by year, it was found that 10 (38.4%) patients applied in 2022 and 8 (30.7%) patients in 2023, which is approximately four times the annual hospital average before COVID- 19. Conclusion: Circulation problems caused by COVID-19 may be a risk factor for femoral head AVN. In addition, since corticosteroids were widely used during the pandemic, there may be an increase in cases of femoral head AVN in the future.

Anahtar Kelimeler

• Femur head necrosis
• COVID-19
• hip

Kaynakça

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