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Total Diz Artroplasti Ameliyatının Nadir Bir Komplikasyonu: Femur Boyun Kırığı

Yıl 2022, , 279 - 283, 28.02.2022

Ebru Atalar , Tolga Tolunay

https://doi.org/10.20515/otd.937466

Öz

Tüm dünyada yaşlı popülasyonun artmasına bağlı olarak gonartroz gibi dejeneratif eklem hastalıkları önemli bir toplum sağlığı problemi haline gelmiştir. Bu hastalığın son basamak tedavi metodu diz artroplasti ameliyatıdır. Femur boyun kırıkları bu ameliyatların nadir görülen ve geç teşhis edilen komplikasyonlarından biridir. Hastaların başlıca şikâyetleri, uzamış ameliyat sonrası ağrı ve yürüme zorluğudur. Erken tanı koyulması durumunda vida ile kırık sabitlenerek kemik deplasmanı önlenebilir. Fakat, bu hastalar sıklıkla geç tanı alırlar ve kalça artroplastisi ameliyatı ile tedavi edilirler. Erken tanıda en etkili yöntem kalça ekleminin manyetik rezonans görüntülemesidir. Bu olgu sunumunda total diz artroplasti ameliyatı sonrası ipsilateral femur boyun kırığı gelişen hasta tartışılmıştır.

Anahtar Kelimeler

Femur boyun kırıkları total diz protezi postoperatif komplikasyonlar kronik ağrı

Destekleyen Kurum

Yok

Kaynakça

  • Referans 1. Passias PG, Bono OJ, Bono JV. Total Knee Arthroplasty in Patients of Advanced Age: A Look at Outcomes and Complications. J Knee Surg 2020;33(1):1-7.
  • Referans 2. Robinson PG, Campbell VB, Murray AD, et al. Stress fractures: diagnosis and management in the primary care setting. Br J Gen Pract 2019;69(681):209-300.
  • Referans 3. Bhatnagar A, Kumar M, Shivanna D, et al. High Incidence of Stress Fractures in Military Cadets During Training: A Point of Concern. J Clin Diagn Res 2015;9(8):RC01-3.
  • Referans 4. Smith MD, Henke JA. Pubic ramus fatigue fractures after total knee arthroplasty. A case report. Orthopedics 1988;11(2):315-7.
  • Referans 5. Kumm DA, Rack C, Rütt J. Subtrochanteric stress fracture of the femur following total knee arthroplasty. J Arthroplasty 1997;12(5):580-3.
  • Referans 6. Takai H, Kii S, Murayama M, et al. Ipsilateral stress fracture of the proximal fibula after total knee arthroplasty in a patient with severe valgus knee deformity on a background of Rheumatoid arthritis. Int J Surg Case Rep 2018;45:17-21.
  • Referans 7. Ozdemir G, Azboy I, Yilmaz B. Bilateral periprosthetic tibial stress fracture after total knee arthroplasty: A case report. Int J Surg Case Rep 2016;24:175-8.
  • Referans 8. Atalar H, Aytekin MN, Gunay C, et al. Stress fracture of the femoral neck as a complication of revision arthroplasty of the knee: a case report. Acta Orthop Belg 2008;74(3):418-20.
  • Referans 9. Cakmak S, Mahiroğulları M, Kürklü M, et al. Bilateral femoral neck stress fracture following bilateral total knee arthroplasty: a case report. Acta Orthop Traumatol Turc 2012;46(4):312-5.
  • Referans 10. Morinaga S, Ueshima K, Maruhashi Y, et al. Bilateral Stress Fractures of the Femoral Neck after Total Knee Arthroplasty: Importance of Early Diagnosis. Case Rep Orthop 2020 6;2020:3091693.
  • Referans 11. Keene JS, Lash EG. Negative bone scan in a femoral neck stress fracture. A case report. Am J Sports Med 1992;20(2):234-6.
  • Referans 12. Wen DY, Propeck T, Singh A. Femoral neck stress injury with negative bone scan. J Am Board Fam Pract 2003;16(2):170-4.

Yıl 2022, , 279 - 283, 28.02.2022

Ebru Atalar , Tolga Tolunay

https://doi.org/10.20515/otd.937466

Öz

Degenerative joint diseases such as gonarthrosis have become an important public health problem due to the increase in the elderly population all over the world. The last step treatment method of this disease is knee arthroplasty surgery. Femoral neck fractures are one of the rare and late diagnosed complications of these surgeries. The main complaints of the patients are prolonged postoperative pain and difficulty in walking. In case of early diagnosis, bone displacement can be prevented by fixing the fracture with screws. However, these patients are often diagnosed late and are treated with hip arthroplasty surgery. The most effective method in early diagnosis is magnetic resonance imaging of the hip joint. In this case report, a patient who developed an ipsilateral collum femoris fracture after total knee arthroplasty surgery is discussed. 

Kaynakça

  • Referans 1. Passias PG, Bono OJ, Bono JV. Total Knee Arthroplasty in Patients of Advanced Age: A Look at Outcomes and Complications. J Knee Surg 2020;33(1):1-7.
  • Referans 2. Robinson PG, Campbell VB, Murray AD, et al. Stress fractures: diagnosis and management in the primary care setting. Br J Gen Pract 2019;69(681):209-300.
  • Referans 3. Bhatnagar A, Kumar M, Shivanna D, et al. High Incidence of Stress Fractures in Military Cadets During Training: A Point of Concern. J Clin Diagn Res 2015;9(8):RC01-3.
  • Referans 4. Smith MD, Henke JA. Pubic ramus fatigue fractures after total knee arthroplasty. A case report. Orthopedics 1988;11(2):315-7.
  • Referans 5. Kumm DA, Rack C, Rütt J. Subtrochanteric stress fracture of the femur following total knee arthroplasty. J Arthroplasty 1997;12(5):580-3.
  • Referans 6. Takai H, Kii S, Murayama M, et al. Ipsilateral stress fracture of the proximal fibula after total knee arthroplasty in a patient with severe valgus knee deformity on a background of Rheumatoid arthritis. Int J Surg Case Rep 2018;45:17-21.
  • Referans 7. Ozdemir G, Azboy I, Yilmaz B. Bilateral periprosthetic tibial stress fracture after total knee arthroplasty: A case report. Int J Surg Case Rep 2016;24:175-8.
  • Referans 8. Atalar H, Aytekin MN, Gunay C, et al. Stress fracture of the femoral neck as a complication of revision arthroplasty of the knee: a case report. Acta Orthop Belg 2008;74(3):418-20.
  • Referans 9. Cakmak S, Mahiroğulları M, Kürklü M, et al. Bilateral femoral neck stress fracture following bilateral total knee arthroplasty: a case report. Acta Orthop Traumatol Turc 2012;46(4):312-5.
  • Referans 10. Morinaga S, Ueshima K, Maruhashi Y, et al. Bilateral Stress Fractures of the Femoral Neck after Total Knee Arthroplasty: Importance of Early Diagnosis. Case Rep Orthop 2020 6;2020:3091693.
  • Referans 11. Keene JS, Lash EG. Negative bone scan in a femoral neck stress fracture. A case report. Am J Sports Med 1992;20(2):234-6.
  • Referans 12. Wen DY, Propeck T, Singh A. Femoral neck stress injury with negative bone scan. J Am Board Fam Pract 2003;16(2):170-4.
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm OLGU SUNUMLARI / CASE REPORTS
Yazarlar

Ebru Atalar 0000-0003-2708-0373

Tolga Tolunay 0000-0003-1998-3695

Yayımlanma Tarihi 28 Şubat 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

Vancouver Atalar E, Tolunay T. Total Diz Artroplasti Ameliyatının Nadir Bir Komplikasyonu: Femur Boyun Kırığı. Osmangazi Tıp Dergisi. 2022;44(2):279-83.


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