Unikondiler diz artroplastisi ile kombine ön çapraz bağ rekonstrüksiyonu ameliyat sonrası dönemde kanamayı arttırır mı?

Öz

Amaç: Unikondiler diz artroplastisi ile beraber ön çapraz bağ rekonstrüksiyonu yapılan hastalarda kanama miktarı ve kullanılan greft tipinin kanama miktarı üzerine olan etkisinin belirlenmesi.

Hastalar ve yöntem: Primer medial kompartman osteoartriti tanısı ile  unikondiler diz artroplastisi (UKA) yapılan hastalar- Grup A ve UKA ile beraber ön çapraz bağ (ÖÇB) rekonstrüksiyonu yapılan hastalar- Grup B olmak üzere iki gruba ayrıldılar. Grup B’ yi oluşturan hastalar kendi içerisinde allogreft ve hamstring tendon grefti (HTG) kullanılan hastalar olmak üzere iki gruba ayrıldılar. Her iki grupta 24 saatte drenden gelen kanama miktarı kayıt altına alındı.

Bulgular: Grup A 28, Grup B ise 18 hastadan oluşmakta idi. Gruplar; yaş, cinsiyet, kilo ve boy açısından karşılaştırılabilir idi. Her iki grup arasında hemovak drenden ölçülen kanama miktarları arasında istatiksel bir fark saptanmadı (p=0.86). Grup B’de hemovac drenden ölçülen kanama miktarı HTG kullanılan grupta allogreft kullanılan hastalara göre daha fazla idi (p=0.043).Grup A ile HTG ve allogreft kullanılan hastaların drenden ölçülen kanama miktarları karşılaştırıldığında istatiksel olarak bir fark saptanmadı (p= 0.058 ve p = 0.65).

Sonuç: ÖÇB ile kombine yapılan UKA de, ön çapraz bağ rekonstrüksiyonun oluşturduğu kanama miktarı özellikle allogreft kullanıldığında ihmal edilebilir düzeyde olup, kanama miktarı üzerine olumsuz etkisi yoktur.

Anahtar Kelimeler

• Replasman artroplastisi,diz; Kanama

Does unicondylar knee arthroplasty combined with anterior cruciate ligament reconstruction increase post-operative bleeding?

Öz

Aim: To evaluate the post-operative bleeding in patients who had unicondylar knee arthroplasty (UKA) combined with anterior cruciate ligament (ACL) reconstruction and the affect of graft type on bleeding.

Patients and methods: The patients who had UKA comprised in Group A and the patients who had UKA combined ACL reconstruction comprised in Group B.  The patients, who participated in Group B, are also evaluated in 2 groups according to the used grafts such as allograft and hamstring tendon graft (HTG). The drainage was recorded for 24 hours in groups.

Results:

Group A was comprised of 28 and group B was comprised of 18 patients. Groups were comparable according to the age, sex, weight and  height. There was no statistical significance between the groups according to the measured bleeding (p=0.86). In Group B, the measured bleeding was more in allograft used patients with a statistical significance (p=0.043). But, there was no statistical significance in measured bleeding with Group A and HTG, allograft used patients (p= 0.058 and p = 0.65).

Conclusion:  The bleeding is negligible and no additive affect on bleeding when UKA is combined with ACL reconstruction, especially when allograft is used.

Anahtar Kelimeler

• Replacement Arthroplasty,Knee; Hemorrhage

Kaynakça

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