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

Yıl 2017, Cilt: 24 Sayı: 4, 146 - 152, 01.12.2017

Emrah Kovalak , A. Meriç Ünal

https://doi.org/10.17343/sdutfd.297732

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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