Total diz artroplastisi sırasında infrapatellar yağ yastığının yönetimi ile ilgili güncel uygulamalar: Ortopedi cerrahları arasında bir anket araştırması

Yıl 2021, Cilt: 12 Sayı: 3, 242 - 248, 29.09.2021

Sercan Çapkın , Ramadan Özmanevra , Nihat Demirhan Demirkıran , Serkan Guler

https://doi.org/10.18663/tjcl.859748

Öz

Aim: The aim of this study was to evaluate the current practices pertaining to the management of the infrapatellar fat pad (IPFP) during primary total knee arthroplasty (TKA) amongst orthopedic surgeons in Turkey.
Material and Methods: A web-based survey of orthopedic surgeons registered in the database of the Turkish Orthopedics and Traumatology Association was conducted between June 2020 and July 2020. The survey questionnaire consisted of seven questions pertaining to the current practices regarding management of the IPFP (preservation of IPFP, partial resection, or total resection) during primary TKA.
Results: Of the 1553 registered orthopedic specialists, 266 (17%) completed the questionnaire. A vast majority of orthopedic surgeons (75.2%) claimed that their decision making with regard to the management of IPFP during TKA was not based on evidence (p < 0.001).
Conclusion: In a vast majority of respondents, the decision to resect or preserve the IPFP during TKA was not based on scientific reasons. The number of years of experience in the profession and academic position had a significant influence on this decision.

Anahtar Kelimeler

yağ yastığı, ortopedi, ortopedi cerrahı, total diz artroplastisi

Current practices regarding the management of infrapatellar fat pad during total knee arthroplasty: A survey of orthopedic surgeons

Öz

Amaç: Bu çalışmanın amacı Türkiye'deki ortopedi cerrahları arasında primer total diz artroplastisi (TDA) sırasında infrapatellar yağ yastığının (IPFP) yönetimine ilişkin güncel uygulamaları değerlendirmektir.
Gereç ve Yöntemler: Türkiye Ortopedi ve Travmatoloji Derneği veri tabanına kayıtlı ortopedi cerrahlarına yönelik web tabanlı bir anket Haziran 2020 ile Temmuz 2020 arasında gerçekleştirilmiştir. Anket, IPFP'nin yönetimine ilişkin mevcut uygulamalara ilişkin yedi sorudan oluşmaktadır (IPFP'nin korunması, birincil TDA sırasında kısmi rezeksiyon veya tam rezeksiyon).
Bulgular: 1553 kayıtlı ortopedi uzmanından 266'sı (% 17) anketi tamamladı. Ortopedi cerrahlarının büyük çoğunluğu (% 75,2) TDA sırasında IPFP'nin yönetimi ile ilgili karar vermelerinin kanıta dayalı olmadığını iddia etti (p <0,001).
Sonuçlar: Ankete katılanların büyük çoğunluğunda, TKA sırasında IPFP'yi rezeksiyon veya koruma kararı bilimsel nedenlere dayanmıyordu. Meslek ve akademik pozisyondaki yılların sayısı bu karar üzerinde önemli bir etkiye sahipti.

Anahtar Kelimeler

fat pad, orthopedics, orthopedic surgeon, total knee arthroplasty

Kaynakça

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