KALÇA EKLEMİNDEN KURŞUN ÇEKİRDEĞİ ÇIKARILMASININ KLİNİK VE FONKSİYONEL SONUÇLARI: ÜÇ OLGUNUN 5 YILLIK TAKİBİ

Amaç: Bu çalışmanın amacı kalça ekleminden kurşunlanma yaralanması nedeniyle tedavi edilen 3 hastanın klinik takibini değerlendirmektir. Materyal ve Metod: Kliniğimizde 3 hasta artroskopik yolla kalça ekleminden kurşun çekirdeği çıkartıldı. Tüm hastalar 6 aylık periyodlarla değerlendirildi. Takibinin ikinci yılında direk grafi ve MR ile değerlendirildi.Bulgular: Cerrahiden 5 yıl sonra hasta 1'de ileri osteoartrit gelişti. Bu hastaya total kalça proteziönerildi. Hasta 2 ve 3'te takibinin ikinci yılında osteoartrite ilişkin bulgu saptanmadı.Sonuç: Kalça ekleminden kurşunlanma nedeniyle ameliyat edilen hastaların prognozunun femoral ve asetabular kıkırdak hasarıyla direk ilişkili olduğunu söyleyebiliriz.

Clinical and Functional Outcomes of Bullet Removal from Hip Joint: Five Year Follow-Up of 3 Cases

Aim: We aimed to evaluate clinical prognosis of 3 patients; that treated for a bullet injury in hip joint.Material and Methods: Three patients were operated for arthroscopic removal of bullet from hip joint in our clinic. All patients were followed with clinical examination on every six months after surgery. In second year of follow up period x-ray and MRI investigations were applied for all patients. Results: After 5 years of first surgery, Patient 1 had advanced hip osteoarthritis. Total hip replacement surgery was offered to patient 1. For patient 2 and 3; we have observed no signs of osteoarthritis on follow-up of two years.Discussion: We conclude that prognosis of the patient that had gunshot injury with a bullet in hip joint is directly correlated with primal injury of femoral or acetabular cartilage.

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