Oğuz CEBESOY, Tevfik ERZİNCAN, Burçin KARSLI

Is only the classical etiology responsible from the dislocation following the hip arthroplasty?

Son zamanlarda artan dünya nüfusu, uzayan yaşam beklentisi ve artan yaşlı populasyon kalça hastalıklarındada artışa sebep olmuştur. Buna parelel olarak kalça artroplastileride sayı olarak artmıştır. Sayı arttıkça daha fazla komplikasyonlar oluşmaya başlamıştır. Bunlardan en önemlisi kalçanın çıkığı ve tedavisidir. Hernekadar çıkığa sebep olan klasik protez tipi, kullanılan başın çapı, cinsiyet ve insizyon tipleri üzerinde yoğunlaşıp bunlara özgü tedaviler geliştirilse de protez sonrası hasta eğitimi ve bu eğitimin önemi yeterince vurgulanmamıştır. Çoğu zaman verilen standart bilgilerin yeterli olduğu düşünülüp, hastaya yapılan suni eklemle nasıl yaşaması gerektiği konusunda detaylı bilgi ihmal edilmiştir. Çalışmamızda yetersiz sözlü bilgilendirilmeye bağlı artroplasti sonrasında oluşan iki çıkık vakasını ve sebebini bildirdik. Bizce kalça artroplastisi yapılan hastalarda sözlü bilgiler yetersiz kalmaktadır ve hastalar mutlaka içinde eğitici resimlerinde bulunduğu kitapçıklarla desteklenmelidirler.

Kalça artroplastisi sonası oluşan çıkıktan sadece klasik etyoloji mi sorumludur?

Recently, due to the increase in the world's population, prolonged life expectancy and increased senile population, hip diseases have also increased. In parallel to this, the number of hip arthroplasties has also increased. The more hip arthroplasties increase, the more various complications occur. The most important one of these is hip dislocation and its treatment. Although the type of the prothesis, size of the head used, age, gender, and the type of the incisions have been held responsible among the classical factors causing dislocation and solutions directed to these problems have been discussed, the fact that insufficient patient education may also be one of the causes of hip dislocation and the importance of this education have not been emphasized sufficiently. Most of the time, the standard information given is assumed to be enough, and the patients are not educated on how to continue to live with this artificial joint for the rest of their lives. In our study, we have reported two cases of hip arthroplasty dislocation that occurred due to insufficient verbal information. We have recommended that the training to be given to all hip arthroplasty patients should not only be verbal but should also be supported through booklets that contain educative and explanatory figures.

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