FEMUR BAŞI OSTEONEKROZU: VAKUM DRENLİ VE VAKUM DRENSİZ KOR DEKOMPRESYON SONUÇLARI
Amaç: Bu çalışmanın amacı sadece kordekompresyon yapılan hastalar ile kordekompresyondan sonra, açılan tünelevakumlu dren konulan hastalarınsonuçlarını karşılaştırmaktır.Yöntem ve Gereç: 25 hastanın 39 kalçasıiki eşit gruba bölündü. Birinci gruba(n=19) sadece kor dekompresyon, ikincigruba (n=20) ise kor dekompresyondansonra açılan tünele vakumlu dren konuldu.İki gup arasındaki fark klinik olarakkarşılaştırıldı. Klinik olarak Harris kalçaskorlaması kullanıldı. İki grubukarşılaştırmak için Mann-Whitney U testiuygulandı.Bulgular: Altıncı ayda, Harris kalçaskorlaması ile hastalar karşılaştırıldığındaiki grup arasında anlamlı fark bulunamadı.Fakat gruplar kendi içindekarşılaştırıldığında kor dekompresyonunsonuçları önemli ölçüde iyileştirdiğigözlenmiştir.Sonuç: Erken evre osteonekrozuntedavisinde kor dekompresyon Harris kalçaskorunu önemli ölçüde iyileştirmiştir fakatkor dekompresyon ile açılan tünelevakumlu dren konulmasının, sonuç üzerineherhangi bir etkisi olmadığı gözlenmiştir.
Anahtar Kelimeler:
Femur başı osteonekrozu, Kor dekompresyon, Kalça
Osteonecrosis Of The Femoral Head. Results Of Core Decompression With And Without A Suction Drain
Objectives: The aim of this study is to compare the clinical outcomes of the femoral head osteonecrosis treatead with core decompression (CD) combined with a suction drain into the core tract versus simple CD. Materials and Methods: Thirtynine osteonecrotic hips in 25 patients were divided into 2 groups. Patients in group 1 (19 hips) were treated with CD, and those in group 2 (20 hips) received suction drain into the core tract after CD. Outcome between the 2 groups were compared clinically. Clinical assessments included assessment Harris hip score (HHS). Difference in HHS between the two groups were calculated using the Mann-Whitney U test. Results: At the end 6 months, patients compared with HHS. No significant differences were found between the two groups, but there was significant statical difference within the groups. Conclusions: Treatment of the early stage of osteonecrosis of the femoral head with CD improved the HHS but combined with the a suction drain into the core tract after CD seems to be not better than simple CD
Keywords:
Osteonecrosis of the femoral head, Core decompression, Hip,
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- ISSN: 2149-3103
- Yayın Aralığı: Yılda 3 Sayı
- Başlangıç: 2010
- Yayıncı: Hatay Mustafa Kemal Üniversitesi Tıp Fakültesi Dekanlığı
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