Total Diz Artroplasti Ameliyatının Nadir Bir Komplikasyonu: Femur Boyun Kırığı

Tüm dünyada yaşlı popülasyonun artmasına bağlı olarak gonartroz gibi dejeneratif eklem hastalıkları önemli bir toplum sağlığı problemi haline gelmiştir. Bu hastalığın son basamak tedavi metodu diz artroplasti ameliyatıdır. Femur boyun kırıkları bu ameliyatların nadir görülen ve geç teşhis edilen komplikasyonlarından biridir. Hastaların başlıca şikâyetleri, uzamış ameliyat sonrası ağrı ve yürüme zorluğudur. Erken tanı koyulması durumunda vida ile kırık sabitlenerek kemik deplasmanı önlenebilir. Fakat, bu hastalar sıklıkla geç tanı alırlar ve kalça artroplastisi ameliyatı ile tedavi edilirler. Erken tanıda en etkili yöntem kalça ekleminin manyetik rezonans görüntülemesidir. Bu olgu sunumunda total diz artroplasti ameliyatı sonrası ipsilateral femur boyun kırığı gelişen hasta tartışılmıştır.

Anahtar Kelimeler:

Femur boyun kırıkları, total diz protezi, postoperatif komplikasyonlar, kronik ağrı

Degenerative joint diseases such as gonarthrosis have become an important public health problem due to the increase in the elderly population all over the world. The last step treatment method of this disease is knee arthroplasty surgery. Femoral neck fractures are one of the rare and late diagnosed complications of these surgeries. The main complaints of the patients are prolonged postoperative pain and difficulty in walking. In case of early diagnosis, bone displacement can be prevented by fixing the fracture with screws. However, these patients are often diagnosed late and are treated with hip arthroplasty surgery. The most effective method in early diagnosis is magnetic resonance imaging of the hip joint. In this case report, a patient who developed an ipsilateral collum femoris fracture after total knee arthroplasty surgery is discussed.

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