Semih BAŞKAN, İbrahim Alper Yavuz, Oya KILCI, Kevser DİLEK ANDIÇ, Özdamar Fuad ÖKEN, Hakan TIRIN, Ahmet Özgür YILDIRIM

FAST TRACK DİZ ARTROPLASTİSİ: İKİ FARKLI MULTİMODAL ANALJEZİ YÖNTEMİNİN KARŞILAŞTIRILMASI

Amaç Bu çalışmanın amacı, Fast track Total Diz Artroplasti (TDA) ameliyatlarında multimodal protokolün, femoral sinir blokajı (FSB) ile lokal infiltrasyon analjezi (LIA) yöntemleri kullanarak pre-emptif analjezideki etkilerini hızlı bir şekilde değerlendirmektir. Gereç ve Yöntem Bu çalışma tek merkezli, randomize, tek kör kontrollü bir çalışma olarak planlandı. Çalışmaya, birincil veya ikincil osteoartrit nedeniyle TDA uygulanan, her iki cinsiyetten 40-80 yaş arası toplam 72 gönüllü hasta dahil edildi. Hastalar bir bilgisayar randomizasyon programı kullanılarak iki gruba ayrıldı. Grup I: FSB yöntemi uygulanan hastalar ve Grup II: LIA yöntemi uygulanan hastalar. Gruplar fonksiyonel puanlar açısından karşılaştırıldı. Bulgular Gruplar arasında yaş, cinsiyet, boy, kilo, vücut kitle indeksi, ASA, ameliyat edilen taraf, protez tipi ve ameliyat süresi açısından istatistiksel olarak anlamlı fark saptanmadı (p> 0,05). Her iki grupta da ölçüm zamanları arasında fonksiyon skor değerlerinde istatistiksel olarak anlamlı farklılık belirlendi (p

FAST TRACK KNEE ARTHROPLASTY: COMPARISON OF TWO DIFFERENT MULTIMODAL ANALGESIA METHODS

Objective The aim of this study was to evaluate the effects of a multimodal protocol in pre-emptive analgesia following Total Knee Arthroplasty (TKA), using epidural anesthesia with femoral nerve blockage (FNB) or local infiltration analgesia (LIA) methods in fast-track TKA. Material and Methods This study was planned as a single-centre, randomized, single-blind, controlled study. The study included 72 voluntary patients, aged 40-80 years, of both genders, who underwent TKA for primary or secondary osteoarthritis. The patients were divided into two groups using a computer randomization program. Group I: FNB application and Group II: LIA methods. Groups were compared in terms of functional scores. Results No statistically significant difference was determined between the groups in respect of age, gender, height, weight, BMI, ASA, operated side, prosthesis type, and operating time (p>0.05). A statistically significant difference was determined in the function score values between the measurement times in both groups (p

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