master's thesis
Comparison of the early results of total hip arthroplasty done by standard and MIS approach

David Matić (2016)
Metadata
TitleUsporedba ranih rezultata ugradnje totalne endoproteze kuka standardnim i minimalno invazivnim pristupom
AuthorDavid Matić
Mentor(s)Egon Biuk (thesis advisor)
Abstract
Cilj istraživanja: Odrediti postoji li razlika u poslijeoperacijskom opsegu kretnji, količini krvarenja i nadoknađenoj krvi, duljini kožnoga reza, trajanju zahvata i subjektivnom osjećaju boli između dvaju pristupa koji se koriste pri ugradnji totalne endoproteze kuka: minimalno invazivnog i standardnog lateralnog pristupa. Nacrt studije: Presječno istraživanje. Uključeno je 46 ispitanika, od čega je 36 (78 %) podvrgnuto standardnom lateralnom, a 10 (22 %) minimalno invazivnom pristupu. Materijali i metode: Iz medicinske dokumentacije Zavoda za ortopediju Kliničkog bolničkog centra u Osijeku, preuzeti su podatci o provedenim zahvatima. Analizirani podatci su: dužina trajanja operacijskog zahvata, gubitak krvi tijekom te količina nadoknađene krvi nakon operacije, količina nadoknađene tekućine, poslijeoperacijski opseg kretnji, brzina oporavka, dužina operacijskog reza i subjektivni osjećaj boli. Rezultati: U odnosu na standardni lateralni, minimalno invazivni pristup prilikom ugradnje totalne endoproteze kuka postigao je prosječno, iako ne statistički značajno, manji gubitak krvi, manju količinu nadoknađene krvi i tekućine i manju jačinu bolova nakon operacije. Također, statistički je značajno manji kožni rez prilikom minimalno invazivnoga pristupa, povećan je opseg poslijeoperacijske fleksije i abdukcije i produženo je trajanje zahvata. Zaključak: Pacijenti operirani minimalno invazivnim pristupom imali su u odnosu na pacijente operirane standardnim lateralnim pristupom prosječno manji gubitak krvi i manju duljinu kožnoga reza tijekom operacije te manji osjećaj boli i prosječno veći poslijeoperacijski opseg pokreta nakon operacije.
KeywordsMinimally Invasive Surgical Procedures Hip Prosthesis Replacement
Parallel title (English)Comparison of the early results of total hip arthroplasty done by standard and MIS approach
Committee MembersEgon Biuk (committee chairperson)
Zoran Zelić (committee member)
Saša Rapan (committee member)
GranterSveučilište Josipa Jurja Strossmayera u Osijeku
Medicinski fakultet
PlaceOsijek
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Orthopedics
Study programme typeuniversity
Study levelintegrated undergraduate and graduate
Study programmeUniversity Graduate Studies
Academic title abbreviationdr. med.
Genremaster's thesis
Language Croatian
Defense date2016-06-29
Parallel abstract (English)
Objectives: To determine the differences in postoperative range of motion, the amount of lost and compensated blood, the length of skin incision, experienced pain and the duration of procedure between the two approaches that are used in total hip replacement: minimally invasive and standard lateral approach. Study design: This study is constructed as a cross-sectional study. Study includes 46 patients, of whom 36 patients had total hip replacement through minimally invasive approach and 10 patients through standard lateral approach. Material and methods: Patients’ data were obtained from the medical documentation of the Institute of Orthopaedic surgery at the Clinical Hospital Centre Osijek. The following data were observed: the duration of the procedure and the experienced pain, the amount of lost and compensated blood, the amount of compensated liquid, postoperative range of motion, the length of the recovery and the length of the skin incision. Results: In comparisson with standard lateral approach, minimally invasive total hip replacement has achieved on average, although not statistically significant, with lower amount of blood loss and experienced pain and lower amount of compensated blood and liquid during the procedure. Also, minimally invasive approach has significantly lowered the length of the skin incision, raised average ranges of postoperative flexion and abduction and extended the duration of the procedure. Conclusion: In comparisson with standard lateral approach, patients operated through minimally invasive approach experienced lower blood loss and smaller skin incision during the operation and had less experienced pain and better range of motion after the operation.
Parallel keywords (Croatian)minimalno invazivni kirurški postupci proteza kuka zamjena
Resource typetext
Access conditionOpen access
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:152:397774
CommitterBisera Kopf