Perioperativni i rani postoperativni ishod intramedularne fiksacije stabilnih i nestabilnih trohanternih preloma
Journal Title: Acta Facultatis Medicae Naissensis - Year 2016, Vol 33, Issue 1
Abstract
Cilj studije bio je da se ispita da li stabilnost trohanternog preloma utiče na operativne parametre plasiranja cefalomedularnog klina, kao i na rani postoperativni period. Studija je rađena prospektivno na 46 pacijenata sa trohanternim prelomom koji su fiksiranim cefalomedularnim klinom treće generacije. Bilo je 20 pacijenata sa stabilnim (Grupa 1) i 26 sa nestabilnim (Grupa 2) trohanternim prelomima. U celoj seriji, kao i u ispitivanim grupama, analizirani su perioperativni i rani postoperativni parametri. Nije bilo satističke razlike u prosečnom trajanju operacije u ispitivanim grupama. Broj pacijenata koji je zahtevao transfuziju, kao i količina date krvi, bili su slični u obe grupe. Prosečno vreme boravka u Jedinici intenzivne nege (JIN) i u bolnici bilo je nešto duže u Grupi 1, ali ne i značajno. U obe grupe 80% pacijenata je započelo protokol rane rehabilitacije. Fiksacija trohanternih preloma cefalomedularnim klinom je minimalno invazivna i sigurna metoda koja daje sličan perioperativni i rani postoperativni rezultat nevezano za stabilnost preloma. Ona obezbeđuje brzi postoperativni oporavak i omogućava ranu mobilizaciju.
Authors and Affiliations
Nina Đorđević, Miloš Stanojlović, Saša Milenković, Predrag Stojiljković, Mirjana Kocić, Ivan Golubović
Keywords
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- EP ID EP117727
- DOI 10.1515/afmnai-2016-0005
- Views 116
- Downloads 0
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