Son dönem böbrek yetmezliği olan femur boyun kırıklı hastalarda çimentolu ve çimentosuz parsiyel kalça protezi sonuçları

Year 2024, , 383 - 386, 30.09.2024

Enver Kılıç , Güzelali Özdemir , Olgun Bingöl , Taner Karlidag , Atahan Durgal , Mehmet Önüt

https://doi.org/10.18663/tjcl.1460011

Abstract

Amaç: Çalışmanın amacı son dönem böbrek yetmezliği (SDBY) olan femur boyun kırıklı hastalarda çimentolu ve çimentosuz parsiyel kalça protezi uygulamalarının sonuçlarını değerlendirmektir.
Gereç ve Yöntemler: Çalışmamıza SDBY olan ve hastanemize Ocak 2019 ve Haziran 2021 tarihleri arasında femur boyun kırığı nedeni ile başvuran 65 yaş üstü hastalar dahil edildi. Grup 1’e SDBY olan ve femur boyun kırığı nedeni çimentolu parsiyel kalça protez yapılan hastalar dahil edilirken, Grup 2’ye SDBY olan ve femur boyun kırığı nedeni ile çimentosuz parsiyel kalça protezi yapılan hastalar dahil edildi. Hastaların fonksiyonel skorları, femoral stem gevşeme oranları, Harris kalça Skorları (HSK) ve radyografileri değerlendirildi.
Bulgular: Çalışmaya 21 erkek, 27 kadın toplam 48 hasta dahil edildi. Hastaların 20’si posterior yaklaşım ile, 28’I ise anterolateral yaklaşım ile tedavi edildi. Hastaların ortalama yaşı 78,6±11,32 olarak belirlendi (aralık: 65-93 yaş). Ortalama takip süresi 28,9 aydı (24-36 ay). Çimentolu ve çimentosuz protezlerin gevşeme oranları arasında anlamlı bir fark izlenmedi (p=0,087). Grup 1 için ortalama HSK 69,5 iken, grup 2 için 71,8’di. HSK açısından iki grup arasında anlamlı bir fark yoktu.
Sonuç: SDBY olan ve parsiyel kalça protezi yapılan hastaların komplikasyon riskleri yükserktir. Yapılan çimentolu ve çimentosuz parsiyel kalça protezlerinn gevşeme oranları ve fonksiyonel sonuçları benzerdir.

Keywords

Böbrek yetmezliği, femur boyun kırığı, parsiyel kalça protezi

Uncemented and cemented hemiarthroplasty for femoral neck fracture with end-stage renal failure

Abstract

Aim: The aim of this study is to evaluate the results of hemiarthroplasty performed with cemented and uncemented femoral stem in femoral neck fractures with ESRF.
Material and Methods: Patients aged over 65 years with ESRF who admitted to our clinic for femoral neck fractures between January 2019 and June 2021 and underwent hemiarthroplasty, included in the study. Group 1 included patients with ESRF who underwent hemiarthroplasty with cemented stem due to femoral neck fracture. And group 2 included patients with ESRF who underwent hemiarthroplasty with uncemented stem due to femoral neck fracture. Functional scores of the patients and femoral stem loosening rates were evaluated with Harris Hip Score and radiographs.
Result: 48 patients (21 male, 27 female) were included in the study. Twenty of the patients were treated with posterior approach and 28 were treated with anterolateral approach. The mean age of the patients was 78,6±11,32 years (range: 65-93 years).The mean follow up time was 28,9 months (24-36 months).There was no significant difference between loosening of cemented and uncemented stems (p= 0,087). The mean HHS of the patients was 69.5 for group 1 and 71.8 for group 2 (range 40-85). There was no significant difference between HHS of group 1 and 2 (p>0.05).
Conclusion: Patients with ESRF who underwent hemiarthroplasty due to femoral neck fracture have a higher complication risk. The loosening rates and functional scores of cemented and uncemented hemiarthroplasty are similar.

Keywords

Renal failure, femoral neck fracture, hemiarthroplasty

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