Scientific paper - Original scientific paper
Early recovery of the patients after the mini-invasive total hip and after the classical surgical approach; preliminary data

Mađarević, Tomislav; Tudor, Anton; Vučković, Mirela; Ružić, Lana; Zec, Andrej; Širola, Luka (2013)
Metadata
Language Croatian
Title (Croatian)Rani oporavak bolesnika nakon ugradnje totalne endoproteze kuka minimalno invazivnim i klasičnim kirurškim pristupom; preliminarni rezultati
Title (English)Early recovery of the patients after the mini-invasive total hip and after the classical surgical approach; preliminary data
AuthorMađarević, Tomislav
Tudor, Anton
Vučković, Mirela
Ružić, Lana
Zec, Andrej
Širola, Luka
Abstract (Croatian)
Uvod: Minimalno invazivni pristupi ugradnje totalne endoproteze (MIS) kuka stvorili su značajan interes u bolesnika i liječnika. Pretpostavka je da se MIS pristupima skraćuje postoperativni funkcionalni oporavak zbog smanjenog oštećenja mišića. Ovo istraživanje procjenjuje funkcionalni klinički oporavak kod bolesnika kod kojih je ugrađena totalna endoproteza kuka MIS anterolateralnim pristupom i klasičnim lateralnim pristupom. Ispitanici i metode: U dvije skupine od po 64 bolesnika analizirana je fleksibilnost operiranog kuka, vizualno-analogna skala (VAS) bola, jakost abdukcije i brzina hoda na 50 metara. Preoperativno nije bilo razlike među skupinama. Rezultati: Razlike u pokazateljima postoperativnog funkcionalnog oporavka nađene su u jakosti abdukcije nakon sedam dana i tri mjeseca u korist MIS skupine bolesnika (7. dan P < 0,001; nakon 3 mjeseca P < 0,001) i brzine hoda na 50 metara samo nakon 3 mjeseca (7. dan P = 0,509; nakon 3 mjeseca P < 0,001). Bolesnici operirani MIS metodom imali su bolju fleksibilnost u kuku i to za pasivnu i aktivnu fleksiju (P < 0,001 7. dan i nakon 3 mjeseca) te su nakon 3 mjeseca osjećali manje bolova (P = 0,205 nakon 7. dana i P < 0,001 nakon 3 mjeseca). Zaključak: Rani oporavak u skupini bolesnika operiranih MIS metodom bio je brži nego u skupini bolesnika operiranih klasičnim pristupom. Na osnovi ranih rezultata možemo preporučiti MIS pristup kao standard pri ugradnji totalne endoproteze kuka, no potrebno je dulje razdoblje praćenja kako bi se mogli donijeti konačni zaključci.
Abstract (English)
Objective: Minimally invasive approaches for total hip arthroplasty (MIS) have created significant interest of patients and physicians. The assumption is that the MIS approach reduces postoperative functional recovery due to reduced muscle damage. This study evaluates the clinical functional recovery in patients who had total hip replacement performed using MIS anterolateral approach or the conventional lateral approach. Subjects and methods: In two groups of 64 patients were analyzed flexibility, VAS pain scale, walking speed at 50m and abduction strength 7 days and 3 months postoperatively. Preoperatively, there were no differences between the groups. Results: Differences in indicators of postoperative functional recovery were found in the strength of abduction after seven days and three months in favor of the MIS group patients (7th day P < 0.001, at 3 months P < 0.001) and walking speed at 50 meters just after 3 months (day 7 P = 0.509, and after 3 months P < 0.001). Patients who underwent MIS method had better flexibility in the hip which is shown in better passive and active flexion (P < 0.001 seventh day and after 3 months) and felt less pain after 3 months (P = 0.205 after 7 days and P < 0.001 at 3 months). Conclusion: Early recovery in the group of patients treated with MIS method was faster than in the group of patients treated by conventional method. Based on early results, we recommend the MIS approach as the standard for total hip arthroplasty, but it takes a longer period of monitoring to be able to make any final conclusions.
Keywords (Croatian)funkcionalni oporavak minimalno invazivna kirurgija totalna endoproteza kuka
Keywords (English)functional recovery minimally invasive surgery total hip arthroplasty
Publication typescientific paper - original scientific paper
Publication statuspublished
Peer reviewpeer review
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numbering2013, Vol. 49, No. 3, pp 323-327
ISSN0025-7729
Datepublication: 02.09.2013.
Article URLhttp://hrcak.srce.hr/106938
Scientific fieldBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Orthopedics
Scientific fieldBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
InstitutionUniversity of Rijeka, Faculty of Medicine
(Department of Orthopedics and Physical Medicine)
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:184:711710