Error message

Notice: Undefined offset: 0 in PennyD->__construct() (line 835 of /data/www/drupal/sites/all/modules/dabar_disertacije/includes/pennyD.inc).
No public access
doctoral thesis
Ultrazvučno vođena operativna tehnika liječenja Haglundove bolesti

Tomislav Mađarević (2015)
Metadata
TitleUltrazvučno vođena operativna tehnika liječenja Haglundove bolesti
AuthorTomislav Mađarević
Mentor(s)Anton Tudor
Abstract
Cilj. Uzimajući u obzir dosadašnje metode operativnog liječenja i dugotrajnost postoperativnog oporavka, cilj ovog istraživanja bio je potvrditi mogućnost uvođenja potpuno nove operativne tehnike liječenja Haglundove bolesti. Namjera je da se uvođenjem ultrazvučno vođene operativne tehnike liječenja Haglundove bolesti postigne preciznija resekcije kalkaneusa i brži postoperativni funkcionalni oporavak. Metode. U istraživanje je uključeno 63 ispitanika podijeljenih u tri jednake skupine. Ultrazvučno asistirana operativna tehnika je uspoređivana s dosadašnjim operativnim tehnikama liječenja Haglundove bolesti, endoskopskom i klasičnom otvorenom operativnom tehnikom. Usporedba među grupama je vršena nizom funkcionalnih testova radi određivanja brzine postoperativnog oporavka, te mjerenjima rendgenoloških i ultrazvučnih snimaka radi određivanja preciznosti resekcije kalkaneusa. Rezultati. Rezultati funkcionalnih testova pokazuju statistički značajno brži oporavak ultrazvučno asistirane i endoskopske operativne tehnike nad klasičnom otvorenom operativnom tehnikom na razini značajnosti od p<0,05, dok se ultrazvučno asistirana tehnika pokazala statistički značajno boljom nad endoskopskom tehnikom u postoperativnom vremenu korištenja štaka. Rezultati ultrazvučnog mjerenje veličine resekcije Haglundova deformiteta pokazuju da se ultrazvučno asistiranom operativnom tehnikom postiže najpreciznija resekcija kalkaneusa uz najmanji broj rezidua i recidiva. Zaključci. Ultrazvučno vođena operativna tehnika liječenja Haglundova bolesti se može uvesti u kliničku praksu kao jedna od kirurških mogućnosti liječenja Haglundove bolesti, a s obzirom na dobivene rezultate njena primjena može ubrzati postoperativni funkcionalni oporavak i smanjiti postotak nedovoljnih resekcija.
KeywordsFunctional recovery Haglund's disease Resection Surgical technique Treatment Ultrasound
Committee MembersTedi Cicvarić (committee member)
Saša Rapan (committee member)
Damir Miletić (committee member)
Anton Tudor (committee member)
GranterSveučilište u Rijeci
Medicinski fakultet
Lower level organizational unitsKatedra za ortopediju i fizikalnu medicinu
PlaceRijeka
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
UDK617
APPLIED SCIENCES. MEDICINE. TECHNOLOGY
Surgery. Orthopaedics. Ophthalmology
Study programme typeuniversity
Study levelpostgraduate
Study programmeBiomedicine Postgraduate (doctoral) study programme
Academic title abbreviationdr.sc
Genredoctoral thesis
Language Croatian
Defense date2015
Parallel abstract (English)
Objective: Taking into account the current operative methods of treatment and duration of postoperative recovery, the aim of this study was to verify the possibility of introducing a completely new surgical technique for treating Haglund’s disease. The aim was to prove that the introduction of ultrasound guided operative technique for Haglund’s disease could achieve more precise resection of the calcaneus and accelerate postoperative functional recovery. Methods: The study included 63 patients divided into three equal groups. Ultrasound assisted surgical technique was compared with current operative techniques for treating Haglund’s disease, endoscopic and conventional open surgical technique. Comparison between groups was performed by a series of functional tests to determine the rate of post-operative recovery, and measurements of plain radiographs and ultrasound images to determine the accuracy of calcaneus resection. Results: Results of functional tests showed significantly faster recovery in group of patients operated by ultrasound-assisted and endoscopic operative technique over conventional open surgical technique at a significance level of p <0.05, while the ultrasound assisted technique showed statistically significant improvement over the endoscopic technique in postoperative time using crutches. Results of ultrasound measurement of the size of the resection of Haglund’s deformity showed that ultrasound assisted surgical technique achieves most accurate resection of calcaneus with the smallest number of residues and relapse. Conclusions: Ultrasound assisted operative technique for treating Haglund’s disease can be introduced into clinical practice as one of the surgical treatment options for Haglund’s disease, and considering the results of its application, postoperative functional recovery could be accelerated and ultrasound assisted technique could reduce the percentage of inadequate resections.
Descriptors
MeSH (Medical Subject Headings)
Parallel keywords (Croatian)Funkcionalni oporavak Haglundova bolest Kirurška tehnika Liječenje Resekcija Ultrazvuk
Versionaccepted version
Resource typetext
Access conditionNo public access
Noteaccepted version
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:184:759134
CommitterBosa Licul