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Scientific paper - Original scientific paper
Rani oporavak bolesnika nakon ugradnje totalne endoproteze kuka minimalno invazivnim i klasičnim kirurškim pristupom; preliminarni rezultati
Medicina Fluminensis : Medicina Fluminensis, 49 (2013), 3; 323-327. urn:nbn:hr:184:711710
Mađarević, Tomislav; Tudor, Anton; Vučković, Mirela; Ružić, Lana; Zec, Andrej; Širola, Luka

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Mađarević, T., Tudor, A., Vučković, M., Ružić, L., Zec, A. & Širola, L. (2013). Rani oporavak bolesnika nakon ugradnje totalne endoproteze kuka minimalno invazivnim i klasičnim kirurškim pristupom; preliminarni rezultati. Medicina Fluminensis : Medicina Fluminensis, 49. (3), 323-327. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:711710

Mađarević, Tomislav, et al. "Rani oporavak bolesnika nakon ugradnje totalne endoproteze kuka minimalno invazivnim i klasičnim kirurškim pristupom; preliminarni rezultati." Medicina Fluminensis : Medicina Fluminensis, vol. 49, no. 3, 2013, pp. 323-327. https://urn.nsk.hr/urn:nbn:hr:184:711710

Mađarević, Tomislav, Anton Tudor, Mirela Vučković, Lana Ružić, Andrej Zec and Luka Širola. "Rani oporavak bolesnika nakon ugradnje totalne endoproteze kuka minimalno invazivnim i klasičnim kirurškim pristupom; preliminarni rezultati." Medicina Fluminensis : Medicina Fluminensis 49, no. 3 (2013): 323-327. https://urn.nsk.hr/urn:nbn:hr:184:711710

Mađarević, T., et al. (2013) 'Rani oporavak bolesnika nakon ugradnje totalne endoproteze kuka minimalno invazivnim i klasičnim kirurškim pristupom; preliminarni rezultati', Medicina Fluminensis : Medicina Fluminensis, 49(3), pp. 323-327. Available at: https://urn.nsk.hr/urn:nbn:hr:184:711710 (Accessed 26 October 2024)

Mađarević T, Tudor A, Vučković M, Ružić L, Zec A, Širola L. Rani oporavak bolesnika nakon ugradnje totalne endoproteze kuka minimalno invazivnim i klasičnim kirurškim pristupom; preliminarni rezultati. Medicina Fluminensis : Medicina Fluminensis [Internet]. 2013 September 02 [cited 2024 October 26];49(3):323-327. Available at: https://urn.nsk.hr/urn:nbn:hr:184:711710

T. Mađarević, A. Tudor, M. Vučković, L. Ružić, A. Zec and L. Širola, "Rani oporavak bolesnika nakon ugradnje totalne endoproteze kuka minimalno invazivnim i klasičnim kirurškim pristupom; preliminarni rezultati", Medicina Fluminensis : Medicina Fluminensis, vol. 49, no. 3, pp. 323-327, September 2013. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:711710. [Accessed: 26 October 2024]

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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
AuthorTomislav Mađarević
AuthorAnton Tudor
AuthorMirela Vučković
AuthorLana Ružić
AuthorAndrej Zec
AuthorLuka Širola
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Orthopedics and Physical Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Orthopedics
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
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)
Keywords (english)
Languagecroatian
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numberingvol. 49, no. 3, pp. 323-327
p-ISSN0025-7729
URN:NBNurn:nbn:hr:184:711710
Publication2013-09-02
Document URLhttp://hrcak.srce.hr/106938
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2017-05-12 09:59:19