Title
Prednosti i rizici bilateralnih artroplastika kolena u jednom aktu
Creator
Barjaktarović, Radoslav T. 1963-
Copyright date
2015
Object Links
Select license
Autorstvo-Nekomercijalno 3.0 Srbija (CC BY-NC 3.0)
License description
Dozvoljavate umnožavanje, distribuciju i javno saopštavanje dela, i prerade, ako se navede ime autora na način odredjen od strane autora ili davaoca licence. Ova licenca ne dozvoljava komercijalnu upotrebu dela. Osnovni opis Licence: http://creativecommons.org/licenses/by-nc/3.0/rs/deed.sr_LATN Sadržaj ugovora u celini: http://creativecommons.org/licenses/by-nc/3.0/rs/legalcode.sr-Latn
Language
Serbian
Cobiss-ID
Theses Type
Doktorska disertacija
description
Datum odbrane: 03.04.2015.
Other responsibilities
mentor
Mitković, Milorad 1950-
član komisije
Milenković, Saša
član komisije
Ristić, Branko
Academic Expertise
Medicinske nauke
University
Univerzitet u Nišu
Faculty
Medicinski fakultet
Group
Katedra za hirurgiju
Alternative title
Advantages and risks of bilateral total knee arthroplasty in one procedure
Publisher
[R. T. Barjaktarović]
Format
102 lista
description
Orthopedic surgery and traumatology
Abstract (en)
Introduction: Gonarthrosis in a certain number of cases requires surgical treatment – knee
arthroplasty. Bilateral gonarthrosis is a common finding. Patients with bilateral gonarthrosis
can be operated in one procedure, during one course of a hospital stay, which may have
significant advantages over delayed procedure. Bilateral knee arthroplasty in one procedure is
routinely performed in some orthopedic centers, and in other, due to potentially higher risks
of this approach, patients are operated in two surgical procedures with various time intervals
between two arthroplasties. The aim of the study is to determine the advantages and risks of
bilateral knee arthroplasty in one procedure in relation to bilateral total knee arthroplasty in
two procedures.
The aim was to determine the benefits and risks of bilateral knee arthroplasty in one act in
relation to bilateral total knee arthroplasty in two acts.
Methods: Retrospective study, in the first group, 256 patients of both gender, who had
bilateral total knee arthroplasty in one act in the Department of Orthopaedic Surgery and
Traumatology, Military Medical Academy in Belgrade from 01. january 2004. to 31.
december 2011. year, in the second group were 165 patients who had bilateral total knee
arthroplasty in two acts in the same department and in the same period. In all cases, an
identical surgical approach and technique was used, with the standard antibiotic prophylaxis
and thromboprophylaxis with low-molecular weight heparins. We assessed the risk of
postoperative mortality, complications, functional outcome, the need for transfusions, and
length of hospital stay.
Results: This analysis shows that in the examined groups of patients, SBTKA and BTKA in
two acts, who had no significant differences in the presence of preoperative comorbidity and
age, there were no statistically significant differences in postoperative 30-day mortality,
postoperative complications, infections and revision surgery. When it comes to the
assessment of the functional outcome and length of hospital stay SBTKA shows significantly
better results compared to BTKA in two acts.
7
Conclusion: Results of this study show that SBTKA even in patients with recorded
preoperative comorbidities can be safe and successful procedure with acceptable low
incidence of postoperative complications.
Authors Key words
Koleno, Artroplastika
Classification
617.583
Type
Tekst
Abstract (en)
Introduction: Gonarthrosis in a certain number of cases requires surgical treatment – knee
arthroplasty. Bilateral gonarthrosis is a common finding. Patients with bilateral gonarthrosis
can be operated in one procedure, during one course of a hospital stay, which may have
significant advantages over delayed procedure. Bilateral knee arthroplasty in one procedure is
routinely performed in some orthopedic centers, and in other, due to potentially higher risks
of this approach, patients are operated in two surgical procedures with various time intervals
between two arthroplasties. The aim of the study is to determine the advantages and risks of
bilateral knee arthroplasty in one procedure in relation to bilateral total knee arthroplasty in
two procedures.
The aim was to determine the benefits and risks of bilateral knee arthroplasty in one act in
relation to bilateral total knee arthroplasty in two acts.
Methods: Retrospective study, in the first group, 256 patients of both gender, who had
bilateral total knee arthroplasty in one act in the Department of Orthopaedic Surgery and
Traumatology, Military Medical Academy in Belgrade from 01. january 2004. to 31.
december 2011. year, in the second group were 165 patients who had bilateral total knee
arthroplasty in two acts in the same department and in the same period. In all cases, an
identical surgical approach and technique was used, with the standard antibiotic prophylaxis
and thromboprophylaxis with low-molecular weight heparins. We assessed the risk of
postoperative mortality, complications, functional outcome, the need for transfusions, and
length of hospital stay.
Results: This analysis shows that in the examined groups of patients, SBTKA and BTKA in
two acts, who had no significant differences in the presence of preoperative comorbidity and
age, there were no statistically significant differences in postoperative 30-day mortality,
postoperative complications, infections and revision surgery. When it comes to the
assessment of the functional outcome and length of hospital stay SBTKA shows significantly
better results compared to BTKA in two acts.
7
Conclusion: Results of this study show that SBTKA even in patients with recorded
preoperative comorbidities can be safe and successful procedure with acceptable low
incidence of postoperative complications.
“Data exchange” service offers individual users metadata transfer in several different formats. Citation formats are offered for transfers in texts as for the transfer into internet pages. Citation formats include permanent links that guarantee access to cited sources. For use are commonly structured metadata schemes : Dublin Core xml and ETUB-MS xml, local adaptation of international ETD-MS scheme intended for use in academic documents.