Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?

ÇAKIR, Yalçın; YILMAZ TAŞDELEN, Özlem; TABAK, Yalçın; Keskin, Dilek; ÇANKAYA, Deniz; Bodur, Hatice; Yurdakul, Fatma

Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?

Özlem YILMAZ TAŞDELEN, (Clinics of Physical Medicine and Rehabilitation, Ankara Numune Training and Research Hospital, Ankara, Turkey)

Deniz ÇANKAYA, (Clinics of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, Turkey)

Fatma Gül YURDAKUL, (Clinics of Physical Medicine and Rehabilitation, Ankara Numune Training and Research Hospital, Ankara, Turkey)

Yalçın ÇAKIR, (Clinics of Orthopaedics and Traumatology, Ankara Numune Training and Research Hospital, Ankara, Turkey)

Esra Dilek Keskin, (Department of Physical Medicine and Rehabilitation, Kırıkkkale University Faculty of Medicine, Kırıkkale, Turkey)

Yalçın TABAK, (Department of Orthopaedics and Traumatology, Amasya Unıversity Faculty of Medicine, Amasya, Turkey)

Hatice BODUR (Department of Physical Medicine and Rehabilitation, Ankara Numune Training and Research Hospital, Ankara, Turkey)

Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi

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Yıl: 2017 Cilt: 20 Sayı: 3 Sayfa Aralığı: 111 - 117 Metin Dili: İngilizce İndeks Tarihi: 04-02-2020

Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?

Öz:

Objective: The aim of this study was to investigate the influence of demographic featuressuch as age, gender, body mass index (BMI), educational and employment status, place of residenceand comorbidities of patients with primary hip osteoarthritis and radiographic severity onthe functional improvements of the patients after total hip arthroplasty. Material and Methods:Fifty patients (41 females/9 males) with primary hip osteoarthritis were included. The radiographswere graded according to Kellgren-Lawrence system (KL). The operations were performed by thesame orthopedist with the same surgical technique. Functional level was determined with hip disabilityand Osteoarthritis Outcome Score-Physical function Short-form (HOOS-PS) before and sixmonths after the operation. Results: The functional levels of all the patients improved at the sixthmonth. Age, BMI, presence of a comorbidity, working in a job or not, place of residence (rural orcity) and obesity did not influence the functional improvement rates. The males, the patients withKL grade 4 osteoarthritis and the primary school graduates showed significantly much more improvements.Conclusion: The clinical relevance of this study is that age, gender, BMI, co-morbidities,education degree, place of residence and being an employee or not does not need to beconsidered by physicians when recommending total hip replacement surgery after failure of conservativetreatment in patients with primary hip osteoarthritis. Male patients, patients with radiographicallyend stage osteoarthritis and educated patients may improve much more in comparisonwith their counterparts.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp Rehabilitasyon

Primer Kalça Osteoartritli Hastaların Demografik Özellikleri: Total Kalça Replasmanı Sonrasında Fonksiyonel İyileşme Üzerinde Etkili midir?

Öz:

Amaç: Primer koksartroz tanısı ile total kalça artroplastisi geçiren hastalarda; yaş, cinsiyet, beden kitle indeksi (BKİ), eğitim ve çalışma durumu, yerleşim alanı, komorbid hastalıklar ve osteoartritin radyografik düzeyinin fonksiyonel düzelme üzerindeki etkisini araştırmaktır. Gereç ve Yöntemler: Primer kalça osteoartriti tanısı olan 50 hasta (41 kadın/9 erkek) dahil edildi. Radyografiler Kellgren-Lawrence (KL) sınıflaması ile değerlendirildi. Operasyonlar aynı ortopedist tarafından aynı cerrahi teknik ile gerçekleştirildi. Fonksiyonel seviye Kalça Dizabilite ve Osteoartrit Sonuç Skoru-Fiziksel Fonksiyon Kısa formu (HOOS-PS) ile operasyon öncesi ve 6 ay sonrasında değerlendirilmiştir. Bulgular: Operasyon sonrası 6. ayda tüm hastalarda fonksiyonel olarak iyileşme kaydedilmiştir. İncelenen faktörlerden yaş, BKİ, çalışma durumu ve yerleşim bölgesinin (kırsal-kentsel) fonksiyonel iyileşme ile ilşkisi olmadığı görülmüştür. Bunu yanında erkek hastalarda, KL’ye göre Evre 4 osteoartriti olanlarda ve ilkokul mezunlarında fonksiyonel iyileşme oranının daha yüksek olduğu saptandı. Sonuç: Bu çalışmanın klinik önemi, konservatif tedavilerden fayda görmeyen kalça osteoartriti olan hastalara total kalça replasmanı önerilir iken; yaş, BKİ, çalışma durumu ve yerleşim bölgesinin cerrahi sonrasında fonksiyonel iyileşmeyi etkilemeceği; ancak erkek hastaların, radyolojik olarak son evre osteoartrit olan hastaların ve ilkokul mezunlarının daha fazla fonksiyonel düzelme göstereceğinin farkında olmaktır.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp Rehabilitasyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	YILMAZ TAŞDELEN Ö, ÇANKAYA D, Yurdakul F, ÇAKIR Y, Keskin D, TABAK Y, Bodur H (2017). Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?. , 111 - 117.
Chicago	YILMAZ TAŞDELEN Özlem,ÇANKAYA Deniz,Yurdakul Fatma,ÇAKIR Yalçın,Keskin Dilek,TABAK Yalçın,Bodur Hatice Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?. (2017): 111 - 117.
MLA	YILMAZ TAŞDELEN Özlem,ÇANKAYA Deniz,Yurdakul Fatma,ÇAKIR Yalçın,Keskin Dilek,TABAK Yalçın,Bodur Hatice Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?. , 2017, ss.111 - 117.
AMA	YILMAZ TAŞDELEN Ö,ÇANKAYA D,Yurdakul F,ÇAKIR Y,Keskin D,TABAK Y,Bodur H Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?. . 2017; 111 - 117.
Vancouver	YILMAZ TAŞDELEN Ö,ÇANKAYA D,Yurdakul F,ÇAKIR Y,Keskin D,TABAK Y,Bodur H Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?. . 2017; 111 - 117.
IEEE	YILMAZ TAŞDELEN Ö,ÇANKAYA D,Yurdakul F,ÇAKIR Y,Keskin D,TABAK Y,Bodur H "Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?." , ss.111 - 117, 2017.
ISNAD	YILMAZ TAŞDELEN, Özlem vd. "Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?". (2017), 111-117.

APA	YILMAZ TAŞDELEN Ö, ÇANKAYA D, Yurdakul F, ÇAKIR Y, Keskin D, TABAK Y, Bodur H (2017). Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 20(3), 111 - 117.
Chicago	YILMAZ TAŞDELEN Özlem,ÇANKAYA Deniz,Yurdakul Fatma,ÇAKIR Yalçın,Keskin Dilek,TABAK Yalçın,Bodur Hatice Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 20, no.3 (2017): 111 - 117.
MLA	YILMAZ TAŞDELEN Özlem,ÇANKAYA Deniz,Yurdakul Fatma,ÇAKIR Yalçın,Keskin Dilek,TABAK Yalçın,Bodur Hatice Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, vol.20, no.3, 2017, ss.111 - 117.
AMA	YILMAZ TAŞDELEN Ö,ÇANKAYA D,Yurdakul F,ÇAKIR Y,Keskin D,TABAK Y,Bodur H Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2017; 20(3): 111 - 117.
Vancouver	YILMAZ TAŞDELEN Ö,ÇANKAYA D,Yurdakul F,ÇAKIR Y,Keskin D,TABAK Y,Bodur H Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2017; 20(3): 111 - 117.
IEEE	YILMAZ TAŞDELEN Ö,ÇANKAYA D,Yurdakul F,ÇAKIR Y,Keskin D,TABAK Y,Bodur H "Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?." Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 20, ss.111 - 117, 2017.
ISNAD	YILMAZ TAŞDELEN, Özlem vd. "Are the Demographic Characteristics of Patients with Primary Hip Osteoarthritis Effective on Functional Improvements After Total Hip Replacement?". Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 20/3 (2017), 111-117.