Artroskopije lakta u razdoblju od 2008. do 2018. godine na Klinici za ortopediju KBC-a Zagreb

master's thesis

• Title (english): Elbow arthroscopy from 2008 to 2018 at the Department of Orthopaedic Surgery University Hospital Centre Zagreb
• Author: Marko Krpeljević
• Mentor: Ivan Bojanić (mentor)
• Committee member: Tomislav Smoljanović (predsjednik povjerenstva)
• Committee member: Tomislav Đapić (član povjerenstva)
• Committee member: Ivan Bojanić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Orthopedics); Zagreb
• Defense date and country: 2019-09-10, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract

Artroskopija lakta je prošla put od isključivo dijagnostičke metode, preko metode kojom su se činili samo jednostavniji zahvati, da bi danas artroskopija lakta bila prihvaćena kao metoda izbora za liječenje brojnih ozljeda i njihovih posljedica, kao i oštećenja koja zahvaćaju lakat. U današnje vrijeme artroskopija lakta je uobičajen zahvat, a broj artroskopskih zahvata na laktu kontinuirano raste. Ciljevi ovog istraživanja bili su utvrditi postotni udjel pojedine vodeće dijagnoze zbog koje je indicirana i načinjena artroskopija lakta tijekom desetogodišnjeg razdoblja te usporediti vodeće dijagnoze zbog koje je načinjena artroskopija lakta u promatranoj skupini bolesnika s rezultatima drugih istraživanja. Pretraživanjem operacijskih protokola Klinike za ortopediju Kliničkog bolničkog centra Zagreb i Medicinskog fakulteta Sveučilišta u Zagrebu pronađeno je da je u razdoblju od 1. siječnja 2008. do 1. siječnja 2018. godine u 191-og bolesnika načinjeno 208 uzastopnih artroskopija lakta. Indikacija za artroskopski zahvat u promatranoj skupini bolesnika najčešće je postavljena zbog poslije traumatske kontrakture lakta i to u 25,76% bolesnika, dok je zbog primarnog osteoartritisa lakta načinjena u 22,73% bolesnika. Tijekom promatranog razdoblja u dostupnoj medicinskoj dokumentaciji zabilježeno je 9,59% komplikacija tog zahvata. S obzirom na rezultate ovog istraživanja, kao i na spoznaje iz literature, može se zaključiti da je artroskopija lakta pouzdana i učinkovita operacijska metoda liječenja različitih ozljeda i oštećenja lakta.

Abstract (english)

Elbow arthroscopy went from purely diagnostic method to a method that was used only for simple procedures, in order to today elbow arthroscopy would be accepted as the method of choice for the treatment of numerous injuries and their consequences, as well as damages that affect the elbow. Today elbow arthroscopy is a common surgical procedure and its number is constantly increasing. This study aimed to determine percentage shares of each leading diagnosis for which elbow arthroscopy was indicated and performed over a ten-year period and to compare leading diagnoses that preceded it in the observed group of patients with the results of other research. A hand search of operating room logs from the Department of Orthopaedic Surgery University Hospital Centre Zagreb was performed and it was found that 208 consecutive elbow arthroscopies were performed in 191 patients between January 1, 2008, and January 1, 2018. The most common indication leading to elbow arthroscopy in the observed group of patients was post-traumatic elbow contracture (25.76%), followed by primary osteoarthritis of the elbow (22.73%). During the observed period, 9.59% of complications of this procedure were noted and recorded in the available documentation. Based on the results of our research, as well as insights from literature, we can conclude that elbow arthroscopy is a reliable and effective surgical method of treating various injuries and damages to the elbow.

• Keywords: artroskopija; lakat; indikacije; komplikacije
• Keywords (english): arthroscopy; elbow; indications; complications
• Language: croatian
• URN:NBN: urn:nbn:hr:105:380311
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2020-02-03 14:25:56