Artroskopski zahvati činjeni u prednjem i stražnjem dijelu gležnja u jednom aktu u razdoblju od 2011. do 2020. godine u Klinici za ortopediju KBC-a Zagreb

master's thesis

• Title (english): Combined anterior and posterior ankle arthroscopic surgeries performed between 2011 and 2020 at the Department of Orthopaedic Surgery University Hospital Centre Zagreb
• Author: Luka Matanović
• Mentor: Damjan Dimnjaković (mentor)
• Committee member: Ivan Bojanić (predsjednik povjerenstva)
• Committee member: Tomislav Đapić (član povjerenstva)
• Committee member: Damjan Dimnjaković (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Orthopedics); Zagreb
• Defense date and country: 2021-07-16, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract

Artroskopija gležnja se danas smatra metodom izbora za liječenje brojnih ozljeda i oštećenja koštanih, hrskavičnih i mekih tkiva u području gležnja. Ona se može činiti kao samostalan zahvat ili samo u prednjem ili samo u stražnjem dijelu zgloba ili pak kao zahvat tijekom kojeg se u istom aktu čini artroskopija i prednjeg i stražnjeg dijela gležnja. Cilj je ovog istraživanja bio utvrditi postotni udjel pojedine dijagnoze zbog koje je indicirana i načinjena artroskopija prednjeg i stražnjeg dijela gležnja u istom aktu u promatranoj skupini bolesnika te usporediti indikacije s rezultatima drugih istraživanja. Također, cilj je bio utvrditi broj i vrstu prethodno učinjenih operacijskih zahvata, učestalost, vrstu komplikacija te broj i vrstu ponovno učinjenih operacijskih zahvata. U istraživanje je uključeno i analizirano 169 uzastopnih artroskopija prednjeg i stražnjeg dijela gležnja u istom aktu koje su učinjene između 01. siječnja 2011. i 01. siječnja 2020. godine. Najčešća indikacija za artroskopiju prednjeg i stražnjeg dijela gležnja u istom aktu u promatranoj skupini bolesnika bila je prednji i stražnji sindrom sraza gležnja i to kod 128 (75,74%) operiranih bolesnika. Preostale indikacije su bile poslijetraumatska kontraktura (20 bolesnika), poslijetraumatski osteoartritis (4 bolesnika) te sinovitisi u gležnju različite etiologije (17 bolesnika). Kod 31-og bolesnika (18,43%) prethodno je načinjen operacijski zahvat na gležnju na kojem je u istom aktu načinjena artroskopija prednjeg i stražnjeg dijela gležnja. Nadalje, kod 13 bolesnika (7,69%) operacijski zahvat na gležnju je načinjen ponovo. Tijekom promatranog razdoblja uočeno je i zabilježeno u dostupnoj dokumentaciji sveukupno šest poslijeoperacijskih komplikacija na 169 (3,55%) načinjenih artroskopija. Ovo istraživanje govori u prilog činjenici da je najčešće postavljana indikacija za činjenje artroskopije prednjeg i stražnjeg dijela u istom aktu prednji i stražnji sindrom sraza gležnja. Isto tako, ovo istraživanje potvrđuje sigurnost i učinkovitost činjenja artroskopskog zahvata u prednjem i stražnjem dijelu gležnja u istom aktu i kod drugih ozljeda i oštećenja u području gležnja, poput poslijetraumatske kontrakture gležnja, poslijetraumatskog osteoartritisa gležnja, kao i kod sinovitisa u gležnju različitih etiologija.

Abstract (english)

Ankle arthroscopy is nowadays considered the method of choice for treatment of numerous injuries and damages to bone, cartilage and soft tissues in the ankle. Ankle arthroscopic procedure can be performed either only in the anterior or only in the posterior portion of the joint or as a combined anterior and posterior ankle arthroscopy in the same act. The aim of this study was to determine the percentage of each diagnosis for which combined anterior and posterior ankle arthroscopy in the same act was indicated and performed in the observed group of patients and to compare indications with the results of other studies. Furthermore, aims were to determine the number and type of previous surgeries, frequency and type of complications and number and type of reoperations performed. The study included and analyzed 169 consecutive combined anterior and posterior ankle arthroscopies in the same act that were performed in the period from January 01, 2011. and January 01, 2020. The main indication for combined anterior and posterior ankle arthroscopy in the same act in the observed group of patients was anterior and posterior ankle impingement syndrome in 128 (75.74%) operated patients. Other indications were posttraumatic ankle contracture (20 patients), posttraumatic osteoarthritis (4 patients) and synovitis in the ankle of different etiologies (17 patients). 31 patient (18,43%) that underwent combined anterior and posterior ankle arthroscopy at the Clinic, previously had operative procedure on the same ankle. Furthermore, 13 patients (7,69%) needed to be operated on again. During the observed period, a total of six postoperative complications (3.55%) were observed and recorded in the available documentation on 169 performed arthroscopies. This research speaks in favor of the fact that the main indication for performing combined anterior and posterior ankle arthroscopy in the same act is the anterior and posterior ankle impingement syndrome. This study also confirms the safety and efficacy of combined anterior and posterior ankle arthroscopy in the same act in other ankle injuries, such as posttraumatic ankle contracture, posttraumatic ankle osteoarthritis, and synovitis in the ankle of various etiologies.

• Keywords: artroskopija; gležanj; indikacije; komplikacije
• Keywords (english): ankle; arthroscopy; complications; indications
• Language: croatian
• URN:NBN: urn:nbn:hr:105:078601
• 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: 2022-03-11 10:28:15