Artroskopska kirurgija gležnja u osoba mlađih od 18 godina

master's thesis

• Title (english): Arthroscopic ankle surgery in patients younger than 18 years
• Author: Krešimir Tućin
• 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: 2018-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract

U današnje je vrijeme artroskopija gležnja uobičajen zahvat, a njihov broj kontinuirano raste. Ciljevi ovog istraživanja bili su utvrditi koliki je udio artroskopija gležnja u djece i adolescenata u ukupnom broju artroskopskih zahvata na gležnju te utvrditi postoji li razlika u postotnom udjelu dijagnoza poradi kojih se činila artroskopija gležnja između skupine djece i adolescenata i skupine odraslih osoba. Pretraživanjem operacijskih protokola Klinike za ortopediju KBC-a Zagreb i Medicinskog fakulteta Sveučilišta u Zagrebu pronađeno je da je u razdoblju od pet godina u 533 bolesnika učinjena artroskopija gležnja, a 90 od njih je u trenutku zahvata imalo manje od 18 godina. Pregledana je medicinska dokumentacija koja je bila dostupna u elektroničkoj i papirnatoj bazi podataka Klinike za ortopediju. U pedijatrijskoj populaciji bolesnika indikacija za artroskopski zahvat najčešće je postavljena ili poradi sindroma anterolateralnog sraza ili poradi koštano hrskavičnog oštećenja kupole talusa, dok je u odraslih to bio sindrom prednjeg sraza. U svih je 90-ero ispitanika operacijski zahvat protekao bez komplikacija. U ranom poslijeoperacijskom praćenju primijećene su samo dvije komplikacije. S obzirom na rezultate ovog istraživanja možemo zaključiti da je artroskopija gležnja sigurna i učinkovita operacijska metoda liječenja različitih ozljeda i oštećenja gležnja u djece i adolescenata. Pritom valja istaknuti da su u toj populaciji bolesnika vodeće indikacije različite od vodećih indikacija u odraslih bolesnika.

Abstract (english)

Today arthroscopic ankle surgery is a common surgical procedure and its number is constantly increasing. The aim of this study was to determine the proportion of ankle arthroscopies in children and adolescents in the total number of arthroscopic interventions on the ankle and to determine whether there was a difference in the indications for the procedure between the paediatric and the adult population. A hand search of operating room logs from the Department of Orthopaedic Surgery of the University Hospital Centre “Zagreb” was performed for a 5-year period. During this period 533 patients underwent ankle arthroscopy, among which 90 were younger than 18 years at the time of the surgery. Patient's medical history data was reviewed and recorded. Two leading indications for ankle arthroscopy in the paediatric population were the anterolateral ankle impingement syndrome and the osteochondral lesion of the talus. This differed from the the adult population, where the anterior impingement syndrome was the most frequent diagnosis. The perioperative period was uneventful in all 90 ankle arthroscopies in the paediatric population, while 2 complications were observed during the early postoperative period. Based on the results of our research we can conclude that ankle arthroscopy is a safe and effective surgical method to treat miscellaneous ankle disorders in the paediatric population. It should be emphasized that a difference exists between the leading indications for ankle arthroscopy in the paediatric and the adult population.

• Keywords: artroskopija; gležanj; djeca; adolescenti
• Keywords (english): ankle; arthroscopy; children; adolescents
• Language: croatian
• URN:NBN: urn:nbn:hr:105:124808
• 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: 2019-03-20 13:24:33