The Evaluation of Two Different Surgical Approaches in Total Hip Arthroplasty According to the Patient Satisfaction, Plantar Pressure Distribution and Trendelenburg Sign

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dc.authorid0000-0002-4199-836X
dc.contributor.authorYildirim, Ahmet
dc.contributor.authorAyanaoğlu, Tacettin
dc.contributor.authorMustafa , Özer
dc.contributor.authorEsen, Erdinç
dc.contributor.authorKanatli, Ulunay
dc.contributor.authorBölükbaşi, Selçuk
dc.date.accessioned2020-01-18T21:13:24Z
dc.date.available2020-01-18T21:13:24Z
dc.date.issued2019
dc.departmentNEÜ, Meram Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Anabilim Dalıen_US
dc.description.abstractThe aim of this prospective study was to analyze the results of two different surgical aproaches for total hip arthroplasty as Trendelenburg sign, plantar pressure distribution with the help of dynamic pedobarography and clinical results by Harris Hip Score. A total of 28 patients who underwent unilateral total hip arthroplasty using two different types of lateral approach as conventional lateral Hardinge approach and intermuscular Hardinge approach described by Pai were included in this study. Plantar pressures have maesured by EMED-SF pedobarography device and analysed by the help of a commercial software; that seperates the foot to the four different parts which are called masks. Trendelenburg’s sign has been estimated as grade 1 and grade 2 by the method which was described by Hardcastle and Nade. Clinical outcome was measured by comparing Harris Hip Scores pre-operatively and postoperatively at last clinic visit. In both groups after the two years from the surgery; total contact time has increased at the operation side when the results were compared before the surgery at the same side and at the other side after the surgery. Also when we looked at the first and second masks which show the significant part of the stance phase; contact areas have similarly increased and the changes at the peak pressures were similar as contact areas. In both groups Harris Hip score was increased significantly after the operation. This is the first study to compare two different lateral approaches by pedobarographic analysis, clinical evaluation and functional scoring. The fuctional and clinical early results are similar in both lateral hip approaches for total hip arthroplasty when superior gluteal nerve protection, conjuant tendon repair and postoperative rehabilitation have done well.en_US
dc.identifier.citationÖzer, M., Yıldırım, A., Ayanoğlu, T., Esen, E., Kanatlı, U., Bölükbaşı, S. (2019). The Evaluation Of Two Different Surgical Approaches İn Total Hip Arthroplasty According To The Patient Satisfaction, Plantar Pressure Distribution And Trendelenburg Sign. Medicine Science, 8, 1, 1-6.
dc.identifier.doi10.5455/medscience.2018.07.8913en_US
dc.identifier.endpage6en_US
dc.identifier.issn2147-0634en_US
dc.identifier.issn2147-0634en_US
dc.identifier.issue1en_US
dc.identifier.startpage1en_US
dc.identifier.urihttps://dx.doi.org/10.5455/medscience.2018.07.8913
dc.identifier.urihttps://app.trdizin.gov.tr/publication/paper/detail/TXpBNE1qSTFOUT09
dc.identifier.urihttps://hdl.handle.net/20.500.12452/2975
dc.identifier.volume8en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofMedicine Scienceen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US]
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectTotal hip arthroplasty
dc.subjectPedobarography
dc.subjectTrendelenburg’s sign
dc.subjectHarris hip score
dc.subjectGait analyses
dc.titleThe Evaluation of Two Different Surgical Approaches in Total Hip Arthroplasty According to the Patient Satisfaction, Plantar Pressure Distribution and Trendelenburg Signen_US
dc.typeArticleen_US

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