Author/Authors
üçpunar, hanifi erzincan üniversitesi - tıp fakültesi - ortopedi ve travmatoloji anabilim dalı, Turkey , özcan, seçkin erzincan üniversitesi - tıp fakültesi - ortopedi ve travmatoloji anabilim dalı, Turkey , sofu, hakan erzincan üniversitesi - tıp fakültesi - ortopedi ve travmatoloji anabilim dalı, Turkey , çamurcu, ismet yalkın erzincan üniversitesi - tıp fakültesi - ortopedi ve travmatoloji anabilim dalı, Turkey , duman, serda diyarbakır selahattin eyyübi devlet hastanesi - ortopedi ve travmatoloji kliniği, Turkey , konya, mehmet nuri afyonkarahisar sağlık bilimleri üniversitesi - tıp fakültesi - ortopedi ve travmatoloji anabilim dalı, Turkey
Title Of Article
THE RELATIONSHIP BETWEEN INDICATION AND COMPLICATION OF IMPLANT REMOVAL
شماره ركورد
42336
Abstract
OBJECTIVE: The main purpose of this study was to evaluate the relationship between indications and complications of implant removal surgery. MATERIAL AND METHODS: The data of patients who underwent implant removal surgery between 2011 and 2014 were evaluated from our medical records. Patients’ age, gender, anatomical site of implant and the type of the implant were evaluated. The interval between the fracture treatment and implant removal were recorded for all patients. The indications for implant removal surgery were analyzed and their relationships with complications were evaluated by Pearson Chi-Square test. RESULTS: 276 patients (116 female, 160 male) with the mean age of 36.2 ± 18.4 (range, 5 to 79 years) years underwent removal of 279 implants. The mean interval from initial operation to implant removal operation 27.9 ± 33 months (range, 0.25 to 240 months). The most common anatomical sites of implants were tibia in 93 patients (33.6 %), femur in 63 patients (22.8 %) and fibula in 39 patients (14.1 %). Implant removal was indicated for implant failure in 54 patients (20%), for deep infection in 21 patients (8%), for implant irritation in 167 patients (60%), for pseudoarthrosis in 9 patients (3%), for only patient’s demand in 44 patients (16%) and for only surgeon’s demand in 40 patients (14%). Overall complication rate was 17%. There was a significant correlation between the implant removal due to infection and postoperative refracture and infection (r=0.101 p 0.001 and r=0.273 p 0.001, respectively). Significant correlation was obtained between implant removal due to implant failure and pseudoarthrosis and the need of new implant as expected (r=0.375 p 0.001 and r=0.639 p 0.001, respectively). CONCLUSIONS: Complications related to implant removal surgery has a relationship with implant removal indications such as infection, pseudoarthrosis, and implant failure.
From Page
131
NaturalLanguageKeyword
Implants , Complication , Fractures , Pseudoarthrosis , Infection
JournalTitle
Kocatepe Medical Journal
To Page
134
JournalTitle
Kocatepe Medical Journal
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