EFFICACY OF MINIMALLY INVASIVE SURGICAL TECHNIQUES IN ARTHROPROSTHETICS IN PATIENTS WITH COXOARTHRITIS

Abstract

In the period 2003-2018, a retrospective analysis of arthroplasty operations performed for coxarthrosis was carried out depending on age and gender. As a result of the study, 619 of the 791 patients in who performed arthroplasty for coxarthrosis were women. According to the age groups, patients were divided into 17-19, 20-29, 30-39, 40-49, 50-59, 60-69 and 70 years and older groups; 25 parameters were evaluated by age groups. The study involved 80 people, including 25 posterolateral approaches, 25 according to Harding and 30 according to our proposed method. For the purpose of comparison, the parameters of the VAS-pain index and DAS28, as well as the ESR and C-reactive protein, were studied at the 6th and 12th months before and after arthroplasty. Although the mean VAS pain score was calculated as 26.6 ± 0.40 mm in the posterolateral technique group, this score decreased slightly at 6 months post arthroplasty, and the mean score for the group was 23.1±0.21 mm. In the main group, it was performed arthroplasty according to the proposed method, and the average DAS28 value obtained in patients before arthroplasty was determined as 27.5±0.36. The maximum indicator of the corresponding scale was 3.2, and the minimum indicator was 2.4. The minimum and maximum levels of CRP recorded in blood samples before arthroplasty were 6.6 mg/l and 10.7 mg/l, respectively. The maximum and minimum values of CRP observed in the 12th month were 6.5 mg/l and 4.6 mg/l, respectively; the average level was 5.4±0.11 mg/L.