.: ORİJİNAL ARAŞTIRMA
Alt Ekstremite Artroplasti Girişimlerinden Sonra Gelişen Kronik Ağrı Üzerine Hasta Özelliklerinin ve Perioperatif Koşulların Etkisi: 3 Yıllık Klinik Sonuçların Retrospektif Analizi
The Effect of Patient Characteristics and Perioperative Conditions on Chronic Pain Developing After Lower Extremity Arthroplasty Interventions: A Retrospective Analysis of 3-Year Clinical Results
Turkiye Klinikleri J Anest Reanim. 2022;20(2):57-63
doi: 10.5336/anesthe.2022-90459
Makale Dili: TR
Tam Metin
ÖZET
Amaç: Kronik ağrı, hayat kalitesi ve fonksiyonel kapasiteyi olumsuz etkileyen önemli nedenlerden biridir. Kalça ve diz artroplasti girişimlerinden sonra kronik ağrı yaygındır. Total kalça artroplastisi sonrası kronik ağrı sendromu %10, total diz artroplastisi sonrası %20 oranında görülmektedir. Bu çalışmada, hastanemizde kalça ve diz artroplasti işleminden sonra kronik ağrı sendromu gelişen hastalar ve katkısı olan risk faktörleri retrospektif olarak araştırıldı. Gereç ve Yöntemler: Hastanemizde kalça ve diz artroplasti işlemi yapılmış, ameliyat sonrası kronik ağrı sendromu nedeniyle ağrı polikliniğimize başvuruda bulunmuş hastalar, hastanemizin elektronik veri tabanı ve kliniğimizde bulunan ağrı takip formları ile retrospektif olarak tarandı. Hastaların demografik verileri (yaş, boy, cinsiyet), psikolojik yapısı (depresyon ve anksiyete belirtileri), yaşam tarzı, sigara içimi kaydedildi. Ameliyat sonrası kronik ağrı sendromu gelişiminde katkısı olan risk faktörleri araştırıldı. Bulgular: 2018-2020 yılları arasında hastanemizde toplam 270 kalça ve diz artroplastisi yapılmış. Bunlardan 140'ı diz, 130'u kalça artroplastisidir. Ameliyat sonrası kronik ağrı sendromu gelişen hasta sayısı 40 olarak saptandı. Postoperatif kronik ağrı sendromu gelişmiş hastaların 10'u diz, 30'u kalça artroplasti işlemi geçirmiş. Hastaların demografik verileri yaşam tarzları ve psikojenik özellikleri kaydedildi. Aile ile yaşayan, sedanter hayat tarzı olup, sigara kullanan, anksiyete ve depresyon bulguları olan hastalarda kronik ağrı görülme oranı yüksek olarak gözlemlendi. Sonuç: Kadın cinsiyet, aile ile birlikte ve sedanter yaşam tarzı, sigara kullanımı, preoperatif anksiyete ve depresyon mevcutluğu kalça ve diz artroplasti cerrahisinden sonra gelişen kronik postoperatif ağrı sendromu için risk faktörleri olarak değerlendirildi.
Anahtar Kelimeler: Artroplasti; kalça protezi; diz; kronik ağrı
Amaç: Kronik ağrı, hayat kalitesi ve fonksiyonel kapasiteyi olumsuz etkileyen önemli nedenlerden biridir. Kalça ve diz artroplasti girişimlerinden sonra kronik ağrı yaygındır. Total kalça artroplastisi sonrası kronik ağrı sendromu %10, total diz artroplastisi sonrası %20 oranında görülmektedir. Bu çalışmada, hastanemizde kalça ve diz artroplasti işleminden sonra kronik ağrı sendromu gelişen hastalar ve katkısı olan risk faktörleri retrospektif olarak araştırıldı. Gereç ve Yöntemler: Hastanemizde kalça ve diz artroplasti işlemi yapılmış, ameliyat sonrası kronik ağrı sendromu nedeniyle ağrı polikliniğimize başvuruda bulunmuş hastalar, hastanemizin elektronik veri tabanı ve kliniğimizde bulunan ağrı takip formları ile retrospektif olarak tarandı. Hastaların demografik verileri (yaş, boy, cinsiyet), psikolojik yapısı (depresyon ve anksiyete belirtileri), yaşam tarzı, sigara içimi kaydedildi. Ameliyat sonrası kronik ağrı sendromu gelişiminde katkısı olan risk faktörleri araştırıldı. Bulgular: 2018-2020 yılları arasında hastanemizde toplam 270 kalça ve diz artroplastisi yapılmış. Bunlardan 140'ı diz, 130'u kalça artroplastisidir. Ameliyat sonrası kronik ağrı sendromu gelişen hasta sayısı 40 olarak saptandı. Postoperatif kronik ağrı sendromu gelişmiş hastaların 10'u diz, 30'u kalça artroplasti işlemi geçirmiş. Hastaların demografik verileri yaşam tarzları ve psikojenik özellikleri kaydedildi. Aile ile yaşayan, sedanter hayat tarzı olup, sigara kullanan, anksiyete ve depresyon bulguları olan hastalarda kronik ağrı görülme oranı yüksek olarak gözlemlendi. Sonuç: Kadın cinsiyet, aile ile birlikte ve sedanter yaşam tarzı, sigara kullanımı, preoperatif anksiyete ve depresyon mevcutluğu kalça ve diz artroplasti cerrahisinden sonra gelişen kronik postoperatif ağrı sendromu için risk faktörleri olarak değerlendirildi.
Anahtar Kelimeler: Artroplasti; kalça protezi; diz; kronik ağrı
ABSTRACT
Objective: Chronic pain is one of the important causes that negatively affect quality of life and functional capacity. Chronic pain is common after hip and knee arthroplasty procedures. Chronic pain syndrome is seen 10% after total hip arthroplasty and 20% after total knee arthroplasty. In this study, patients who developed chronic pain syndrome after hip and knee arthroplasty in our hospital and their contributing risk factors were investigated retrospectively. Material and Methods: Patients who underwent hip and knee arthroplasty in our hospital and applied to our pain outpatient clinic due to post-operative chronic pain syndrome were retrospectively scanned using the electronic database of our hospital and the pain follow-up forms available in our clinic. Information such as demographic data (age, height, gender), psychological structure (symptoms of anxiety and depression), lifestyle, and smoking of the patients were recorded. Risk factors contributing to the development of post-operative chronic pain syndrome were investigated. Results: A total of 270 hip and knee arthroplasties were performed in our hospital between 2018 and 2020. Of these, 140 knee and 130 hip arthroplasty. The number of patients who developed chronic pain syndrome after surgery was 40. Of the patients with postoperative chronic pain syndrome, 10 underwent knee arthroplasty and 30 underwent hip arthroplasty. Demographic data, lifestyles and psychogenic characteristics of the patients were recorded. The incidence of chronic pain was observed to be high in patients who live with their families, have a sedentary lifestyle, smoke, and have symptoms of anxiety and depression. Conclusion: Female gender, family and sedentary lifestyle, smoking, presence of preoperative anxiety and depression were evaluated as risk factors for chronic postoperative pain syndrome developing after hip and knee arthroplasty surgery.
Keywords: Arthroplasty; replacement hip; knee; chronic pain
Objective: Chronic pain is one of the important causes that negatively affect quality of life and functional capacity. Chronic pain is common after hip and knee arthroplasty procedures. Chronic pain syndrome is seen 10% after total hip arthroplasty and 20% after total knee arthroplasty. In this study, patients who developed chronic pain syndrome after hip and knee arthroplasty in our hospital and their contributing risk factors were investigated retrospectively. Material and Methods: Patients who underwent hip and knee arthroplasty in our hospital and applied to our pain outpatient clinic due to post-operative chronic pain syndrome were retrospectively scanned using the electronic database of our hospital and the pain follow-up forms available in our clinic. Information such as demographic data (age, height, gender), psychological structure (symptoms of anxiety and depression), lifestyle, and smoking of the patients were recorded. Risk factors contributing to the development of post-operative chronic pain syndrome were investigated. Results: A total of 270 hip and knee arthroplasties were performed in our hospital between 2018 and 2020. Of these, 140 knee and 130 hip arthroplasty. The number of patients who developed chronic pain syndrome after surgery was 40. Of the patients with postoperative chronic pain syndrome, 10 underwent knee arthroplasty and 30 underwent hip arthroplasty. Demographic data, lifestyles and psychogenic characteristics of the patients were recorded. The incidence of chronic pain was observed to be high in patients who live with their families, have a sedentary lifestyle, smoke, and have symptoms of anxiety and depression. Conclusion: Female gender, family and sedentary lifestyle, smoking, presence of preoperative anxiety and depression were evaluated as risk factors for chronic postoperative pain syndrome developing after hip and knee arthroplasty surgery.
Keywords: Arthroplasty; replacement hip; knee; chronic pain
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