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Srpski arhiv za celokupno lekarstvo 2006, vol. 134, br. 11-12, str. 521-525
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Rezultati hirurškog i nehirurškog lečenja čekićastog prsta
aUniverzitet u Beogradu, Medicinski fakultet, Klinički centar Srbije bUniverzitet u Beogradu, Medicinski fakultet, Institut za anatomiju
e-adresa: medicusbane@hotmail.com
SažetakUvod: Povreda tetiva šake tipa čekićastog prsta predstavlja gubitak kontinuiteta sjedinjenih lateralnih traka ekstenzornog aparata iznad distalnog interfalangnog zgloba prsta i dovodi do tipičnog fleksionog deformiteta u distalnom interfalangnom zglobu, koji se u literaturi naziva "čekićasti" prst (engl. mallet finger). Cilj rada: Cilj rada je bio da se prikažu rezultati hirurškog i nehirurškog lečenja povreda ekstenzorne tetive prstiju šake tipa čekićastog prsta a zatim uporede s rezultatima drugih autora. Metod rada Studija je bila retro- prospektivna. Ispitana su 62 bolesnika lečena u Institutu za ortopedsku hirurgiju i traumatologiju i u Urgentnom centru Kliničkog centra Srbije u Beogradu od 1998. do 2003. godine. Bolesnici su nadgledani od 8,3 meseca do 71,7 meseci. Prosečno vreme nadgledanja bilo je 28,7 meseci. Tokom izvođenja studije ispitani su i beleženi objektivni parametri: pol i starost bolesnika, dominantnost i povređenost šake, povređenost prsta, metod lečenja, komplikacije, nedostatak ekstenzije u distalnom interfalangnom zglobu, fleksija i ukupan pokret distalnog interfalangnog zgloba. Prikupljeni podaci su obrađivani primenom χ2-testa i Studentovog t-testa. Stepen poverenja je bio za p=0,05. Rezultati Ukupan obim pokreta u distalnom interfalangnom zglobu kod nehirurški lečenih bolesnika bio je 51,9±6,6 stepeni, a kod hirurški lečenih 48,2±4,2 stepena. Nedostatak ekstenzije u distalnom interfalangnom zglobu u proseku je bio 6,5±3,3 stepena kod nehirurški, a 10,0±3,2 stepena kod hirurški lečenih ispitanika. Zaključak Rezultati studije su potvrdili da je nehirurški način lečenja čekićastog prsta uspešniji od hirurškog.
Ključne reči
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