Abstract:

Purpose: This study was carried out in order to determine the effect of the mobilization program applied in the nursing supervision and supervision of patients after open cholesystectomy on the sleep time, the level of pain, the first flatus, the output of the ghetto and the departure. Method: The experimental type of study was carried out in the general surgical clinic of a state hospital between February-August 2019. Given the probability of data loss, 68 patients that meet the research criteria were included in the study. During the study, two patients were removed from the control group of two patients from the experimental group and the study was completed with 64 patients. The data was collected with the patient promotion form, postoperative monitoring chart, visual comparison scale, the walk chart where the pedometer outputs were recorded. Results: The study group found that there was no difference between the two groups in terms of the patient’s check-in periods in the hospital, the gas and gaita output hours earlier, and the walking distances long, the time of dren and the time of spontaneous urination. The pain levels of the control group were significantly lower on the first day of the procedure, the pain levels were significantly lower on the second and third days of the procedure, and the sleep times were higher on the first and second days of the procedure, the control group was significantly lower on the first day of the procedure. Results: The experimental group found that the patient’s first gas and gas exits were early than the control group, and the walking distances were significantly long. However, the mobilization program has not been found to affect sleep times and pain levels.

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Abstract:

Purpose: The outcomes of cemented, cementless and hybrid fixation options in total hip replacement are still controversial. The aim of our study is to evaluate the clinical and radiological results of our cementless total hip replacement cases compared with the literature. Materials and Methods: We evaluated 80 patients’ 95 cementless total hip arthroplasties retrospectively. The minmum follow up periodwas 12 months. We used the Harris Hip Score (HHS) for clinical evaluation. We evaluated malposition, aseptic loosening, heterotopic ossification, dislocation and other complications by direct radiography. Results: Forty seven (58.7%) of the patients were female and 33 were male (41.3%). Mean age of the patients was 52.312.8 years. Thirtysix (45%) of the patients were operated in the right hip, 29 (36%) of the patients were operated in the left hip and 15 (18.7%) of the patients were operated bilaterally. Posterolateral incision was used in 74 (77.9%) patients and posterolateral incision was used in 21 (22.1%) patients. Mean follow up was 3818.8 months. Total Harris hip scores of the patients before and after surgery were 28.5210.93 and 87.097.03, respectively. There was acetabular malposition in 12 patients. Eight patients had intraoperative fractures. Conclusion: Cementless total hip arthroplasty provided good clinical outcomes in Harris Hip Score evaluation in short to-medium-term. Rigid cementless fixation in early period can be achieved but, caution is advised against intraoperative fracture and acetabular component malposition.