Bağ kesen total diz protezi uygulamalarımızın kısa ve orta dönem klinik ve radyolojik sonuçlarının değerlendirilmesi
Küçük Resim Yok
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmamızda bağ kesen total diz protezi uygulanan olgularda retrospektif klinik ve radyolojik olarak kısa ve orta dönem sonuçlarımızın ortaya konulması ve litaratürle karşılaştırılması amaçlanmıştır. Materyal Metod: İnönü Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı'nda Ocak 2015-2020 yılları arasında primer bağ kesen çimentolu total diz protezi uygulanan 114 hastadan düzenli takipleri yapılan 55 hastanın 74 dizi bu çalışmaya dahil edilmiştir. Çalışmamız retrospektif bir çalışma olup hastalarımız klinik olarak Amerikan Diz Cemiyeti skorlama sistemine göre ameliyat öncesi ve sonrası değerlendirilirken radyolojik olarak Total Diz Protezi Radyolojik Değerlendirme Kriterlerine göre değerlendirilmiştir. Analizler IBM SPSS 25.0 programı ile gerçekleştirilmiş olup p<0.05 değerleri istatiksel olarak anlamlı kabul edilmiştir. Bulgular: Bağ kesen total diz protezi uyguladığımız hastaların 9'u (%16.3) erkek 46'sı (%83.7) kadın olup yaşları 51 ile 88 arasındaydı (ortalama 66.7). Takip süreleri 2-60 ay arasında olup ortalama 22.9 ay idi. Tek taraflı diz protezi uygulanan hasta sayısı 36, aynı seansta bilateral total diz protezi uygulanan hasta sayısı 19 idi. Diz Cemiyeti Diz Protezi Değerlendirme Kriterleri'ne göre yapılan değerlendirmede hastaların diz skoru ameliyat öncesi 22-60 arasında ortalama 40 iken, ameliyat sonrası diz skoru 40-96 arasında ortalama 85 olarak saptanmıştır. Fonksiyonel diz skoru ise ameliyat öncesi 20-56 arasında, ortalama 40 iken; ameliyat sonrası 20-100 arasında ortalama 85 olarak saptanmıştır. Bir hastamızda septik zeminde, bir hastamızda ise aseptik zeminde gevşeme bulguları saptanmış revizyon cerrahileri yapılmıştır. Sonuç: Çalışmamızda bağ kesen total diz protezinin uygun hastaya uygun endikasyon dahilinde uygulandığı takdirde fonksiyonellik ve memnuniyet açısından yüz güldürücü sonuçlarının olduğu belirtilmiştir.
Aim: In our study, we aimed to reveal retrospective clinical and radiological short and mid-term results of ligament substituting total knee prosthesis cases and to compare them with literature. Material and Method: In this study, 74 knees of 55 patients who were followed up regularly among 114 patients who underwent primary substituting ligament total knee prosthesis with cement between January 2015 and 2020 in the Department of Orthopedics and Traumatology of İnönü University Faculty of Medicine,were included. Our study is a retrospective study and our patients were evaluated clinically according to the American Knee Society scoring system before and after surgery, and radiologically according to the Radiological Evaluation Criteria of Total Knee Prosthesis. Analyzes were performed with IBM SPSS 25.0 program, and p <0.05 values were considered statistically significant. Results: 9 (16.3%) patients who had ligament substituting total knee prosthesis were male and 46 (83.7%) patients were female and their ages were between 51 and 88 years (mean 66.7). The follow-up period ranged from 2 to 60 months, with a mean of 22.9 months. 36 patients underwent unilateral knee prosthesis and 19 patients with bilateral total knee prosthesis in the same session. In the evaluation made according to the Knee Society Knee Replacement Assessment Criteria, the knee score of the patients was found to be 40 between 22-60 preoperatively, while the postoperative knee score was found to be mean of 85 between 40-96. The functional knee score was between 20-56, on means 40 and 85 postoperatively, between 20 and 100 postoperatively. One of our patients underwent revision surgeries with signs of loosening in the septic background and one patient in aseptic time. Conclusion: In our study, it was stated that the ligament substituting total knee prosthesis has satisfactory results in terms of functionality and satisfaction when applied to the appropriate patient within the appropriate indication.
Aim: In our study, we aimed to reveal retrospective clinical and radiological short and mid-term results of ligament substituting total knee prosthesis cases and to compare them with literature. Material and Method: In this study, 74 knees of 55 patients who were followed up regularly among 114 patients who underwent primary substituting ligament total knee prosthesis with cement between January 2015 and 2020 in the Department of Orthopedics and Traumatology of İnönü University Faculty of Medicine,were included. Our study is a retrospective study and our patients were evaluated clinically according to the American Knee Society scoring system before and after surgery, and radiologically according to the Radiological Evaluation Criteria of Total Knee Prosthesis. Analyzes were performed with IBM SPSS 25.0 program, and p <0.05 values were considered statistically significant. Results: 9 (16.3%) patients who had ligament substituting total knee prosthesis were male and 46 (83.7%) patients were female and their ages were between 51 and 88 years (mean 66.7). The follow-up period ranged from 2 to 60 months, with a mean of 22.9 months. 36 patients underwent unilateral knee prosthesis and 19 patients with bilateral total knee prosthesis in the same session. In the evaluation made according to the Knee Society Knee Replacement Assessment Criteria, the knee score of the patients was found to be 40 between 22-60 preoperatively, while the postoperative knee score was found to be mean of 85 between 40-96. The functional knee score was between 20-56, on means 40 and 85 postoperatively, between 20 and 100 postoperatively. One of our patients underwent revision surgeries with signs of loosening in the septic background and one patient in aseptic time. Conclusion: In our study, it was stated that the ligament substituting total knee prosthesis has satisfactory results in terms of functionality and satisfaction when applied to the appropriate patient within the appropriate indication.
Açıklama
Anahtar Kelimeler
Ortopedi ve Travmatoloji, Orthopedics and Traumatology
