TY - JOUR T1 - Enfekte Total Diz Artroplastisi Olgularında İki Aşamalı Revizyon Artroplastisinin Erken ve Orta Dönem Sonuçları TT - Early and Mid-Term Results of Two Stage Revision Arthroplasty in Infected Total Knee Arthroplasty Cases AU - Zor Çakilli, Seda AU - Örtücü, Abdurrahman AU - Bayrak, Edip AU - Yılmaz, Dilek PY - 2025 DA - March Y2 - 2025 DO - 10.36516/jocass.1591604 JF - Journal of Cukurova Anesthesia and Surgical Sciences JO - J Cukurova Anesth Surg PB - Merthan TUNAY WT - DergiPark SN - 2667-498X SP - 19 EP - 24 VL - 8 IS - 1 LA - tr AB - Amaç: Total diz artroplastisi, dejeneratif artrit gibi birçok diz hastalığının sebep olduğu ağrı ve hareket kısıtlılığını gidermek amacıyla uygulanan bir tedavi yöntemidir. Amacımız enfekte total diz artroplastisi tanılı hastalara tedavi yöntemi olarak iki aşamalı revizyon yapılanların erken ve orta dönem sonuçlarının retrospektif olarak değerlendirilmesi ve literatürle karşılaştırılmasıdır.Gereç ve Yöntem: Bu çalışmaya Ocak 2004–2014 tarihleri arasında hastanemiz Ortopedi ve Travmatoloji kliniğinde enfekte diz protezi tanısı alan ve tedavi yöntemi olarak iki aşamalı revizyona karar verilen hastalar alındı. Hastaların laboratuvar sonuçları, radyografileri, Amerikan diz cemiyeti klinik ve fonksiyonel skorları değerlendirildi. Bulgular: Çalışmaya 19 hastanın 20 dizi alınmıştır. Tüm hastalara iki aşamalı revizyonun birinci aşama ameliyatı yapılmış, ikinci aşama ameliyat ise 17 hastaya yapılmıştır. Enfekte total diz protezi tanısı almış 20 dizden; 3’ünde erken, 6’sında gecikmiş, 11’inde ise geç enfeksiyon tespit edilmiştir. Preoperatif klinik skor 53,29 ± 9,51 iken postoperatif 83,21 ± 9,51 (p KW - protez enfeksiyonu KW - iki aşamalı revizyon KW - artroplasti N2 - AbstractBackground: Total knee arthroplasty is a treatment method to relieve pain and limitation of movement caused by many knee diseases such as degenerative arthritis. Our aim was to retrospectively evaluate the early and mid-term results of patients with infected total knee arthroplasty who underwent two-stage revision as a treatment method and to compare them with the literature. Methods: Patients who were diagnosed with infected knee prosthesis in the Orthopaedics and Traumatology clinic of our hospital between January 2004 and 2014 and decided to undergo two-stage revision as a treatment method were included in this study. Laboratory results, radiographs, American Knee Society clinical and functional scores were evaluated. Results: Twenty knees of 19 patients were included in the study. The first stage of two-stage revision was performed in all patients and the second stage was performed in 17 patients. Of the 20 knees diagnosed with infected total knee arthroplasty, 3 had early, 6 had delayed, and 11 had late infection. Preoperative clinical score was 53.29 ± 9.51, postoperative 83.21 ± 9.51 (p CR - 1.Osmon DR, Berbari EF, Berendt AR, et al. Executive summary: diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America. Clinical infectious diseases, 2013;56(1), 1-10. https://doi.org/10.1093/cid/cis966 CR - 2.Koh CK, Zeng I, Ravi S, et al.. Periprosthetic joint infection is the main cause of failure for modern knee arthroplasty: an analysis of 11,134 knees. Clinical Orthopaedics and Related Research®. 2017;475(9), 2194-2201. https://doi.org/10.1007/s11999-017-5396-4 CR - 3.Thompson O, W-Dahl A, Lindgren V, et al. 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BMC Musculoskeletal Disorders. 2023;24(1):889. https://doi.org/10.1186/s12891-023-07016-2 UR - https://doi.org/10.36516/jocass.1591604 L1 - https://dergipark.org.tr/tr/download/article-file/4395009 ER -