TY - JOUR T1 - Total Diz Artroplastisi Sonuçlarımızın Değerlendirilmesi TT - / Eveluation of Total Knee Arthroplasty Outcomes AU - Kargın, Deniz AU - Serin, Erhan PY - 2018 DA - March Y2 - 2018 DO - 10.30565/medalanya.372455 JF - Acta Medica Alanya JO - Acta Med. Alanya PB - Alanya Alaaddin Keykubat Üniversitesi WT - DergiPark SN - 2587-0319 SP - 30 EP - 34 VL - 2 IS - 1 LA - tr AB - Amaç:Bu çalışmada; kliniğimizde yapılan totaldiz artroplastisi (TDP) olguları geriye dönük olarak incelendi ve kliniksonuçlarımız güncel literatür eşliğinde tartışıldı. Hastalar ve yöntem: Bu çalışmaya Kliniğimizde TDPyapılan 51 hastadan yeterli takipleri bulunan 40 hastanın 65 dizi dâhiledilmiştir. Hastalara preoperatif ve postoperatif dönemde, Amerikan DizCemiyetinin (Knee Society) revize etmiş olduğu skorlama sistemleri yüz yüzegörüşülerek doldurtularak değerlendirildi. Bulgular: Hastaların yaş dağılımı 54–75 (ortalama61.15) idi. Takip süresi ise 11–74 ay (ort.29.3 ay) arasındadeğişiyordu.Ameliyat öncesinde hastaların diz hareket açıklığı 60°-95°(ort.77.3°) arasında değişmekte iken ameliyat sonrası dönemde 100°–120°(ort.114.4°) arasında idi (p=0.03). Olguların radyolojik değerlendirmelerin de;ameliyat öncesi dönemde 60 dizde (%92.3) varus dizilimi, 5 dizde (%7.7) isevalgus dizilimi mevcuttu. Ameliyat sonrası dönemde ise 14 dizde (%21.5) varusdizilimi, 19 dizde (%29.2) nötral dizilim, 32 dizde (%49.3) ise valgus dizilimimevcuttu. Skoru ise; ameliyat öncesi dönemde 35– 68 (ort.44.8) arasında; kötü̈olarak değerlendirildi,Ameliyat sonrası dönemde ise diz skoru 72–96(ort.86.3) arasında iyi olarak bulunmuştur.Sonuç: Total diz protezi cerrahisi özelliklekonservatif tedavilere yanıt vermeyen ileri eklem dejenerasyonu vedestrüksiyonu olan ve şiddetli diz ağrısı çeken hastalar için ağrınıngiderilmesinde başarılı bir tedavi yöntemidir. KW - artroplasti KW - gonartroz KW - diz N2 - Aim: In this study, we retrospectively evaluated our totalknee arthroplasty outcomes and discussed our results with the currentliterature.Patient andMethods: From 51 patients, 40 patients 65knees were included to the study after excluding patients with enoughfollow-up. Revised by American Knee Society, scoring systems filled by patientswith face to face encounter before and after surgery were collected. Results: Age range of the patients were 54 to 75 (mean 61.15)years. Range of the follow-up was 11 to 74 (mean 29.3) months. Range of thepreoperative knee range of motion was 60° to 95° (77.3°) and postoperativerange of motion was 100° to 120° (mean114.4°) (p:0.03). Radiologicalpreoperative evaluation of the patients revealed that 60 (92.3%) knees hadvarus alignment and 5(7.7%) knees had valgus alignment. Postoperatively, 14knees (21.5%) had varus, 19(29.2%) knees had neutral and 32(49.3%) knees had valgusalignment. Preoperative Scores were low with a range of 35 to 68 (mean 44.8).Postoperative knee scores were good with a range of 72 to 96 (mean 86.3). Conclusion: Total knee arthroplasty surgery is a good treatmentoption especially for the patients with severe joint degeneration anddestruction, which are not be able to be treated with conservative treatments,and also in pain relief in patients with severe knee pain. CR - 1. Guyton JL. Arthroplasty of ankle and knee. Canale T (Editör). Campbell’s Operative Orthopaedics. 10. edition. St. Louis: Mosby-Year Book, Inc. 2003: 243–298. CR - 2. Burke DW, O’Flynn H. Primary total knee arthroplasty. Chapman MW (Editör).Chapman’s Orthopaedic Surgery. 3rd edition, Lippincott Williams&Wilkins, 2001:2869–2895. CR - 3. Ege R: Diz Anatomisi. Ege R. (Editör). Diz sorunları. 1. baskı. Ankara: BizimBüro Basımevi, 1998: 27–54. CR - 4. Gill GS, Joshi AB, Mills DM. Total condylar knee arthroplasty. 16- to 21-year results. Clin Orthop Relat Res 1999; 367: 210–215. 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