Çeşitli Total Diz Protezi Uygulamalarının Bilateral Simultane, Ardışık Bilateral ya da Tek Yanlı Erken Postoperatif Komplikasyonlara Etkisi

Year 2016, , 181 - 184, 01.09.2016

Kağan Arslan İzzet Bingöl Ali Aydoğdu Hakkı Çağdaş Basat Tolga Tolunay Mahmut Uğurlu

https://doi.org/10.5505/abantmedj.2016.21033

Abstract

GİRİŞ ve AMAÇ: İleri evre diz artrozunun cerrahi tedavisinde genellikle femoro-tibial eklemin değiştirildiği iki kompartmanlı diz protezi ameliyatı başarıyla uygulanmaktadır. Uygulama, bilateral olgularda değişik yöntemler kullanılarak; aynı seansta ya da farklı zamanlarda şeklindedir. Bu çalışmada simultane bilateral total diz artroplastisi TDA , seanslı bilateral TDA ve unilateral TDA'ni erken postoperatif komplikasyonlar yönünden karşılaştırdık. YÖNTEM ve GEREÇLER: Nisan 2004 ve Ocak 2009 tarihleri arasında, simultane bilateral n=85 , seanslı bilateral n=30 ve unilateral n=85 TDA uygulanan toplam 185 hastanın son dönem gonartroza sahip 285 dizi retrospektif olarak değerlendirilmiştir. Bu 185 hastanın kayıtları ortalama 27,1±9,85 aylık takip periodunda, demografik örnekleme, preoperatif eştanılar ve perioperatif komplikasyonlar açısından incelendi. Cerrahinin tipi, yaş, cinsiyet, ASA Amerikan Anesteziyoloji Birliği skorları ve turnike zamanı perioperatif komplikasyonlar açısından karşılaştırıldı. BULGULAR: Simultane bilateral TDA uygulanan hastalarda ve bu hasta grubunda ASA 2 olanlarda ASA 1 olanlara göre perioperatif komplikasyon oranı belirgin olarak daha yüksekti sırasıyla, p

Keywords

Artroplasti, diz komplikasyonları, komorbiditide.

The Influence of the Total Knee Prosthesis Applications Bilateral, Simultaneous, Consecutive Bilateral or Single-Sided on the Early Postoperative Complications

Abstract

INTRODUCTION: In the surgical treatment of the advancedstage knee arthrosis, two-compartment knee prosthesis surgery is applied successfully in which femoro-tibial joint is usually replaced. Application can be performed by using various methods in bilateral cases in the same session or in different sessions. In this study, we compared simultaneous bilateral total knee arthroplasty TKA with bilateral TKA with session and with unilateral TKA in terms of early postoperative complications. METHODS: 285 series of the 185 patient having late-period gonarthrosis in which simultaneous bilateral TKA n=85 , bilateral TKA with sessions n=30 and unilateral TKA n=85 were applied between April 2004 and January 2005 were retrospectively assessed. The records of these 185 patients were studied within the mean period of 27.1±9.85 months in terms of demographic sampling, preoperative concurrent diagnosis and perioperative complications. The type of surgery, age, gender, ASA American Anesthesiology Association Scores and tourniquet time were compared in terms of perioperative complications. RESULTS: In patients in which simultaneous bilateral TKA was applied and in those with ASA2 among this patient group the perioperative complication ratio was significantly higher compared to those with ASA1 p

Keywords

Arthroplasty, knee complications, comorbidity.

References

• Taylor BC, Dimitris C, Mowbray JG, Gaines ST, Steensen RN. Perioperative safety of two- team simultaneous bilateral total knee arthroplasty in the obese patient.J OrthopSurg Res. 2010;17; 5:38.
• Noble J, Goodall JR, Noble DJ. Simultaneous bilateral total knee replacement: a persistent controversy. Knee. 2009;16(6): 420-6.
• Powell RS, Pulido P, Tuason MS, Colwell CW Jr, Ezzet KA. Bilateral vs unilateral total knee arthroplasty: a patient-based comparison of pain levels and recovery of ambulatory skills. J Arthroplasty 2006;21(5): 642-9.
• Luscombe JC, Theivendran K, Abudu A, Carter SR. The relative safety of one-stage bilateral total knee arthroplasty. IntOrthop. 2009;33(1):101-4.
• Hersekli MA, Akpinar S, Ozalay M, Ozkoc G, Uysal M, Cesur N et al. A comparison between single- and two-staged bilateral total knee arthroplasty operations in terms of the amount of blood loss and transfusion, perioperative complications, hospital ActaOrthopTraumatolTurc. 2004; 38(4):241-6.
• Kim YH, Choi YW, Kim JS. Simultaneous bilateral sequential total knee replacement is as safe as unilateral total knee replacement. J Bone Joint Surg Br. 2009;91(1):64-8.
• Kilincoglu V, Unay K, Akan K, Esenkaya I, Poyanli O. Component alignment in simultaneous bilateral or unilateral total knee arthroplasty. IntOrthop. 2011;35(1): 43-6.
• Fabi DW, Mohan V, Goldstein WM, Dunn JH, Murphy BP. Unilateral vs bilateral total knee arthroplasty risk factors increasing morbidity. J Arthroplasty. 2011;26(5): 668-73.
• Parvizi J, Sullivan TA, Trousdale RT, Lewallen DG. Thirty-day arthroplasty. J Bone Joint Surg Am. 2001;83-A(8): 1157-61. after total knee
• Lombardi AV, Mallory TH, Fada RA, Hartman JF, Capps SG, Kefauver CA et al. Simultaneous bilateral total knee arthroplasties: who decides?.ClinOrthopRelat Res. 2001;(392):319- 29.
• Bullock DP, Sporer SM, Shirreffs TG Jr. Comparison of simultaneous bilateral with unilateral total knee arthroplasty in terms of perioperative complications. J Bone Joint Surg Am. 2003; 85-A(10):1981-6.
• Patil N, Wakankar H. Morbidity and mortality of simultaneous bilateral total knee arthroplasty. Orthopedics. 2008;31(8):780-9.
• Shah K, Smith J, Jones B, Hullin M. Bilateral total knee replacement under a single anaesthetic, using a cementless implant is not unsafe. KneeSurg Sports TraumatolArthrosc. 2007; 15(3) :269-75.
• Dripps RD. New classification of physical status. Anesthesiology. 1963;24:111-17.
• Reuben JD, Meyers SJ, Cox DD, Elliott M, Watson M, Shim SD. Cost comparison between bilateral simultaneous, staged, and unilateral total joint arthroplasty. J Arthroplasty. 1998; 13(2):172-9.
• Leonard L, Williamson DM, Ivory JP, Jennison C. An evaluation of the safety and efficacy of simultaneous bilateral total knee arthroplasty. J Arthroplasty. 2003;18(8) :972-8.
• Fick D, Crane T, Shakespeare D. A comparison of bilateral vs. unilateral total knee arthroplasty mobilised using a flexion regime. Knee 2002; 9(4): 285-9.
• Lane GJ, Hozack WJ, Shah S, Rothman RH, Booth RE Jr, Eng K et al. Simultaneous bilateral versus unilateral total knee arthroplasty. Outcomes analysis. ClinOrthopRelat Res 1997;(345):106-12.
• Ritter M, Mamlin LA, Melfi CA, Katz BP, Freund DA, Arthur DS. Outcome implications for the timing arthroplasties.ClinOrthopRelat 1997;(345):99-105. total knee Res
• Hutchinson JR, Parish EN, Cross MJ. A comparison of bilateral uncemented total knee arthroplasty: simultaneous or staged?. J Bone Joint Surg Br 2006; 88(1): 40-3.
• Sarban S, Kocabey Y, Tabur H, Zehir S, Aşkar H, Erdem dizartroplastisindetektaraflıveaynıseanstaikitara flıuygulamalarımızınmorbiditevekliniketkinlikyön ündenkarşılaştırılması. Harran Üniversitesi Tıp FakültesiDergisi 2005; 2(4):31-42. Total
• Barrett J, Baron JA, Losina E, Wright J, Mahomed NN, Katz JN. Bilateral total knee replacement: staging and pulmonary embolism. J Bone Joint Surg Am 2006; 88(10) :2146-51.
• Soudry M, Binazzi R, Insall JN, Nordstrom TJ, Pellicci PM, Goulet JA. Successive bilateral total knee replacement. J Bone Joint Surg Am 1985; 67(4):573-6.
• Mangaleshkar SR, Prasad PS, Chugh S, Thomas AP. Staged bilateral total knee replacement-a safer approach in older patients. Knee 2001; 8(3):207-11.
• Hersekli MA, Akpınar S, Özkoç G, Özalay M, Cesur N, Uysal M et al. Tekseanstaikitaraflı total diz artroplastisi: perioperatifkomplikasyonlardakirolü. EklemHastalikCerrahisi2005; 16(1):1-4. (70+)
• Bozkurt M,Yilmazlar A,Bilgen OF. Comparing the effects of analgesia techniques with controlled intravenous and epidural on postoperative pain and knee rehabilitation after total knee arthroplasty.EklemHastalikCerrahisi2009; 20(2):64-70.
• Altıntaş F, Gökçe A, Yavuz U, Uğutmen E. Does total joint replacement effect slimming? TurkiyeKlinikleri J Med Sci 2008;28:287-90.
• Liu TK, Chen SH. Simultaneous bilateral total knee arthroplasty in a single procedure. IntOrthop1998; 22(6):390-3.
• Ritter MA, Meding JB. Bilateral simultaneous total knee arthroplasty. J Arthroplasty 1987; 2(3):185-9.
• Ritter MA, Harty LD, Davis KE, Meding JB, Berend M. Simultaneous bilateral, staged bilateral, and unilateral total knee arthroplasty. A survival analysis. J Bone Joint Surg Am 2003; 85- A(8):1532-7.
• Cohen RG, Forrest CJ, Benjamin JB. Safety and efficacy arthroplasty. J Arthroplasty 1997; 12(5):497-502. total knee
• Jankiewicz JJ, Sculco TP, Ranawat CS, Behr C, Tarrentino S. One-stage versus 2-stage bilateral total knee arthroplasty. ClinOrthopRelat Res 1994;(309):94-101.
• Alemparte J, Johnson GV, Worland RL, Jessup DE, Keenan J. Results of simultaneous bilateral total knee replacement: a study of 1208 knees in 604 patients. J South OrthopAssoc 2002; 11(3):153-6.