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Ünikondiler diz artroplastisinde posteromedial kompartmanda kalan fazla sement

Yıl 2013, Cilt: 47 Sayı: 4, 291 - 294, 18.09.2013

Öz

Ünikondiler diz protezi (UDP) sonrası arka kompartmanda fazla sement kalmasına bağlı akut mekanik semptomlar nadirdir. Enfeksiyon, aseptik gevşeme, polietilen aşınması ve ilerleyici artrit bu prosedürün iyi bilinen komplikasyonları arasında yer almaktadır. Bu çalışmada, UDP sonrası posteromedial kompartmanda sement taşmasına bağlı akut ağrı ve dizde ‘tıklama’ hissi olan, sement parçasının artroskopik olarak çıkarılmasını takiben tam fonksiyonel kazanım elde edilen hastayı sunmaktayız. Retrospektif olarak değerlendirilen 43 UDP olgusundan sekizinde direkt grafilerde asemptomatik sement dışa çıkması gözlendi. Sementin posterior kompartmana taşma riskini en aza indirgemek için komponentlerin dikkatli gözlemi çok önemli olup ameliyat sırasında alınacak floroskopik görüntüler bu konuda yardımcı olabilir.

Kaynakça

  • Jamali AA, Scott RD, Rubash HE, Freiberg AA. Unicom- partmental knee arthroplasty: past, present, and future. Am J Orthop (Belle Mead NJ) 2009;38:17-23.
  • Chesnut WJ. Preoperative diagnostic protocol to predict candidates for unicompartmental arthroplasty. Clin Orthop Relat Res 1991;(273):146-50.
  • Barrett WP, Scott RD. Revision of failed unicondylar unicom- partmental knee arthroplasty. J Bone Joint Surg Am 1987;69: 1328-35.
  • Cartier P, Cheaib S. Unicondylar knee arthroplasty. 2-10 years of follow-up evaluation. J Arthroplasty 1987;2:157-62.
  • Larsson SE, Larsson S, Lundkvist S. Unicompartmental knee arthroplasty. A prospective consecutive series followed for 6 to 11 years. Clin Orthop Relat Res 1988;(232):174-81.
  • Howe DJ, Taunton OD Jr, Engh GA. Retained cement after unicondylar knee arthroplasty. A report of four cases. J Bone Joint Surg Am 2004; 86:2283-6.
  • Kim WY, Shafi M, Kim YY, Kim JY, Cho YK, Han CW. Posteromedial compartment cement extrusion after unicom- partmental knee arthroplasty treated by arthroscopy: a case report. Knee Surg Sports Traumatol Arthrosc 2006;14: 46-9.
  • Berger RA, Nedeff DD, Barden RM, Sheinkop MM, Jacobs JJ, Rosenberg AG, et al. Unicompartmental knee arthroplas- ty. Clinical experience at 6- to 10-year follow-up. Clin Orthop Relat Res 1999;(367):50-60.
  • Marsland D, Bradley NW. Use of a dental tool to remove excess cement in unicompartmental knee arthroplasty. Ann R Coll Surg Engl 2009;91:520-1.

Excess retained cement in the posteromedial compartment after unicondylar knee arthroplasty

Yıl 2013, Cilt: 47 Sayı: 4, 291 - 294, 18.09.2013

Öz

Acute mechanical symptoms due to excess retained cement in the posterior compartment of the knee joint following unicondylar knee arthroplasty (UKA) are uncommon. Infection, aseptic loosening, polyethylene wear and progressive arthritis are well-documented complications of UKA procedure. We present a patient with acute pain and ‘clicking’ sensation in the knee joint due to cement extrusion in the posteromedial compartment after UKA. Full functional recovery was achieved after arthroscopic removal of the cement debris. Of retrospectively screened 43 UKA cases, asymptomatic cement extrusion was detected in 8 patients in the posteromedial compartment on direct X-rays. Careful inspection of components is essential to minimize the risk of cement extrusion into the posterior compartment and perioperative fluoroscopy may be helpful during UKA procedure.

Kaynakça

  • Jamali AA, Scott RD, Rubash HE, Freiberg AA. Unicom- partmental knee arthroplasty: past, present, and future. Am J Orthop (Belle Mead NJ) 2009;38:17-23.
  • Chesnut WJ. Preoperative diagnostic protocol to predict candidates for unicompartmental arthroplasty. Clin Orthop Relat Res 1991;(273):146-50.
  • Barrett WP, Scott RD. Revision of failed unicondylar unicom- partmental knee arthroplasty. J Bone Joint Surg Am 1987;69: 1328-35.
  • Cartier P, Cheaib S. Unicondylar knee arthroplasty. 2-10 years of follow-up evaluation. J Arthroplasty 1987;2:157-62.
  • Larsson SE, Larsson S, Lundkvist S. Unicompartmental knee arthroplasty. A prospective consecutive series followed for 6 to 11 years. Clin Orthop Relat Res 1988;(232):174-81.
  • Howe DJ, Taunton OD Jr, Engh GA. Retained cement after unicondylar knee arthroplasty. A report of four cases. J Bone Joint Surg Am 2004; 86:2283-6.
  • Kim WY, Shafi M, Kim YY, Kim JY, Cho YK, Han CW. Posteromedial compartment cement extrusion after unicom- partmental knee arthroplasty treated by arthroscopy: a case report. Knee Surg Sports Traumatol Arthrosc 2006;14: 46-9.
  • Berger RA, Nedeff DD, Barden RM, Sheinkop MM, Jacobs JJ, Rosenberg AG, et al. Unicompartmental knee arthroplas- ty. Clinical experience at 6- to 10-year follow-up. Clin Orthop Relat Res 1999;(367):50-60.
  • Marsland D, Bradley NW. Use of a dental tool to remove excess cement in unicompartmental knee arthroplasty. Ann R Coll Surg Engl 2009;91:520-1.
Toplam 9 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Olgu Sunumu
Yazarlar

Mehmet Elmadag Bu kişi benim

Yunus Imren Bu kişi benim

Mehmet Erdil Bu kişi benim

Kerem Bilsel Bu kişi benim

İbrahim Tuncay Bu kişi benim

Yayımlanma Tarihi 18 Eylül 2013
Yayımlandığı Sayı Yıl 2013 Cilt: 47 Sayı: 4

Kaynak Göster

APA Elmadag, M., Imren, Y., Erdil, M., Bilsel, K., vd. (2013). Excess retained cement in the posteromedial compartment after unicondylar knee arthroplasty. Acta Orthopaedica Et Traumatologica Turcica, 47(4), 291-294.
AMA Elmadag M, Imren Y, Erdil M, Bilsel K, Tuncay İ. Excess retained cement in the posteromedial compartment after unicondylar knee arthroplasty. Acta Orthopaedica et Traumatologica Turcica. Eylül 2013;47(4):291-294.
Chicago Elmadag, Mehmet, Yunus Imren, Mehmet Erdil, Kerem Bilsel, ve İbrahim Tuncay. “Excess Retained Cement in the Posteromedial Compartment After Unicondylar Knee Arthroplasty”. Acta Orthopaedica Et Traumatologica Turcica 47, sy. 4 (Eylül 2013): 291-94.
EndNote Elmadag M, Imren Y, Erdil M, Bilsel K, Tuncay İ (01 Eylül 2013) Excess retained cement in the posteromedial compartment after unicondylar knee arthroplasty. Acta Orthopaedica et Traumatologica Turcica 47 4 291–294.
IEEE M. Elmadag, Y. Imren, M. Erdil, K. Bilsel, ve İ. Tuncay, “Excess retained cement in the posteromedial compartment after unicondylar knee arthroplasty”, Acta Orthopaedica et Traumatologica Turcica, c. 47, sy. 4, ss. 291–294, 2013.
ISNAD Elmadag, Mehmet vd. “Excess Retained Cement in the Posteromedial Compartment After Unicondylar Knee Arthroplasty”. Acta Orthopaedica et Traumatologica Turcica 47/4 (Eylül 2013), 291-294.
JAMA Elmadag M, Imren Y, Erdil M, Bilsel K, Tuncay İ. Excess retained cement in the posteromedial compartment after unicondylar knee arthroplasty. Acta Orthopaedica et Traumatologica Turcica. 2013;47:291–294.
MLA Elmadag, Mehmet vd. “Excess Retained Cement in the Posteromedial Compartment After Unicondylar Knee Arthroplasty”. Acta Orthopaedica Et Traumatologica Turcica, c. 47, sy. 4, 2013, ss. 291-4.
Vancouver Elmadag M, Imren Y, Erdil M, Bilsel K, Tuncay İ. Excess retained cement in the posteromedial compartment after unicondylar knee arthroplasty. Acta Orthopaedica et Traumatologica Turcica. 2013;47(4):291-4.