Hakan ASLAN, Osman Yağız ATLI, Hüseyin Bilgehan ÇEVİK

UNİKOMPARTMANTAL DİZ PROTEZİ UYGULANAN HASTALARDA ÇİMENTO KULLANIMININ ERKEN-ORTA DÖNEM KLİNİK SONUÇLARA ETKİSİNİN KARŞILAŞTIRILMASI

Amaç: Çimentosuz unikompartmantal diz protezi (UDP) kullanımı son zamanlarda artmıştır. Bunun yanında çimentolu ve çimentosuz UDP uygulamalarının kıyaslandığı az sayıda çalışma bulunmaktadır. Bu çalışmanın amacı çimentolu ve çimentosuz UDP uygulamalarının klinik sonuçlarını karşılaştırmaktır.Yöntem: Retrospektif olarak 85 Oxford® UDP (38 çimentosuz, 47 çimentolu) uygulanan 78 hasta değerlendirildi. Takip süresi ortalama 18,3 ay (12-36) idi. Hastaların klinik değerlendirilmesinde Oxford Diz Skoru (ODS) ve KOOS (Diz Yaralanma ve Osteoartrit Sonuç Skoru) kullanıldı.Bulgular: Diz eklem hareket açıklıkları, ODS, KOOS-ağrı, -semptom, -günlük yaşam, -spor ve -yaşam kalitesi skorları ameliyat öncesi ve sonrası dönemlerde her iki grup arasında karşılaştırıldığında istatistiksel olarak anlamlı bir fark bulunmamıştır (p>0,05). Her iki grup arasında re-operasyon oranları açısından istatistiksel olarak anlamlı fark yoktu (p>0,05). Çimentosuz grupta ortalama ameliyat süresi 39,2 dakika iken, çimentolu grupta 50,4 dakika idi (p<0,001).Sonuç: Çimentosuz UDP, çimentolu UDP’ye benzer oranda iyi klinik ve fonksiyonel sonuç sağlamakla birlikte, benzer komplikasyon oranına ve daha kısa ameliyat süresine sahiptir. Bu konuda net bir sonuca varılabilmesi için daha geniş olgu serileri ve daha uzun takip süresine ihtiyaç vardır.

Anahtar Kelimeler:

Diz artroplastisi, diz protezi, Unikondiler, unikompartmantal, fiksasyon

THE EFFECT OF CEMENT USAGE ON CLINICAL OUTCOMES IN PATIENTS UNDERGOING UNICOMPARTMENTAL KNEE PROSTHESIS

Objective: The use of uncemented unicompartmental knee prostheses (UKP) has recently increased. However, there are few studies comparing cemented and uncemented UKP. The aim of this study was to compare the clinical results of cemented and uncemented UKP.Methods: This retrospective study evaluated and compared the clinical outcomes of 85 Oxford® UDP (38 without cement, 47 cement) implanted in 78 patients. The mean follow-up period was 18.3 months (range, 12-36 months). Oxford Knee Score (OKS) and KOOS (Knee Injury and Osteoarthritis Outcome Score) were used for clinical evaluation. Results: There were no statistically significant difference between the two groups before and after surgery in the knee joint range of motion, OKS, KOOS -pain, -symptoms, -activities of daily living, -sport and -quality of life scores (p>0.05). There was no statistically significant difference between the two groups in terms of re-operation rates (p>0.05). The mean surgery time in the uncemented group was 39.2 minutes, while it was 50.4 minutes in the cemented group (p<0.001).Conclusion: Uncemented UDP provides good clinical and functional results similar to cemented UDP, and has a similar complication rate and shorter operative time. In order to reach a definite conclusion on this issue, larger case series and longer follow-up time are needed.

Keywords:

Knee arthroplasty, knee prostheses, Unicondylar, unicompartmental, fixation,

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