Burcu TEKİN, BAYRAM ÜNVER, Vasfi KARATOSUN

Expectations in patients with total knee arthroplasty

Amaç: Total diz artroplastisinde (TDA) birincil amaç ağrının giderilmesi ve işlev gören bir diz eklemi elde edilmesidir. Bu konudaki savlar Doğu toplumlarında yaşam tarzı, kültür ve beklentiler açısından fazla diz fleksiyonunun gerekliliğini belirtmektedir. Bu nedenle yaşam tarzına ve kültürel alışkanlıklarla ilişkili olarak toplumlara özgü bilgilere gereksinim duyulmaktadır. Bu çalışmanın amacı TDA uygulanan hastaların beklentilerinin incelenmesiydi. Çalışma planı: Çalışmaya gonartroz nedeniyle primer çimentolu TDA yapılan 131 hasta (18 erkek, 113 kadın; ortalama yaş: 66.2±8.3) alındı. Tüm hastalar aynı cerrah tarafından aynı cerrahi teknikle aynı implantlar kullanılarak ameliyat edildi. Hastalar Hospital for Special Surgery (HSS) diz skalası, 15 sorudan oluşan klinik değerlendirme soru anketi ve HSS diz artroplastisi beklenti anketi ile değerlendirildiler. Bulgular: Hastaların ortalama HSS sağ diz skoru 89.2±10.5, sol diz skoru 89.6± 9.4 idi. Hastaların ameliyattan en fazla beklentileri; ağrının azalması (%99.2) ve yürümenin geliştirilmesi (%96.2) iken, en az beklentileri ise psikolojik iyilik halinin (%22.9) ve başkalarıyla iletişim kurma yeteneğinin gelişmesi (%35.1) oldu. Beklentiler eğitim düzeyi ve çalışma koşullarından etkilenmemekteydi. Çıkarımlar: Batı ve Amerikan toplumlarına benzer şekilde hastaların en önemli beklentileri ağrının giderilmesi ve fonksiyonların (yürüme, merdiven inip-çıkma, yardımcı cihaz kullanmamak) restorasyonu idi.

Total diz artroplastisi uygulanan hastaların beklentileri

Objective: The primary objective of total knee arthroplasty (TKA) is to decrease pain and restore functional knee joint. Current hypotheses indicate higher knee flexion is required in terms of life style, culture and expectations in Eastern communities. Therefore, society-specific features related to life style and cultural habits are needed. The objective of this study was to investigate the expectations of patients undergoing TKA. Methods: The study included 131 patients (18 male, 113 female; mean age: 66.2±8.3 years) who underwent cemented TKA due to knee osteoarthritis. All patients were operated by the same surgeon using the same implant and surgical technique. Patients were evaluated using the Hospital for Special Surgery (HSS) knee score, a 15-item clinical knee assessment questionnaire and the HSS knee arthroplasty expectation questionnaire. Results: Mean HSS score for the right knee was 89.2±10.5 and for the left knee was 89.6±9.4. The two most expected outcomes were improvements in pain (99.2%) and gait (96.2%) and the two least expected outcomes were improvements in psychological well-being (22.9%) and communicative skills (35.1%). Expectations were not affected by education and working conditions. Conclusion: Patients’ most expected outcomes were improvement in pain and restoration of function (gait, climbing stairs and no need of assistive devices), similar to Western and American communities

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