Marius Costel BAR, François DAUBRESSE, Sébastien HUGON

Total diz artroplastisinde bilgisayar yardımlı navigasyonun avantajları

Amaç: Çalışmamızın amacı bilgisayar yardımlı total diz artroplasitisi (BY-TDA) ile bilgisayar yardımsız (konvansiyonel) total diz artroplastisinin (K-TDA) sonuçlarını karşılaştırmaktı. Çalışma planı: Yüzyetmişbeş TDA olgusunu inceleyerek, cerrahide bilgisayar yardımı kullanılıp kullanılmamasına göre hastaları iki gruba ayırdık. A Grubu'nu K-TDA yapılan 50 hasta (35 kadın, 15 erkek; ort. yaş: 61.3), B Grubu'nu ise BY-TDA yapılan 125 olgu (94 kadın, 31 erkek; ort. yaş: 70.9) oluşturdu. Grupların sonuçları insizyon uzunluğu, hastanede kalma süresi ve protezin dizilimi göre karşılaştırıldı. Bulgular: Koronal düzlemde optimal protez yerleşimi sağlanma oranı BY-TDA grubunda %95.2 ile, K-TDA grubundaki %74 oranına göre belirgin şekilde yüksekti (pcO.OOOl). Ortalama cerrahi süresi K-TDA grubunda 69.32 (dağılım: 45-94) dakika iken, BY-TDA grubunda 70.21 (dağılım: 46-98) dakika idi. Ortalama cerrahi insizyon uzunluğu K-TDA grubunda 15.78 (dağılım: 11-18.4) cm, BY-TDA grubunda ise 12.6 (dağılım: 9.2-16.6) cm idi. Ortalama hastanede yatış süresi BY-TDA grubunda 7.3 (dağılım: 5-16) gün, K-TDA grubunda ise 8.5 (dağılım: 5-17) gün idi. Çıkarımlar: Sonuçlarımız bilgisayar yardımının TDA'da daha doğru bir protez hizalama ve yerleşimine yardımcı olduğunu göstermektedir. Kısalan insizyon uzunluğu ve hastanede yatış süresi bu tekniğin diğer avantajları olarak gözükmektedir.

Anahtar Kelimeler:

Tedavi sonucu, Cerrahi, bilgisayar destekli, Artroplasti, replasman, diz, Geriyedönük çalışma, Ameliyat sonrası komplikasyonlar, Yatış süresi, Cerrahi işlemler, minimal invaziv, Zaman faktörleri, İntraoperatif dönem, Osteoartrit, diz, Fonksiyon iyileşmesi

The advantages of computer assistance in total knee arthroplasty

Objectives: The aim of this study was to compare the results of computerassisted total knee arthroplasty (CA-TKA) and non-computer-assisted total knee arthroplasty (C-TKA). Methods: We reviewed 175 cases of TKA and assigned them into two groups according to the use of computer assistance. Group A consisted of 50 cases (35 women, 15 men; mean age: 61.3 years), who had C-TKA and Group B consisted of 125 cases (94 women, 31 men; mean age: 70.9 years), CA-TKA. The results of the groups were compared based on the length of the incision, the duration of the surgery, the length of hospitalization and the final alignment of the prosthesis. Results: The achievement rate of optimal alignment in the coronal plane was significantly high er in the CA-TKA group (95.2%) than the C-TKA group (74%) (p<0.0001). The average surgi cal time was 69.32 minutes in the C-TKA group (range: 45-94 minutes) and 70.21 minutes in the CA-TKA group (range: 46-98 minutes). The average surgical incision length was 15.78 (range: 11-18.4) cm in the C-TKA group and 12.6 (range: 9.2-16.6) cm in the CA-TKA group. The aver age hospital stay was 7.3 (range: 5-16) days for the CA-TKA group and 8.5 (range: 5-17) days for the C-TKA group. Conclusion: Our results suggested that computer assistance provides a more accurate alignment in TKA. The reduced incision length and hospitalization time appear as two other advantages of this technique.

Keywords:

Treatment Outcome, Surgery, Computer-Assisted, Arthroplasty, Replacement, Knee, Retrospective Studies, Postoperative Complications, Length of Stay, Surgical Procedures, Minimally Invasive, Time Factors, Intraoperative Period, Osteoarthritis, Knee, Recovery of Function,

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