Onur KOCADAL, Murad PEPE, Cem Nuri AKTEKİN, Abdurrahman SAKAOĞULLARI, Zafer GÜNEŞ, Bilgehan TAĞRIKULU, Abdülaziz TEMİZ, Mehmet YÜCEL

DİZ EKLEMİ FOKAL TAM KAT KIKIRDAK DEFEKTLERİNİN SINIRLI YÜZEY DEĞİŞTİRME ARTROPLASTİSİ İLE TEDAVİSİ: KISA DÖNEM SONUÇLAR

AMAÇ: Femoral trokleada fokal tam kat kıkırdak kaybı nedeniyle limitli yüzey değiştirme artroplastisi uygulanan hastaların kısa dönem fonksiyonel sonuçlarının değerlendirilmesi amaçlanmıştır.GEREÇ VE YÖNTEMLER: Nisan 2014 - Aralık 2014 tarihleri arasında femoral trokleada tam kat fokal kıkırdak lezyonu nedeni sınırlı yüzey değiştirme artroplastisi olan hastalar retrospektif olarak değerlendirildi. Vücut kitle indeksi 35' ten büyük hastalar, takip süresi 6 aydan kısa olan hastalar, inflamatuar artropatiler ve geçirilmiş diz cerrahisi olan hastalar çalışma dışı bırakıldı. Çalışma kriterlerini taşıyan 9 hasta çalışmaya dahil edildi. Hastaların kıkırdak lezyonlarının değerlendirilmesinde modifiye Outerbridge sınıflaması kullanıldı. Cerrahi öncesi ve sonrası fonksiyonel durumun değerlendirilmesi, Kujala skorlaması ile yapıldı.BULGULAR: Ortalama takip süresi 13.7 ± 2.9 ay; ortalama yaş 50.8 ± 3.5 yıl idi. Cerrahi sonrası ortalama Kujala skoru (83.6 ± 10.7 ), cerrahi öncesine göre (45.6 ± 11.1) istatistiksel olarak anlamlı düzeyde artmıştı (p

TREATMENT OF FOCAL FULL THICKNESS CARTILAGE DEFECTS BY USING RESURFACING ARTRHROPLASTY: SHORT TERM OUTCOMES

OBJECTIVE: The aim of this study was to evaluate the short-term functional outcomes of patients who underwent limitedsurface replacement arthroplasty due to the femoral trochlear focal full thickness cartilage loss.MATERIALS AND METHODS: Between April 2014 - December 2014 patients were evaluated retrospectively who underwentlimited surface replacement arthroplasty due to femoral trochlear full thickness focal cartilage lesions. Patients wereexcluded from the study for BMI of greater than 35, patients with less than 6 months of follow-up, patients with inflammatoryarthropathy and patients with previous knee surgery. 9 patients were included in the study who met the inclusion criteria.Modified Outerbridge classification was used in the evaluation of patients's cartilage lesions. The preoperative and postoperativeassessment of functional status was performed by Kujala scores.RESULTS: The mean follow-up was 13.7 ± 2.9 months and the mean age 50.8 ± 3.5 years. The average Kujala score wasstatistically significantly increased after surgery (the mean preoperative Kujala scores was 45.6 ± 11.1 - the mean postoperativeKujala scores was 83.6 ± 10.7, p

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