İki aşamalı revizyon total diz protezi uygulamaları

1990 ile 2002 tarihleri arasında infekte total diz artroplas-tili 34 hastanın iki aşamalı olarak yapılan revizyon diz art-roplastilerinin kısa dönem klinik ve radyolojik sonuçları araştırıldı. 32'si kadın ikisi erkek olan hastaların ortalama yaşı 65.2 ( 56-71) olup ortalama takip süreleri 69 ay (12-102) idi. Hastaların son kontrolleri Diz Cemiyeti klinik ve radyolojik değerlendirme sistemine göre yapıldı. Diz skoru ameliyat öncesi 46.5 puandan 84.4 puana, fonksiyon skoru 34.5 puandan 75.5 puana yükselmişti. Son kontrollerde ameliyat öncesi maksimurn fleksiyon derecesinin ortalama 753°' den ameliyat sonrası ortalama 92.8°'ye yükseldiği saptandı. Sadece bir hastada reinfeksiyon görüldü.Alınan sonuçlarla, infekte diz artroplastisi sonrası iki aşamalı olarak yapılan revizyon diz artroplastisinin başarılı ve etkin bir tedavi yöntemi olduğu sonucuna varıldı.

Two-stage revision total knee arthroplasty

Two-Stage Revision Total Knee Arthroplasty f rom 1990 to 2002, thirty-four two stage revision total knee arthroplasties (TKA) performed in 34 patients with infected primary TKA were studied to determine the short-term clinical and roentgenographic results. There were 32 females and 2 male. The mean age was 65.2 (56-71) years and the mean follow-up time was 69 (12-102) months. The outcome of the TKA was assessed using the Knee Society clinical and roentgenographic rating system. The knee score improved from a preoperative value of 46.5 points to 84.4 points and the function score improved from 34.5 points to 75.5 points at last evaluation. Preoperatively the mean maximum flexion was 75.3o and improved to an average of 92.89 at final followup. There have been öne reinfection. The results suggest that predictable and satisfactory results can be obtained in a two stage reimplantation f ör the salvage of infected total knee arthropasty.

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