Mehmet ERDURAN, Nihat Demirhan DEMİRKIRAN, Levent HOROZ

PARSİYEL DİZ PROTEZİ: ENDİKASYONLAR, HASTA SEÇİMİ, KOMPLİKASYONLAR

Osteoartritin en yaygın tutulum bölgelerinden biri olan diz, özellikle yaşlılarda önde gelen morbidite nedenidir ve sıklıkla medial kompartman etkilenir. Diz ekleminde hemiartroplasti (unikondiler = unikompartmantal = parsiyel), ilk kez 1950’lerin başında tanımlanmıştır. 1970’ lerin sonlarına doğru, birbirinden oldukça farklı ve çoğunlukla başarısız sonuçların olması parsiyel diz protezine (PDP) ilgiyi azaltmıştır. Protez tasarımları, cerrahi teknik ve enstrumantasyondaki gelişmeler ilgiyi tekrar arttırmıştır. Uygun hasta seçimi ve doğru cerrahi teknikle uygulanan PDP’ler sonrası literatürde oldukça iyi sonuçlar yayınlanmıştır. PDP aktivasyon düzeyi çok olmayan genç hastaların tek kompartman osteoartriti için ilk protez ameliyatı, yaşlı hastalar için son protez ameliyatı olarak düşünülebilir.

Anahtar Kelimeler:

parsiyel diz protezi, unikondiler artroplasti, ENDİKASYONLAR

UNICONDYLAR KNEE ARTHROPLASTY: INDICATIONS, DIAGNOSIS, COMPLICATIONS

The knee is one of the most commonly involved area in osteoarthritis, the leading cause of morbidity especially in the elderly and medial compartment is more often affected. Hemiarthroplasty (unicondylar= unicompartmental=partial) replacement surgery of the knee joint was first described in the early 1950s. Towards the end of 1970's, quite different from each other and often unsuccesfull results have reduced interest in partial knee replacement(UKA). The developments in implant design, surgical techniques and instrumentation increased interest in UKA again. Folloing an appropriate patient selection and surgical technique quite good results of UKA have been published in the literature. UKA can be considered as the first replacement surgery for young active patients with single compartment osteoarthritis; and as the final prosthesis surgery for elderly patients.

Keywords:

hemiarthroplasty of the knee,

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