Total Diz Protezli Hastalarda Ameliyat Öncesi Diz Fleksiyon Derecesi Ameliyat Sonrası Diz Fleksiyonu ve Fonksiyonlarını Etkiler Mi?
GİRİŞ ve AMAÇ: Bilateral Total Diz Artroplasti’li (TDA) hastalarda, ameliyat öncesi diz fleksiyon derecesinin, ameliyat sonrası diz fleksiyon derecesi ve HSS (Hospital for Special Surgery) diz skoru üzerine olan etkisinin incelenmesi amacı ile planlandı. YÖNTEM ve GEREÇLER: Çalışmaya primer TDA uygulanan 59 hasta dâhil edildi. Hastaların ameliyat öncesi ve ameliyat sonrası 6.ayda gonyometre ile diz hareket açıklıkları, HSS diz skorlaması ile diz fonksiyonları değerlendirildi. BULGULAR: TDA’lı hastaların diz fleksiyon derecelerinde ameliyat sonrası dönemde, ameliyat öncesine döneme göre anlamlı bir artış olduğu belirlendi (p
Does Preoperative Knee Flexion Angle Affect Postoperative Knee Flexion Angle and Function in Patients With Total Knee Arthroplasty?
INTRODUCTION: The aim of this study was to investigate theeffects of preoperative and postoperative knee flexion angleand HSS knee score in patients with bilateral total kneearthroplasty (TKA).METHODS: The study included 59 patients who underwentprimary TKA. The participants’ preoperative andpostoperative knee movements were assessed with thegoniometer and their preoperative and postoperative kneefunctions were assessed with the HSS scoring.RESULTS: The comparison of the preoperative andpostoperative knee flexion scores of the patients with TKArevealed a significant increase (p
___
- Azboy İ, Yalvaç ES, Azboy N, et al.
Preferences of surgeons in total knee and hip
arthroplasty, and operating room facilities in Turkey:
a survey. Eklem Hastalik Cerrahisi 2016;27(1):34-
40.
- Anouchi YS, McShane M, Kelly F Jr, et al.
Range of motion in total knee replacement. Clin
Orthop Relat Res 1996;331(2):87-92.
- Parsley BS, Engh GA, Dwyer KA. Preoperative
flexion. Does it influence postoperative flexion after
posterior- cruciate-retaining total knee arthroplasty?
Clin Orthop Relat Res 1992;275:204-10.
- Bakirhan S, Unver B, Karatosun V.
Comparison of early postoperative functional
activity levels of patients undergoing unilateral and bilateral total knee arthroplasty. Acta Orthop
Traumatol Turc 2009;43(6):478-83.
- Li PH, Wong YC, Wai YL. Knee flexion after
total knee arthroplasty. J Orthop Surg (Hong Kong)
2007;15(2):149-53.
- Bakırhan S, Ünver B, Karatosun V. Effects of
two different continuous passive motion protocols
on the functional activities of total knee arthroplasty
inpatients. Acta Orthop Traumatol Turc
2015;49(5):497-502.
- Bugała-Szpak J, Kusz D, Dyner-Jama I Early
evaluation of quality of life and clinical parameters
after total knee arthroplasty. Ortop Traumatol
Rehabil. 2010;12(1):41-9.
- Schurman DJ, Parker JN, Ornstein D. Total
condylar knee replacement. A study of factors
influencing range of motion as late as two years after
arthroplasty. J Bone Joint Surg Am 1985;67:1006-14
- Ritter MA, Harty LD, Davis KE, et al.
Predicting range of motion after total knee
arthroplasty. J Bone Joint Surg Am 2003;85-A:1278-
85
- Norkin CC and White DJ. Measurement of
joint motion: a guide to goniometry: Philadelphia:
FA Davis, 1985.
- Bakirhan S, Angin S, Karatosun V, et al. A
comparison of static and dynamic balance in patients
with unilateral and bilateral total knee arthroplasty.
Eklem Hastalik Cerrahisi 2009;20(2):93-101.
- Kotani A, Yonekura A, Bourne RB. Factors
Influencing Range of Motion After Contemporary
Total Knee Arthroplasty. J Arthroplasty 2005;20(7):
850-6.
- Chesham RA and Shanmugam S. Does
preoperative physiotherapy improve postoperative,
patient-based outcomes in older adults who have
undergone total knee arthroplasty? A systematic
review. Physiother Theory Pract 2017;33(1):9-30.
- Devers BN, Noble PC, Jamiesom ML, et al.
Does greater knee flexion increase patient function
and satisfaction after total knee arthroplasty? J
Arthroplasty 2011;26(2):178–86.
- Shoji H, Solomonow M, Yoshino S, et al.
Factors affecting postoperative flexion in total knee
arthroplasty. Orthopedics 1990;13(6):643–9.
- Lizaur A, Marco L, Cebrian R. Preoperative
factors influencing the range of movement after total
knee arthroplasty for severe osteoarthritis. J Bone
Joint Surg Br 1997;79(4):626–9.
- Schurman DJ, Matityahu A, Goodman SB, et
al. Prediction of postoperative knee flexion in Insall-
Burstein II total knee arthroplasty. Clin Orthop
1998;353:175–84.
- Pasquier G, Tillie B, Parratte S, et al. Influence
of preoperative factors on the gain in flexion after
total knee arthroplasty. Orthop Traumatol Surg Res
2015;101(6):681-5
- Narin S, Unver B, Bakırhan S, et al. Crosscultural
adaptation, reliability and validity of the
Turkish version of the Hospital for Special Surgery
(HSS) Knee Score. Acta Orthop Traumatol Turc
2014;48(3):241-8.
- Mat E, Ismail MS, Sharifudin MA, et al.
Preoperative physiotherapy and short-term
functional outcomes of primary total knee
arthroplasty. Singapore Med J 2016;57(3):138-43.
- Giesinger JM, Hamilton DF, Jost B, et al.
WOMAC, EQ-5D and knee society score thresholds
for treatment success after total knee arthroplasty. J
Arthroplasty 2015;30(12):2154-8.
- Miner AL, Lingard EA, Wright EA, Sledge
CB, Katz, JN: the Kinemax Outcomes Group. Knee
range of motion after total knee arthroplasty. How
important is this as an outcome measure? Journal of
Arthroplasty 2003;18(3):286–294.