Beden Kitle İndeksi 35 Üstü Olan Hastalarda Unikondiler Diz Protezi Kısa Dönem Sonuçlarımız

Year 2021, , 181 - 185, 07.06.2021

Şahin Çepni , Ahmet Fırat

https://doi.org/10.18521/ktd.809804

Abstract

Amaç:Bu çalışmada medial kompartman artrozlu obez hastalarda unikondiler diz protezinin kısa dönem sonuçlarınının ve komplikasyonlarının değerlendirilmesi amaçlandı.

Gereç ve Yöntem: Medial kompartman artrozu tanısıyla BKİ >35 olan 41 hastaya(36 kadın 5 erkek;ort.yaş 56)unikondiler diz protezi uygulandı.Tüm hastalara Oxford faz 3 çimentosuz protez kullanıldı.Hastalar ameliyat öncesi ve sonrası eklem hareket açıklığı,VAS,OKS,KSS part 1 ve KSS part 2 skorlamasına göre değerlendirildi.

Bulgular: Hastaların preop fleksiyonları ortalama 115 (90; 135) derece postop fleksiyonları ortalama 120 (90; 130) derece, preop ekstansiyonları ortalama 0 (-10; 0) derece postop fleksiyonları ortalama 0 (-15; 0) derece olup anlamlı fark saptanmamıştır.Hastaların preop KSS Part 1 58 (36; 82) postop 85 (57; 96)(p <0.001), preop KSS Part 2 50 (35; 80) postop 90 (51; 100) (p <0.001), preop Oxford skoru 16 (9; 30) postop 38 (20; 44) (p <0.001) olup istatistiksel olarak anlamlı bulunmuştur.1 hastada (%2.4) periprostatik eklem enfeksiyonu ,2 hastada (%4.9) insert çıkığı olmak üzere toplamda 3 hastada(%7,3) komplikasyon saptandı.

Sonuç:Bulgularamız,obez hastalarda unikondiler diz protezi uygulamasanın medial gonartroz tedavisinde kısa dönemde etkili ve başarılı olduğunu göstermektedir.Uzun dönem sonuçlar için daha uzun takip süreli çalışmalara ihtiyaç vardır.

Keywords

Unikondiler diz protezi, Medial gonartroz, Obezite

Supporting Institution

YOK

Project Number

72300690-799

The Short-Term Results of Unıcondylar Knee Prosthesis in Patients with Body Mass İndex Over 35

Abstract

Objective: To evaluate the short-term results and complications of unicondylar knee prosthesis in obese patients with medial compartment arthrosis.

Method: Unicondylar knee prosthesis was applied to 41 patients (36 females, 5 males; average age 56 years) with BMI >35 for the treatment of medial compartment arthrosis. Cementless Oxford phase 3 prosthesis was applied to all patients. Joint range of motion before and after surgery, VAS, OKS, and the KSS part 1 and part 2 scores of the patients were examined.

Results: Flexion was measured as mean 115° (range, 90°- 135°) preoperatively, and 120° (range, 90° - 130°) postoperatively, extension as mean 0° (range, -10°- 0°) preoperatively and 0° (range,-15° - 0°) postoperatively, with no significant difference determined. The KSS Part 1 score was mean 58 (range, 36-82) preoperatively, and 85 (range, 57 - 96) postoperatively (p <0.001). The KSS part 2 score was 50 (range, 35- 80) preoperatively, and 90 (range, 51 -100) postoperatively (p <0.001). The Oxford score was mean 16 (range, 9 - 30) preoperatively, and 38 (range, 20 - 44) postoperatively (p <0.001). The differences between these scores were determined to be statistically significant. Complications developed in a total of 3 patients as periprosthetic joint infection in 1 patient (2.4%), and insert dislocation in 2 patients (4.9%).

Conclusion: The study findings demonstrated that the application of unicondylar knee prosthesis is effective and successful in obese patients treated for medial gonarthrosis. There is a need for further long-term studies to confirm these results.

Keywords

unicondylar knee prosthesis, medial gonarthrosis, obesity

Project Number

72300690-799

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