UNİKOMPARTMANTAL DİZ PROTEZİ UYGULANAN HASTALARDA ÇİMENTO KULLANIMININ ERKEN-ORTA DÖNEM KLİNİK SONUÇLARA ETKİSİNİN KARŞILAŞTIRILMASI

Amac: Cimentosuz unikompartmantal diz protezi (UDP) kullanimi son zamanlarda artmistir. Bunun yaninda cimentolu ve cimentosuz UDP uygulamalarinin kiyaslandigi az sayida calisma bulunmaktadir. Bu calismanin amaci cimentolu ve cimentosuz UDP uygulamalarinin klinik sonuclarini karsilastirmaktir. Yontem: Retrospektif olarak 85 Oxford® UDP (38 cimentosuz, 47 cimentolu) uygulanan 78 hasta degerlendirildi. Takip suresi ortalama 18,3 ay (12-36) idi. Hastalarin klinik degerlendirilmesinde Oxford Diz Skoru (ODS) ve KOOS (Diz Yaralanma ve Osteoartrit Sonuc Skoru) kullanildi. Bulgular: Diz eklem hareket acikliklari, ODS, KOOS-agri, -semptom, -gunluk yasam, -spor ve -yasam kalitesi skorlari ameliyat oncesi ve sonrasi donemlerde her iki grup arasinda karsilastirildiginda istatistiksel olarak anlamli bir fark bulunmamistir (p>0,05). Her iki grup arasinda re-operasyon oranlari acisindan istatistiksel olarak anlamli fark yoktu (p>0,05). Cimentosuz grupta ortalama ameliyat suresi 39,2 dakika iken, cimentolu grupta 50,4 dakika idi (p<0,001). Sonuc: Cimentosuz UDP, cimentolu UDP’ye benzer oranda iyi klinik ve fonksiyonel sonuc saglamakla birlikte, benzer komplikasyon oranina ve daha kisa ameliyat suresine sahiptir. Bu konuda net bir sonuca varilabilmesi icin daha genis olgu serileri ve daha uzun takip suresine ihtiyac vardir.

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