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DOI :10.26650/IUITFD.1347402   IUP :10.26650/IUITFD.1347402    Tam Metin (PDF)

TOTAL DİZ ARTROPLASTİSİNDE, HAREKETLİ VE SABİT TASARIMLI TİBİAL İNSERT KULLANIMININ KLİNİK SONUÇLARA ETKİSİ: RETROSPEKTİF ÇALIŞMA

Mehmet Fevzi Çakmak, Levent Horoz

Amaç: Total diz replasmanı prosedürü ileri evre diz osteoartriti vakalarında yaygın olarak kullanılmakta ve tatmin edici sonuçlara ulaşılmaktadır. Sabit tasarımlı dizaynlar birçok yazar tarafından altın standart olarak bildirilmişken, hareketli tasarımlı dizaynların daha uyumlu eklemleşmesi ve buna bağlı eklem yüzeyinde düşük temas stresinin olduğu düşünülmektedir. Bu çalışmanın amacı, mobil ve sabit insert total diz protezi tasarımlarını karşılaştırmak ve klinik sonuçları bildirmektir.

Gereç ve Yöntem: Çalışmaya hareketli ve sabit tasarımlı özdeş implantlar uygulanan ve en az üç yıl takip edilen 212 hasta dahil edildi. Hastaların eklem hareket açıklığı, ağrı skorları, implant sağ kalımı ve fonksiyonel skorları kaydedildi.

Bulgular: Hareketli ve sabit tasarımlı dizaynlar karşılaştırıldığında sırasıyla gruplardaki olgu sayısı 106 ve 116 iken, ortalama yaş 63,1±8,0 ve 63,9±7,0 idi ve anlamlı fark izlenmedi. Birinci yıl ve son takipte Diz cemiyeti skoru (KSS), eklem hareket açıklığı and vizuel analog skala (VAS) açısından anlamlı fark izlenmedi. İki grubun ortalama takip süreleri sırasıyla 62,4 (38-92) ve 66,8 (40- 88) ay idi. Komplikasyon oranları her grup için benzerdi.

Sonuç: Hareketli ve sabit tasarımlı total diz protezlerinin klinik ve fonksiyonel sonuçları mükemmeldir. Hareketli insert tasarımlı total diz protezinin birçok teorik avantajına rağmen, bu çalışma iki grup arasında erken fonksiyonel sonuçlarda çok az anlamlı fark gösterdi. Çalışma sonucunda, hareketli ve sabit tasarımlı total diz protezlerinin klinik olarak birbirinden üstün olmadığı görüşüne varılmıştır. 

Anahtar Kelimeler: Total diz protezi, hareketli insert, sabit insert, protez aşınması, protez sağkalımı
DOI :10.26650/IUITFD.1347402   IUP :10.26650/IUITFD.1347402    Tam Metin (PDF)

EFFECTS OF MOBILE- AND FIXED-BEARING TIBIAL INSERTS ON CLINICAL RESULTS OF KNEE ARTHROPLASTY: A RETROSPECTIVE STUDY

Mehmet Fevzi Çakmak, Levent Horoz

Objective: Total knee replacement (TKR) procedures are widely used in cases of advanced knee osteoarthritis, and satisfactory results are achieved. Although the fixed-bearing (FB) design has been reported as the gold standard by many authors, the mobile-bearing (MB) design has been argued to have more harmonious articulation and to cause less contact stress on the joint surface. This study aims to compare mobile-bearing and fixed-bearing total knee replacement designs and presenting the clinical outcomes.

Material and Methods: The study includes 212 patients who’ve undergone MB and FB implants with identical design, had at least three years of follow-ups, and had their range of motion, pain scores, implant survival, and functional scores recorded.

Result: When comparing the MB and FB designs, the MB group has 106 cases with an average age of 63.1±8.0, and the FB group has 116 cases with an average age of 63.9±7.0 years; no significant difference was observed between the groups. Also, no significant difference was observed regarding Knee Society scores (KSS), range of motion (ROM), or visual analogue scales (VAS) between the first year and last follow-up. The mean follow-up times of the two groups are 62.4 months (range=38-92) for the MB group and 66.8 months (range=40-88) for the FB group. Each group also had similar complication rates.

Conclusion: The clinical and functional results for both the MB and FB-design total knee prostheses are excellent. Despite the many theoretical advantages of MB total knee replacement, this study shows little significant difference in the early functional outcomes between MB and FB prostheses. The study concludes neither MB- or FB-design TKR to have clinically superiority.

Anahtar Kelimeler: Total knee replacement, mobile bearing, fixed bearing, prosthesis loosening, prosthesis survival

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DIŞA AKTAR



APA

Çakmak, M.F., & Horoz, L. (2024). TOTAL DİZ ARTROPLASTİSİNDE, HAREKETLİ VE SABİT TASARIMLI TİBİAL İNSERT KULLANIMININ KLİNİK SONUÇLARA ETKİSİ: RETROSPEKTİF ÇALIŞMA. İstanbul Tıp Fakültesi Dergisi, 87(1), 81-86. https://doi.org/10.26650/IUITFD.1347402


AMA

Çakmak M F, Horoz L. TOTAL DİZ ARTROPLASTİSİNDE, HAREKETLİ VE SABİT TASARIMLI TİBİAL İNSERT KULLANIMININ KLİNİK SONUÇLARA ETKİSİ: RETROSPEKTİF ÇALIŞMA. İstanbul Tıp Fakültesi Dergisi. 2024;87(1):81-86. https://doi.org/10.26650/IUITFD.1347402


ABNT

Çakmak, M.F.; Horoz, L. TOTAL DİZ ARTROPLASTİSİNDE, HAREKETLİ VE SABİT TASARIMLI TİBİAL İNSERT KULLANIMININ KLİNİK SONUÇLARA ETKİSİ: RETROSPEKTİF ÇALIŞMA. İstanbul Tıp Fakültesi Dergisi, [Publisher Location], v. 87, n. 1, p. 81-86, 2024.


Chicago: Author-Date Style

Çakmak, Mehmet Fevzi, and Levent Horoz. 2024. “TOTAL DİZ ARTROPLASTİSİNDE, HAREKETLİ VE SABİT TASARIMLI TİBİAL İNSERT KULLANIMININ KLİNİK SONUÇLARA ETKİSİ: RETROSPEKTİF ÇALIŞMA.” İstanbul Tıp Fakültesi Dergisi 87, no. 1: 81-86. https://doi.org/10.26650/IUITFD.1347402


Chicago: Humanities Style

Çakmak, Mehmet Fevzi, and Levent Horoz. “TOTAL DİZ ARTROPLASTİSİNDE, HAREKETLİ VE SABİT TASARIMLI TİBİAL İNSERT KULLANIMININ KLİNİK SONUÇLARA ETKİSİ: RETROSPEKTİF ÇALIŞMA.” İstanbul Tıp Fakültesi Dergisi 87, no. 1 (May. 2024): 81-86. https://doi.org/10.26650/IUITFD.1347402


Harvard: Australian Style

Çakmak, MF & Horoz, L 2024, 'TOTAL DİZ ARTROPLASTİSİNDE, HAREKETLİ VE SABİT TASARIMLI TİBİAL İNSERT KULLANIMININ KLİNİK SONUÇLARA ETKİSİ: RETROSPEKTİF ÇALIŞMA', İstanbul Tıp Fakültesi Dergisi, vol. 87, no. 1, pp. 81-86, viewed 20 May. 2024, https://doi.org/10.26650/IUITFD.1347402


Harvard: Author-Date Style

Çakmak, M.F. and Horoz, L. (2024) ‘TOTAL DİZ ARTROPLASTİSİNDE, HAREKETLİ VE SABİT TASARIMLI TİBİAL İNSERT KULLANIMININ KLİNİK SONUÇLARA ETKİSİ: RETROSPEKTİF ÇALIŞMA’, İstanbul Tıp Fakültesi Dergisi, 87(1), pp. 81-86. https://doi.org/10.26650/IUITFD.1347402 (20 May. 2024).


MLA

Çakmak, Mehmet Fevzi, and Levent Horoz. “TOTAL DİZ ARTROPLASTİSİNDE, HAREKETLİ VE SABİT TASARIMLI TİBİAL İNSERT KULLANIMININ KLİNİK SONUÇLARA ETKİSİ: RETROSPEKTİF ÇALIŞMA.” İstanbul Tıp Fakültesi Dergisi, vol. 87, no. 1, 2024, pp. 81-86. [Database Container], https://doi.org/10.26650/IUITFD.1347402


Vancouver

Çakmak MF, Horoz L. TOTAL DİZ ARTROPLASTİSİNDE, HAREKETLİ VE SABİT TASARIMLI TİBİAL İNSERT KULLANIMININ KLİNİK SONUÇLARA ETKİSİ: RETROSPEKTİF ÇALIŞMA. İstanbul Tıp Fakültesi Dergisi [Internet]. 20 May. 2024 [cited 20 May. 2024];87(1):81-86. Available from: https://doi.org/10.26650/IUITFD.1347402 doi: 10.26650/IUITFD.1347402


ISNAD

Çakmak, MehmetFevzi - Horoz, Levent. “TOTAL DİZ ARTROPLASTİSİNDE, HAREKETLİ VE SABİT TASARIMLI TİBİAL İNSERT KULLANIMININ KLİNİK SONUÇLARA ETKİSİ: RETROSPEKTİF ÇALIŞMA”. İstanbul Tıp Fakültesi Dergisi 87/1 (May. 2024): 81-86. https://doi.org/10.26650/IUITFD.1347402



ZAMAN ÇİZELGESİ


Gönderim22.08.2023
Kabul23.10.2023
Çevrimiçi Yayınlanma23.01.2024

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