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Journals / Bezmiâlem Science / 2019 / Cilt: 7 - Sayı: 1

Objective: To evaluate the effectiveness and safety of bilateral Oxford medial unicompartmental knee arthroplasty (UKA) in the patients under a single anesthetic procedure.

Aynı Seans Bilateral ve Tek Taraflı Medial Unikompartmantal Diz Artroplastisi Yapılan Hastaların Klinik Sonuçlarının ve Bilateral Uygulamanın Güvenilirliğinin Karşılaştırılması

FATİH YILDIZ
Tunay ERDEN
Gökçer ÜZER
İbrahim TUNCAY
Pages
47–51
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In group 1, 21 (16.0%) patients reported excellent, 91 (69.5%) good and 4 (3.1%) moderate satisfaction.

📌 3 Key Takeaways

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Objective & Hypothesis:Methods: Between October 2013 and December 2015, 225 knees of 181 (age 67.5 years) patients with at least two years of follow- up were evaluated.
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Key Findings & Data:They were divided into two groups as unilateral group (group 1, n=137) and one-stage simultaneous bilateral group (group 2, n=44) for the comparisons.
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Conclusion & Impact:In group 1, 21 (16.0%) patients reported excellent, 91 (69.5%) good and 4 (3.1%) moderate satisfaction.
🔬Design:Research Article
📍Scope:2013 Verileri
⚙️Variables:Domain Parameters

Abstract

Methods: Between October 2013 and December 2015, 225 knees of 181 (age 67.5 years) patients with at least two years of follow- up were evaluated. They were divided into two groups as unilateral group (group 1, n=137) and one-stage simultaneous bilateral group (group 2, n=44) for the comparisons. The outcome parameters were femoral and tibial component positions measured on the full-length radiographs, clinical outcomes using Oxford Knee Score (OKS), International Knee Documentation Committee Score (IKDC), patient reported satisfaction and complications.Results: Between the groups, the mean follow-up periods (p=0.125), age (p=0.447), preoperative body mass index (p=0.288), OKS (p=0.314) and IKDC (p=0.127) scores were not significantly different. Postoperatively, the mean flexion of the femoral component (p=0.544), posterior slope (p=0.511), varus-valgus angulation of the tibial components (p=0.358) were statistically similar between groups. Although the mean varus-valgus angulation of the femoral components (p=0.033) was statistically different between groups, the difference was too small to make clinical significance. The mean postoperative OKS (p=0.272) and IKDC (p=0.106) were similar between the groups. In group 1, 21 (16.0%) patients reported excellent, 91 (69.5%) good and 4 (3.1%) moderate satisfaction.

Özet

Amaç: Bu çalışmanın amacı genel anestezi altında aynı seansta bilateral Oxford medial unikompartmantal diz artroplastisi (UDA) uygulanan hastalarda tedavinin etkinliğini ve güvenilirliğini belirlemektir. Yöntemler: Ekim 2013 ile Aralık 2015 arasında medial UDA yapılmış ve en az 2 yıl takipli 181 hastaya ait (ortalama yaş 67,5 yıl) 225 diz değerlendirildi. Hastalar tek dizden (grup 1, n=137) ve aynı seansta her iki dizden (grup 2, n=44) ameliyat edilenler olmak üzere iki gruba ayrıldılar. Bacak uzunluk grafilerinde ölçülen femoral ve tibial komponent pozisyonları, klinik değerlendirmede Oxford Diz Skoru (OKS), Uluslararası Diz Dokümentasyon Komitesi Skoru (IKDC), hasta memnuniyeti ve komplikasyonlar değerlendirildi. Bulgular: Gruplar arasında ortalama takip süreleri (p=0,125), yaş (p=0,447), ameliyat öncesi vücut kitle indeksleri (p=0,288), OKS (p=0,314) ve IKDC skorları (p=0,127) açısından anlamlı farklılık yoktu. Ameliyat sonrası dönemde, radyolojik olarak femoral komponentin ortalama fleksiyon derecesi (p=0,544), posterior tibial eğim açısı (p=0,511), tibial komponentin varus-valgus açılanmaları (p=0,358) benzerdi. Femoral komponentin varus- valgus açılanmaları arasında ise klinik olmasa da istatistiksel anlamlı fark bulundu (p=0,033). Ameliyat sonrası OKS (p=0,272) ve IKDC skoru (p=0,106) gruplar arasında benzerdi. Hasta memnuniyeti sorgulandığında grup 1’de 21 (%16,0) hastanın çok memnun, 91 (%69,5) hastanın memnun, 4 (%3,1) hastanın belirsiz ve 15

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Cite This Article

YILDIZ, F., ERDEN, T., ÜZER, G., TUNCAY, İ. (2019). Objective: To evaluate the effectiveness and safety of bilateral Oxford medial unicompartmental knee arthroplasty (UKA) in the patients under a single anesthetic procedure.. Bezmiâlem Science, Cilt: 7 - Sayı: 1, 47–51. https://ajindex.com/articles/147282

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