Unikompartmantal diz protezi ve yüksek tibial osteotomi sonrası hasta memnuniyetlerinin karşılaştırılması
Yükleniyor...
Dosyalar
Tarih
2010
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada medial kompartman gonartrozunun tedavisinde, unikondiler diz protezi ve yüksek tibial osteotomi uygulamalarının hasta memnuniyeti üzerine etkilerini karşılaştırmayı amaçladık. Gereç ve Yöntem: Çalışmamıza 2005 ? 2009 yılları arasında yapılan YTO ve UKDP uyguladığımız toplam 73 hasta alındı. 53 hastanın 62 dizine Faz 3 Oxford Unikompartmental Diz Protezi uygulandı. Hastaların 48'i (%90) kadın, 5'i (%10) erkek idi. Hastaların ortalama yaşı 61 (46-76) idi. 20 hastanın 25 tibiasına medial açık kama yüksek tibial osteotomi uygulandı. Hastaların 5'i (%25) erkek, 15 `i(%75) kadın idi. Ortalama yaıları 54(45 ? 63) idi. Hastalarımızın preoperatif ve postoperatif değerlendirmeleri WOMAC, SF-36 formlarına göre yapıldı. istatistiksel sonuçları SPSS 11.0 programı kullanılarak hesaplandı. Bulgular Her iki grubun da yaş dağılımları biribirine benzer bulundu. WOMAC değerlendirmesine göre; YTO' nun ?sertlik? üzerine etkisi daha iyiyken, UKDP' nin ?sosyal fonksiyonlar? üzerine etkisi daha iyi bulundu. SF-36 değerlendirmesine göre ise; UKDP' nin ?fiziksel rol? ve ?emosyonel rol? üzerine etkisinin YTO' dan daha iyi olduğu bulundu. Sonuç: Unikondiler diz protezi ve yüksek tibial osteotomi, medial kompartman gonartrozunda tedavi edici etkileri kanıtlanmış cerrahi prosedürlerdir. Uygun endikasyonla ve hassas preoperatif değerlendirmelerden sonra uygulandıkları zaman, postoperatif hasta memnuniyeti ve klinik başarı oranının çok yüksek olabileceğine inanmaktayız.
Objective: In this study, we aimed to compare the patient satisfaction on the treatment of medial compartment gonarthrosis with unicondylar knee replacement and high tibial osteotomy. Materials and Methods Seventythree patients included in this study who were treated with HTO and UKA between 2005-2009. Phase 3 Oxford Unicompartmental knee prothesis was aplied to 62 knees of 53 patients. There were 48(%90) female and 5(%10) male. Mean age was 61(46-76). Open wedge medial high tibial osteotomy was performed at 25 tibias of 20 patients. 5(%25) of the patients were male and 15(%75) were female. Mean age was 54(45- 63). Patients pre and postoperative eveluations were done with WOMAC, SF-36 forms. Statistical results were calculated with SPSS 11.0 programme. Results: The age distribution of the two groups were similar to each other. According to the evaluation of the WOMAC; HTO 's effect on "hardness" was better, UKA?s effect on the "social function" was better. According to SF-36 it is found that, the effect of UKA on ?physical role? and ?emotional role? was beter than HTO. Conclusion: UKA and HTO are surgical prosedures that have proven treatment effects on the medial compartment gonarthrosis. We believe that when they are aplied with appropriate endication and sensitive preoperative evaluation, postoperative patient satisfaction and clinical success can be very high.
Objective: In this study, we aimed to compare the patient satisfaction on the treatment of medial compartment gonarthrosis with unicondylar knee replacement and high tibial osteotomy. Materials and Methods Seventythree patients included in this study who were treated with HTO and UKA between 2005-2009. Phase 3 Oxford Unicompartmental knee prothesis was aplied to 62 knees of 53 patients. There were 48(%90) female and 5(%10) male. Mean age was 61(46-76). Open wedge medial high tibial osteotomy was performed at 25 tibias of 20 patients. 5(%25) of the patients were male and 15(%75) were female. Mean age was 54(45- 63). Patients pre and postoperative eveluations were done with WOMAC, SF-36 forms. Statistical results were calculated with SPSS 11.0 programme. Results: The age distribution of the two groups were similar to each other. According to the evaluation of the WOMAC; HTO 's effect on "hardness" was better, UKA?s effect on the "social function" was better. According to SF-36 it is found that, the effect of UKA on ?physical role? and ?emotional role? was beter than HTO. Conclusion: UKA and HTO are surgical prosedures that have proven treatment effects on the medial compartment gonarthrosis. We believe that when they are aplied with appropriate endication and sensitive preoperative evaluation, postoperative patient satisfaction and clinical success can be very high.
Açıklama
Anahtar Kelimeler
Unikondiler diz protezi, Unicondylar knee arthroplasty, Yüksek tibial osteotomi, High tibial osteotomy, SF-36 sağlık taraması, SF-36 health survey, Hasta memnuniyeti, Patient satisfaction, Osteoartrit, Osteoarthritis
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Korucu, İ. H. (2010). Unikompartmantal diz protezi ve yüksek tibial osteotomi sonrası hasta memnuniyetlerinin karşılaştırılması. Selçuk Üniversitesi, Yayımlanmış uzmanlık tezi, Konya.
