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- Title
Aynı Seans Bilateral ve Tek Taraflı Medial Unikompartmental Diz Artroplastisi Yapılan Hastaların Klinik Sonuçlarının ve Bilateral Uygulamanın Güvenilirliğin Karşılaştırılması.
- Authors
YILDIZ, Fatih; ERDEN, Tunay; UZER, Gökçer; TUNCAY, İbrahim
- Abstract
Objective: To evaluate the effectiveness and safety of the patients receiving bilateral Oxford medial UKA under a single anesthetic procedure. 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 I; n=137) and one-stage simultaneous bilateral (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), ages (p=0.447), preoperative body mass indexes (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 (p=0.358) of the tibial components was statistically similar. Although the mean varus-valgus angulations (p=0.033) of the femoral components were statistically different, it is 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 I, 21 (16.0%) patients reported excellent, 91 (69.5%) patients good and 4 (3.1%) patients moderate satisfaction. Fifteen (11.5%) patients reported non-satisfaction. In group II, 20 (24.4%) patients reported excellent, 50 (61.0%) patients good and 2 (2.4%) patients moderate satisfaction. Ten (12.2%) patients reported non-satisfaction (p>0.05). Eight (5.8%) complications in group I and, 3 (3.4%) complications in group II observed. The number of complications was not statistically different between the groups (p=0,535). Conclusion: One-stage simultaneous bilateral Oxford medial UKA is a safe and effective method with acceptable complication rates compared to unilateral surgery.
- Publication
Bezmialem Science, 2018, Vol 6, Issue 4, p1
- ISSN
2148-2373
- Publication type
Article
- DOI
10.14235/bs.2018.2400