Yıl: 2019 Cilt: 30 Sayı: 2 Sayfa Aralığı: 79 - 84 Metin Dili: İngilizce DOI: 10.5606/ehc.2019.66900 İndeks Tarihi: 25-11-2019

Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty

Öz:
Objectives: This study aims to compare the results of total knee arthroplasties (TKAs) performed after previous combined high tibial osteotomy (CO) to those of a matched control group of primary TKA. Patients and methods: Between 01 August 2006 and 31 December 2011, we performed 24 consecutive cemented TKAs in 24 patients (10 males, 14 females; mean age 69.5 years; range, 60 to 79 years) who had undergone previous CO (study group). The study group was compared to a control group of 24 patients (10 males, 14 females; mean age 69.9 years; range, 63 to 79 years) who were performed primary TKA during the same period. Pre- and postoperative The Knee Society knee and function score and range of movement were determined. The femorotibial angle, the distance between the tangent to the lateral subchondral plate and the top of the fibular head, the transposition of the tibial condyle, the length of the patellar tendon and the tibial slope angle were measured preoperatively. At final follow-up, the same parameters were calculated and the amount of lateral tibial bone resection was determined. Results: The mean follow-up duration was 97 months (range, 61 to 124 months) in the study group and 97 months (range, 61 to 123 months) in the control group. TKA survivorship rate was 100% in both groups. At final follow-up, there were no significant differences regarding the clinical and radiographic data. However, only the amount of the resected lateral bone was significantly lower in the study group than in the control group. Conclusion: In young and active people with medial knee arthrosis, in whom the planned correction is 10° or higher, we continue to suggest CO since it does not seem to influence the results of TKA negatively.
Anahtar Kelime:

Konular: Romatoloji Cerrahi Ortopedi

Kombine yüksek tibial osteotomiden sonra total diz artoplastisi ile primer total diz artroplastisinin karşılaştırılması

Öz:
Amaç: Bu çalışmada önceki kombine yüksek tibial osteotomi (KO) sonrası total diz artroplasti (TDA)’lerinin sonuçları eşleştirilmiş bir primer TDA kontrol grubununkiler ile karşılaştırıldı. Hastalar ve yöntemler: 01 Ağustos 2006- 31 Aralık 2011 tarihleri arasında önceden KO geçiren 24 hastada (10 erkek, 14 kadın; ort. yaş 69.5 yıl; dağılım, 60-79 yıl) 24 ardışık çimentolu TDA uygulandı (çalışma grubu). Çalışma grubu aynı dönemde primer TDA uygulanan 24 hastalık bir kontrol grubu (10 erkek, 14 kadın; ort. yaş 69.9 yıl; dağılım, 63-79 yıl) ile karşılaştırıldı. Ameliyat öncesi ve sonrası Diz Derneği diz ve fonksiyon skoru ve hareket açıklığı belirlendi. Femorotibial açı, lateral subkondral plağa tanjan ve fibula başının üstü arasındaki mesafe, tibial kondilin transpozisyonu, patellar tendonun uzunluğu ve tibial eğim açısı ameliyat öncesinde ölçüldü. Son takipte, aynı parametreler hesaplandı ve lateral tibial kemik rezeksiyonunun miktarı belirlendi. Bulgular: Ortalama takip süresi çalışma grubunda 97 ay (dağılım, 61-124 ay) ve kontrol grubunda 97 ay (dağılım, 61-123 ay) idi. Her iki grubun TDA sağkalım oranı %100 idi. Son takipte, klinik ve radyolojik veriler açısından anlamlı farklılık yoktu. Fakat sadece rezeke edilen lateral kemik miktarı çalışma grubunda kontrol grubundan anlamlı olarak daha düşüktü. Sonuç: Planlanan düzeltmenin 10° veya daha yüksek olduğu, medial diz artrozlu genç ve aktif kişilerde TDA’nın sonuçlarını olumsuz etkilemediği görünen KO’yu önermeye devam ediyoruz.
Anahtar Kelime:

Konular: Romatoloji Cerrahi Ortopedi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA PAPP M, ZSÁKAİ Z, GÖMÖRİ A (2019). Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty. , 79 - 84. 10.5606/ehc.2019.66900
Chicago PAPP Miklós,ZSÁKAİ Zsolt,GÖMÖRİ András Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty. (2019): 79 - 84. 10.5606/ehc.2019.66900
MLA PAPP Miklós,ZSÁKAİ Zsolt,GÖMÖRİ András Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty. , 2019, ss.79 - 84. 10.5606/ehc.2019.66900
AMA PAPP M,ZSÁKAİ Z,GÖMÖRİ A Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty. . 2019; 79 - 84. 10.5606/ehc.2019.66900
Vancouver PAPP M,ZSÁKAİ Z,GÖMÖRİ A Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty. . 2019; 79 - 84. 10.5606/ehc.2019.66900
IEEE PAPP M,ZSÁKAİ Z,GÖMÖRİ A "Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty." , ss.79 - 84, 2019. 10.5606/ehc.2019.66900
ISNAD PAPP, Miklós vd. "Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty". (2019), 79-84. https://doi.org/10.5606/ehc.2019.66900
APA PAPP M, ZSÁKAİ Z, GÖMÖRİ A (2019). Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30(2), 79 - 84. 10.5606/ehc.2019.66900
Chicago PAPP Miklós,ZSÁKAİ Zsolt,GÖMÖRİ András Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30, no.2 (2019): 79 - 84. 10.5606/ehc.2019.66900
MLA PAPP Miklós,ZSÁKAİ Zsolt,GÖMÖRİ András Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), vol.30, no.2, 2019, ss.79 - 84. 10.5606/ehc.2019.66900
AMA PAPP M,ZSÁKAİ Z,GÖMÖRİ A Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(2): 79 - 84. 10.5606/ehc.2019.66900
Vancouver PAPP M,ZSÁKAİ Z,GÖMÖRİ A Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(2): 79 - 84. 10.5606/ehc.2019.66900
IEEE PAPP M,ZSÁKAİ Z,GÖMÖRİ A "Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty." Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30, ss.79 - 84, 2019. 10.5606/ehc.2019.66900
ISNAD PAPP, Miklós vd. "Comparison of total knee arthroplasty after combined high tibial osteotomy with a matched group of primary total knee arthroplasty". Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30/2 (2019), 79-84. https://doi.org/10.5606/ehc.2019.66900