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Diz Dejeneratif Artritinin Artroskopik Tedavisi

Arthroscopic Treatment Of Knee Degenerative Arthritis

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2001

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
We evaluated the 86 knees of 78 patients arthroscopically treated for degenerative knee osteoarthritis between February 1993 and June 1998. Forty-six patients were female and 32 male, with a mean age of 44.8 years (28-65). In eight patients bilateral, 52 right and 34 left knees were undergone the procedure. According to the Ahlback criteria, radiologically clinical stages between 1-4 were included in the study. Arthroscopic findings were evaluated according to the Outerbridge classification. After mean 20.8 months of follow-up clinical evaluation was made according to the Patel-Aicroth criteria. Clinical evaluation on the 6th month of follow up revelead 80.1% good and excellent results, whereas this percentage decresead to 50% on the 20.8 month mean follow up (p<0.05) The conclusion is that the arthroscopic treatment applied in the early stages of knee degenerative osteoarthritis is useful which allows early motion, minimal invasive biological method that relieves the patient complaints temporarily.
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Abstract (Original Language): 
Şubat 1993-Haziran 1998 yılları arasında kliniğimizde, diz eklemi dejeneratif osteoartriti nedeniyle artroskopik tedavi uygulanıp yeterli takibini yaptığımız 78 olgunun 86 diz eklemini değerlendirdik. Hastaların 46 sı kadın 32 si erkek olup yaş ortalaması 44.8 (28-65)'dir. İşlem 8 hastada her iki dize olmak üzere 52 sağ, 34 sol diz eklemine uygulandı. Tedavi öncesi radyolojik olarak Ahlback kriterlerine göre evre 1-4 arası olan olguların dahil edildiği çalışmada artroskopik bulgular Outerbridge sınıflandırmasına göre değerlendirildi. Ortalama 20.8 ay süre ile takip edilen olgularda artroskopik tedavi sonrası klınik değerlendirme Patel-Aichroth kriterlerine göre yapıldı. 6. aydaki izlemde %80.1 dizde çok iyi ve iyi sonuçlar alırken ortalama 20.8 aylık izlemde çok iyi ve iyi sonuçların %50'ye düştüğü görüldü (p<0.05). Sonuç olarak diz eklemi dejeneratif artritinin erken dönemlerinde uygulanacak artroskopik tedavi, hastaların şikayetlerini geçici de olsa iyileştirmede yararlı, minimal invazif ve erken harekete imkan veren biyolojik bir yöntemdir.
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  • Turkish

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