Total Hip Arthroplasty Applications for Primary Arthrosis [Tepecik Eğit Hast Derg]
Tepecik Eğit Hast Derg. 2003; 13(2): 87-90 | DOI: 10.5222/terh.2003.07120  

Total Hip Arthroplasty Applications for Primary Arthrosis

Coşkun Şanlı1, Cemil Kayalı2, Haluk Ağuş2
1SSK Dalaman Hastanesi, Muğla
2SSK Tepecik Eğitim Hastanesi ll. Ortopedi ve Travmatoloji Kliniği, İzmir

Aim: The aim of this study is to evaluate the results of totol hip replacement opplications and two different prosthesis systems.
Methods: Between 1992- 1999 twenty-eight hips of twenty-four patients who had been operated and followed up properly were enrolled in the study. 15 cases were female and 9 cases were male. The mean age was 61 years (42- 73) during operation. Hybrid system was usedin 15 hips, cemented system in 13 hips. Clinical eualuation was performed by Harris Hip Scoring System (HHS).
Results: The patients were followed up for mean 6.5 years. After the follow-up period, mean HHS was 86.46±5.69 in cemented group, whereas it was 89.69±4.15 was in hybrid group. There was no significant difference between thegroupsfor HHS. Better results were found in patients less than 75 kgs.
Conclusions: We found no difference between cemented and hybrid total hip arthroplasty systems in patients with primary arthrosis within the in termediate follow up period.

Keywords: total hip replacement, arthrosis, cemented system, hybrid system


Primer Artrozlu Olgularda Total Kalça Artroplastisi Uygulamalarımız

Coşkun Şanlı1, Cemil Kayalı2, Haluk Ağuş2
1SSK Dalaman Hastanesi, Muğla
2SSK Tepecik Eğitim Hastanesi ll. Ortopedi ve Travmatoloji Kliniği, İzmir

Amaç: Primer koksartroz zemininde total kalça protezi (TKP) uygulanan olgulcmn ve kullanılan sistemlerin kıyaslamalı olarak değerlendirilmesi amaçlandı.
Yöntem: 1992- 1999 yıllan arasında TKP uygulanmış, düzenli izlemi sağlanabilen 15'i kadın, 9'u erkek 24 hastanın 28 kalçası değerlendirildi. 15 kalça eklemine hibrid sistem, 13'ine çimentolu sistem TKP uygulandı. Klinik değerlendirme Harris kalça skorlama sistemine göre (HKS) yapıldı.
Bulgular: Ortalama 6.5 yıl izlem sonunda, çimentolu TKP grubunda ortalama HKS 86.46, hibrid grubunda ise 89.69 olarak bulundu. Gruplar arasmda HKS bakımından anlamlı fark saptanmadı (p > 0.05). 75 kg'zn altındaki olgularda istatistiksel olarak daha iyi klinik sonuç verdi (p < 0.05).
Sonuç: Primer koksartrozlu olgularda çimentolu ya da hibrid total kalça protezi sistemleri arasında orta dönem izlem sonunda belirgin fark saptanmamıştır.

Anahtar Kelimeler: total kalça protezi, artroz, çimentolu sistem, hibrid sistem


Coşkun Şanlı, Cemil Kayalı, Haluk Ağuş. Total Hip Arthroplasty Applications for Primary Arthrosis. Tepecik Eğit Hast Derg. 2003; 13(2): 87-90


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