Clinical outcome of total knee arthroplasty performed using patient-specific cutting guides

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dc.contributor.authorÇalbıyık, Murat
dc.date.accessioned2019-05-13T09:02:41Z
dc.date.available2019-05-13T09:02:41Z
dc.date.issued2017
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractBackground: Patient-specific instruments have recently gained attention for ensuring the accuracy of osteotomy and correct alignment in total knee arthroplasty (TKA). We aimed to report our experience with TKA performed by using CT-based 3D model of cutting guides in our clinic. Material/Methods: A total of 36 patients (mean age, 67.58±8.46 years; 24 females, 12 males) who underwent TKA with 3D patient-specific cutting guides in our clinic were included in the study. Differences between preoperatively planned bone resections and actual bone resections were calculated. Femoral and tibial component angles were measured on radiographs of the knee. The change in knee pain was evaluated by patients on a 10-point visual analog scale (VAS). Patients were followed up for 6 months postoperatively. Results: The actual bone resection was 0.5-1.5 mm higher than the planned resection for all sides, being statistically significant for posterior lateral and distal medial sides (1.1±1.3 mm and 1.5±0.9 mm, respectively; p<0.05). On postoperative radiographs, coronal tibial component angle was 88.8°±0.9° and coronal femoral component angle was 95.2°±1.6°, showing good postoperative alignment. The VAS pain score of patients significantly decreased from preoperative 3.9±0.8 to 1.1±0.9 at 6 months after the operation. One patient developed superficial tissue infection on postoperative follow-up, which was effectively treated. No other pathology was detected in the postoperative period. Conclusions: Patient-specific cutting guides can provide intraoperative guidance for better placement of the implant in TKA and increase the accuracy of osteotomy and postoperative alignment. © Med Sci Monit.
dc.identifier.citationÇalbıyık, M. (2017). Clinical outcome of total knee arthroplasty performed using patient-specific cutting guides. Medical Science Monitor, 23, 6168-6173.
dc.identifier.doi10.12659/MSM.908213
dc.identifier.endpage6173en_US
dc.identifier.issn1234-1010
dc.identifier.scopusqualityQ1
dc.identifier.startpage6168en_US
dc.identifier.urihttps://doi.org/10.12659/MSM.908213
dc.identifier.urihttps://hdl.handle.net/11491/1305
dc.identifier.volume23en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherInternational Scientific Information, Inc.
dc.relation.ispartofMedical Science Monitor
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectArthroplastyen_US
dc.subjectReplacementen_US
dc.subjectKneeen_US
dc.subjectKnee Dislocationen_US
dc.subjectOsteotomyen_US
dc.titleClinical outcome of total knee arthroplasty performed using patient-specific cutting guides
dc.typeArticle

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