Özet:

Goal: Osteoarthritis, the most common cause of pain in the knee, and loss of movement, is a major medical problem, especially in the middle and older population. Unicondis knee artroplastis obesity and front-cross-connection disability approach to difficult patients, mobile unicondis prothesis choice is still controversial topics. The fiction we follow for eight years or more is to study the effect of mobile inserted prothesis preference on medium-term results. Methods: From the year 2003 to 2014, 239 patients from 293 patients we applied knee protection for medial gonarthrosis were included in the study, with at least 18 months of regular follow-up. 9 patients (3.7%) were bilateral, including 193 fixed (77.8%) and 55 mobile (22.2%) and a total of 248 knee retrospective. The average age of patients was 59.3 (53-71) 156 were female (65.2 percent), 83 were male (34.8 percent) (K/E = 1.87 percent). The average tracking time was 101 months (8 years 5 months, 18-126 months). The average body mass index (BMI) is 29.4 (25-33 kg/m2) kg/m2. The preoperative average of Western Ontario and McMaster University Osteoarthritis Index (WOMAC) was 72.64±5.32 (68-78) and the average Knee Society Knee Scoring System (KSS) score was 70.6±3.9 (66-89). The postoperative WOMAC average was 97,23±4,02 (92-100) (p<0,05) and the average KSS score was 92,3±3,94 (85-100) (p<0,05) The result: While fixed and mobile protheses do not have a significant difference in knee scores, the openness of movement in mobile protheses has been found higher than fixed protheses. When we evaluate all fixed mobile proteins, there is a high survival rate of 97.2 per cent over 8 years. As a result, unicondis knee protection is a good treatment option with high success rates. Although there is no difference between fixed and mobile inserted protheses in terms of survival, function and knee scores, mobile inserted protheses obtain better knee fraction. (JAREM 2016; 6: 31-4)

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