Keywords: Total Knee Arthroplasty.


Total knee prosthesis has been applied to 26 knees of 22 patients in Dr. Muhittin Ulker Emergency and Traumatology Hospital, 1st Orthopaedics and Traumatology Clinic, between October 1991 - January 1994. 20 patients (24 knees) who were regularly controlled were evaluated. Total knee arthroplasty was applied to 19 patients (23 knees) because of osteoarthritis, to 1 patient because of left femur distal metaphyseal giant cell tumor. Bilateral total knee arthroplasty was applied to 4 patients. The mean patient age was 61.9 (36-74), the mean follow-up time was 23.6 months (12-35) during the operations. All patients were female. Custom-made constrained total knee prosthesis was applied to the patient operated for tumor. Patellar arthroplasty was performed to 3 patients. Cemented fixation was applied for all of the prosthesis. A mean flexion of 82° (50°-100°) was achieved. At the last control the mean knee score was 77.6 (32-95), the mean functional score was 75.2 (35-100). 21 knees (85 %) were better, 1 knee was the same and 2 knees (8.5 %) were worse than the preoperative condition. Revisions were performed for 3 patients because of mechanical loosening.