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Total Diz Artroplastisinde Kalça ve Diz Eklem Hareket Açıklığı ile Kas Kuvveti Ölçümünün Subjektif Fonksiyonel Sonuçlar Üzerine Etkisi

Year 2019, Volume: 9 Issue: 4, 652 - 660, 16.12.2019
https://doi.org/10.31832/smj.596740

Abstract

Amaç: Primer diz artroplastisi öncesi ve sonrası kas kuvveti ve eklem hareket açıklığı (range of motion, ROM) ölçümünün klinik sübjektif fonksiyonel skorlar ile korelasyonunu inceleyerek sübjektif fonksiyonel sonuçlar üzerindeki etkinliğini belirlemektir.

Yöntemler: Primer diz artroplastisi uygulanan 26 hasta (23K/3E) prospektif olarak takip edildi. Ortalama yaş 67,3 yıl (aralık, 50-81 yıl), ortalama takip süresi 16 ay (aralık 6-24 ay). 14 (% 53,8) hastanın sol tarafı, 12 (% 46,2) hastanın ise sağ tarafı opere edildi.Operasyondan 1 gün önce ve postoperatif 6. ayda diz ve kalça ROM ve kas kuvveti ölçümleri yapıldı. ROM ölçümü için standart gonyometre kas kuvveti ölçümü için ise el dinamometresi kullanıldı. Ölçümlerle eş zamanlı olarak klinik sübjektif fonksiyonel değerlendirme için Amerikan Diz Cemiyeti (Knee Society Score, KSS) diz ve fonksiyon skoru ile Oxford Diz Skoru (Oxford Knee Score, OKS) kullanıldı. Hem preoperatif hem de postoperatif ölçümler ve skorlar arasındaki ilişki incelendi. İstatistiksel analiz için SPSS versiyon 21’de gruplar arası fark Student T ve Wilcoxon Testleri ile, korelasyon analizi ise Pearson ve Spearman testleri ile gerçekleştirildi.

Bulgular: Post operatif dönemde pre operatif döneme göre tüm sübjektif fonksiyonel skorlamalarda, kalça fleksiyonunda ve fleksiyon kuvvetindeki artış anlamlı bulundu (p< 0.05).   Postoperatif kalça fleksiyon, kalça ekstansiyon hareket açıklıkları ve preoperatif kalça abduksiyon kuvveti ile tüm postoperatif sübjektif fonksiyonel skorlamalar arasında pozitif korelasyon belirlendi (p< 0.05).

Sonuç: Sonuç olarak bu çalışma ile total diz artroplastisinde postoperatif kalça fleksiyon açıklığı ve fleksiyon kuvvetinin fonksiyonel durumu diğer objektif ölçümlere göre daha iyi yansıttığı; ayrıca preoperatif kalça abduksiyon kuvvetinin postoperatif sübjektif iyileşme ile korele olduğu gözlendi.

Supporting Institution

ÇALIŞMAMIZI DESTEKLEYEN HERHANGİ BİR KİŞİ VEYA KURULUŞ YOKTUR.

Thanks

MERVE KABLAN

References

  • Referans1. Dulay GS, Cooper C, Dennison EM. Knee pain, knee injury, knee osteoarthritis & work. Best Pract Res Clin Rheumatol. 2015; 29 (3): 454- 61.
  • Referans2. National Institutes of Health Consensus Development Program. NIH Consensus Development Conference on Total Knee Replacement- Final Statement. NIH Consens State Sci Statements . 2003; 20 (1): 1- 34.
  • Referans3. Kim YH., Kim JS.. Does TKA Improve Functional Outcome and Range of Motion in Patients with Stiff Knees? Clin Orthop Relat Res. 2009; 467: 1348- 1354.
  • Referans4. Wylde V., Beswick A., Bruce J., Blom A., Howells N., Gooberman-Hill R.. Chronic pain after total knee arthroplasty. EFORT Open Rev. 2018; 3 (8): 461– 470.
  • Referans5. Matsuda S., Kawahara S., Okazaki K., Tashiro Y., Iwamoto Y. Postoperative Alignment and ROM Affect Patient Satisfaction After TKA. Clin Orthop Relat Res. 2013; 471 (1): 127– 133.
  • Referans6. Seynnes O, Hue OA, Garrandes F, Colson SS, Bernard PL, Legros P et al. Force steadiness in the lower extremities as an independent predictor of functional performance in older women. J Aging Phys Act. 2005; 13: 395– 408.
  • Referans7. Matharu GS, McBryde CW, Robb CA, Pynsent PB. An analysis of Oxford hip and knee scores following primary hip and knee replacement performed at a specialist centre. Bone Joint J. 2014; 96 (7): 928- 35.
  • Referans8. Asif S , Choon DS. Midterm results of cemented Press Fit Condylar Sigma total knee arthroplasty system. J Orthop Surg. 2005; 13 (3): 280- 4.
  • Referans9. Alnahdi AH, Zeni JA, Snyder-Mackler L. Hip abductor strength reliability and association with physical function after unilateral total knee arthroplasty: a cross-sectional study. Phys Ther. 2014; 94 (8): 1154- 62.
  • Referans10. Mizner RL, Petterson SC, Snyder-Mackler L. Quadriceps strength and the time course of functional recovery after total knee arthroplasty. J Orthop Sports Phys Ther. 2005; 35 (7): 424- 36.
  • Referans11. Wyldea V., Lenguerranda E., Bruntona L., Dieppeb P., Gooberman-Hilla R., Mannc C, Bloma A.W. Does measuring the range of motion of the hip and knee add to the assessment of disability in people undergoing joint replacement? Orthop Traumatol Surg Res. 2014; 100 (2): 183- 6.
  • Referans12. Mark D. Kohn, Adam A. Sassoon and Navin D. Fernando. Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis. Clin Orthop Relat Res. 2016; 474 (8): 1886- 1893.
  • Referans13. Lavernia C., D'Apuzzo M., Rossi M.D., Lee D. Accuracy of Knee Range of Motion Assessment After Total Knee Arthroplasty. J. Arthroplasty 2008; 23 (6): 85-91.
  • Referans14. Wudbhav N. Sankar, Christopher T. Laird and Keith D. Baldwin. Hip Range of Motion in Children: What Is the Norm? J Pediatr Orthop 2012; 32: 399– 405.
  • Referans15. Livingstone C.; Joint motion: methods of measuring and recording. 6th ed. Edinburg: 1972 American Academy Of Orthopaedic Surgeons.
  • Referans16. Caliskan. E, Saygi E.K., Gencer Z.K., Kurtel H., Erol B. Analysis of Postural Stability and Daily Energy Expenditure to Manage Tumor Patients' Functional Expectation. Clin Orthop Surg 2018; 10( 4): 491- 499.
  • Referans17. Sahin G. The assessment methods of physical activity level in elderly. Turk J Geriatr. 2010; 14 (2): 172- 178.
  • Referans18. Thorborg K, Petersen J, Magnusson SP, Holmich P. Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scand J Med Sci Sports. 2010; 20 (3): 493- 501.
  • Referans19. Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res. 1998; (248): 13- 4.
  • Referans20. Dawson J, Fitzpatrick R, Murray D, Carr A. Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg. 1998; 80 (1): 63-9.
  • Referans21. Tuğay BU, Tuğay N, Güney H, Kınıklı Gİ, Yüksel İ, Atilla B. Oxford Knee Score: cross-cultural adaptation and validation of the Turkish version in patients with osteoarthritis of the knee. Acta Orthop Traumatol Turc. 2016; 50 (2): 198- 206.
  • Referans22. Aboltins CA, Berdal JE, Casas F, Corona PS, Cuellar D, Ferrari MC et al. Hip and Knee Section, Prevention, Antimicrobials (Systemic): Proceedings of International Consensus on Orthopedic Infections. J Arthroplasty. 2019; 34 (2): 279- 288.
  • Referans23. Liao CD, Huang YC, Lin LF, Chiu YS, Tsai JC, Chen CL, Liou TH. Continuous passive motion and its effects on knee flexion after total knee arthroplasty in patients with knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2016; 24 (8): 2578- 86.
  • Referans24. Xia ZN, Zhou Q, Zhu W, Weng XS. Low molecular weight heparin for the prevention of deep venous thrombosis after total knee arthroplasty: A systematic review and meta-analysis. Int J Surg. 2018; 54: 265- 275.
  • Referans25. Eksioglu E, Gurcay E. Total diz artroplastisi sonrası rehabilitasyon. Rehabilitation after total knee arthroplasty. J Ist Faculty Med. 2013; 76: 1.
  • Referans26. Furu M, Ito H, Nishikawa T, Nankaku M, Kuriyama S, Ishikawa M et al. Quadriceps strength affects patient satisfaction after total knee arthroplasty. J Orthop Sci. 2016; 21 (1): 38- 43.
  • Referans27. Kamenaga T, Muratsu H, Kanda Y, Miya H, Kuroda R, Matsumoto T. The Influence of Postoperative Knee Stability on Patient Satisfaction in Cruciate-Retaining Total Knee Arthroplasty. J Arthroplasty. 2018; 33 (8): 2475- 2479.
  • Referans28. Abram SG, Nicol F, Spencer SJ. Patient reported outcomes in three hundred and twenty eight bilateral total knee replacement cases (simultaneous versus staged arthroplasty) using the Oxford Knee Score. Int Orthop. 2016; 40 (10): 2055- 2059.
  • Referans29. West JA, Scudday T, Anderson S, Amin NH. Clinical outcomes and patient satisfaction after total knee arthroplasty: a follow-up of the first 50 cases by a single surgeon. J Int Med Res. 2019; 47 (4): 1667- 1676.
  • Referans30. Minator Sajjadi M, Keyhani S, Kazemi SM, Hanafizadeh B, Ebrahimpour A, Banasiri M. Patient Satisfaction Following Total Knee Arthroplasty: Comparison of Short-Term Results in Rheumatoid Arthritis and Osteoarthritis. Arch Bone Jt Surg. 2019; 7 (1): 61- 66.
  • Referans31. Dawson J, Fitzpatrick R, Murray D, Carr A. Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg Br. 1998; 80 (1): 63- 9.
  • Referans32. Osinski T, Bekka S, Regnaux JP, Fletcher D, Martinez V. Functional recovery after knee arthroplasty with regional analgesia: A systematic review and meta-analysis of randomised controlled trials. Eur J Anaesthesiol. 2019; 36 (6): 418- 426.
  • Referans33. Aljehani M, Madara K, Snyder-Mackler L, Christiansen C, Zeni JA Jr. The contralateral knee may not be a valid control for biomechanical outcomes after unilateral total knee arthroplasty. Gait Posture. 2019; (70): 179- 184.
  • Referans34. De Vroey H, Staes F, Weygers I, Vereecke E, Van Damme G, Hallez H et al. Hip and knee kinematics of the forward lunge one year after unicondylar and total knee arthroplasty. J Electromyogr Kinesiol. 2019; (6) 48: 24- 30.
  • Referans35. Kerrigan DC, Todd MK, Della Croce U, Lipsitz LA, Collins JJ. Biomechanical gait alterations independent of speed in the healthy elderly: evidence for specific limiting impairments. Arch Phys Med Rehabil. 1998; 79: 317- 322.
  • Referans36. Al-Zahrani KS, Bakheit AMO. A study of the gait characteristics of patients with chronic osteoarthritis of the knee. Disabil Rehabil. Taylor & Francis: 2002; 24: 275- 280.
  • Referans37. Biggs PR, Whatling GM, Wilson C, Metcalfe AJ, Holt CA. Which osteoarthritic gait features recover following total knee replacement surgery? PLoS One. 2019: 25; 14 (1).
  • Referans38. Ouellet D, Moffet H. Locomotor deficits before and two months after knee arthroplasty. Arthritis Rheum. 2002; 47 (5): 484- 93.
  • Referans39. Mutsuzaki H, Takeuchi R, Mataki Y, Wadano Y. Target range of motion for rehabilitation after total knee arthroplasty. J Rural Med. 2017; 12 (1): 33- 37.
  • Referans40. Saleh KJ, Lee LW, Gandhi R, Ingersoll CD, Mahomed NN, Sheibani-Rad S. Quadriceps strength in relation to total knee arthroplasty outcomes. Instr Course Lect. 2010; 59: 119- 30.
  • Referans41. Maempel JF, Clement ND, Brenkel IJ, Walmsley PJ. Range of movement correlates with the Oxford knee score after total knee replacement: A prediction model and validation. Knee. 2016; 23 (3): 511- 6.
  • Referans42. Kurowicki J, Khlopas A, Sodhi N, Newman JM, Sultan AA, Chughtai M. Quadriceps and Hamstring Muscle Strength Improves After Unicompartmental Knee Arthroplasty. Surg Technol Int. 2017: 9; 31: 267- 271.
  • Referans43. Miner AL, Lingard EA, Wright EA, Sledge CB, Katz JN. Knee range of motion after total knee arthroplasty: how important is this as an outcome measure? J Arthroplasty. 2003; 18 (3): 286- 94.
  • Referans44. Jiang C, Zhang WK, Jiang Y, Chen LQ. Case-control study of influence factors analysis on short-term recovery after total knee arthroplasty in old patients with osteoarehritis. Zhongguo Gu Shang. 2012; 25 (5): 377- 9.
  • Referans45. Brown M, Sinacore D.R, Binder E.F, Kohrt W.M. Physical and performance measures for the identification of mild to moderate frailty. J Gerontol A Biol Sci Med Sci. 2000; 55 (6): 350- 355.
  • Referans46. Neumann D.A. Kinesiology of the hip: A focus on muscular actions. J. Orthop. Sports Phys. Ther. 2010; 40 (2): 82– 94.
  • Referans47. Semciw A.I., Pizzari T., Murley G.S., Green R.A. Gluteus medius: An intramuscular EMG investigation of anterior, middle and posterior segments during gait. J. Electromyogr. Kinesiol. 2013; 23 (4): 858– 864.
Year 2019, Volume: 9 Issue: 4, 652 - 660, 16.12.2019
https://doi.org/10.31832/smj.596740

Abstract

References

  • Referans1. Dulay GS, Cooper C, Dennison EM. Knee pain, knee injury, knee osteoarthritis & work. Best Pract Res Clin Rheumatol. 2015; 29 (3): 454- 61.
  • Referans2. National Institutes of Health Consensus Development Program. NIH Consensus Development Conference on Total Knee Replacement- Final Statement. NIH Consens State Sci Statements . 2003; 20 (1): 1- 34.
  • Referans3. Kim YH., Kim JS.. Does TKA Improve Functional Outcome and Range of Motion in Patients with Stiff Knees? Clin Orthop Relat Res. 2009; 467: 1348- 1354.
  • Referans4. Wylde V., Beswick A., Bruce J., Blom A., Howells N., Gooberman-Hill R.. Chronic pain after total knee arthroplasty. EFORT Open Rev. 2018; 3 (8): 461– 470.
  • Referans5. Matsuda S., Kawahara S., Okazaki K., Tashiro Y., Iwamoto Y. Postoperative Alignment and ROM Affect Patient Satisfaction After TKA. Clin Orthop Relat Res. 2013; 471 (1): 127– 133.
  • Referans6. Seynnes O, Hue OA, Garrandes F, Colson SS, Bernard PL, Legros P et al. Force steadiness in the lower extremities as an independent predictor of functional performance in older women. J Aging Phys Act. 2005; 13: 395– 408.
  • Referans7. Matharu GS, McBryde CW, Robb CA, Pynsent PB. An analysis of Oxford hip and knee scores following primary hip and knee replacement performed at a specialist centre. Bone Joint J. 2014; 96 (7): 928- 35.
  • Referans8. Asif S , Choon DS. Midterm results of cemented Press Fit Condylar Sigma total knee arthroplasty system. J Orthop Surg. 2005; 13 (3): 280- 4.
  • Referans9. Alnahdi AH, Zeni JA, Snyder-Mackler L. Hip abductor strength reliability and association with physical function after unilateral total knee arthroplasty: a cross-sectional study. Phys Ther. 2014; 94 (8): 1154- 62.
  • Referans10. Mizner RL, Petterson SC, Snyder-Mackler L. Quadriceps strength and the time course of functional recovery after total knee arthroplasty. J Orthop Sports Phys Ther. 2005; 35 (7): 424- 36.
  • Referans11. Wyldea V., Lenguerranda E., Bruntona L., Dieppeb P., Gooberman-Hilla R., Mannc C, Bloma A.W. Does measuring the range of motion of the hip and knee add to the assessment of disability in people undergoing joint replacement? Orthop Traumatol Surg Res. 2014; 100 (2): 183- 6.
  • Referans12. Mark D. Kohn, Adam A. Sassoon and Navin D. Fernando. Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis. Clin Orthop Relat Res. 2016; 474 (8): 1886- 1893.
  • Referans13. Lavernia C., D'Apuzzo M., Rossi M.D., Lee D. Accuracy of Knee Range of Motion Assessment After Total Knee Arthroplasty. J. Arthroplasty 2008; 23 (6): 85-91.
  • Referans14. Wudbhav N. Sankar, Christopher T. Laird and Keith D. Baldwin. Hip Range of Motion in Children: What Is the Norm? J Pediatr Orthop 2012; 32: 399– 405.
  • Referans15. Livingstone C.; Joint motion: methods of measuring and recording. 6th ed. Edinburg: 1972 American Academy Of Orthopaedic Surgeons.
  • Referans16. Caliskan. E, Saygi E.K., Gencer Z.K., Kurtel H., Erol B. Analysis of Postural Stability and Daily Energy Expenditure to Manage Tumor Patients' Functional Expectation. Clin Orthop Surg 2018; 10( 4): 491- 499.
  • Referans17. Sahin G. The assessment methods of physical activity level in elderly. Turk J Geriatr. 2010; 14 (2): 172- 178.
  • Referans18. Thorborg K, Petersen J, Magnusson SP, Holmich P. Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scand J Med Sci Sports. 2010; 20 (3): 493- 501.
  • Referans19. Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res. 1998; (248): 13- 4.
  • Referans20. Dawson J, Fitzpatrick R, Murray D, Carr A. Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg. 1998; 80 (1): 63-9.
  • Referans21. Tuğay BU, Tuğay N, Güney H, Kınıklı Gİ, Yüksel İ, Atilla B. Oxford Knee Score: cross-cultural adaptation and validation of the Turkish version in patients with osteoarthritis of the knee. Acta Orthop Traumatol Turc. 2016; 50 (2): 198- 206.
  • Referans22. Aboltins CA, Berdal JE, Casas F, Corona PS, Cuellar D, Ferrari MC et al. Hip and Knee Section, Prevention, Antimicrobials (Systemic): Proceedings of International Consensus on Orthopedic Infections. J Arthroplasty. 2019; 34 (2): 279- 288.
  • Referans23. Liao CD, Huang YC, Lin LF, Chiu YS, Tsai JC, Chen CL, Liou TH. Continuous passive motion and its effects on knee flexion after total knee arthroplasty in patients with knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2016; 24 (8): 2578- 86.
  • Referans24. Xia ZN, Zhou Q, Zhu W, Weng XS. Low molecular weight heparin for the prevention of deep venous thrombosis after total knee arthroplasty: A systematic review and meta-analysis. Int J Surg. 2018; 54: 265- 275.
  • Referans25. Eksioglu E, Gurcay E. Total diz artroplastisi sonrası rehabilitasyon. Rehabilitation after total knee arthroplasty. J Ist Faculty Med. 2013; 76: 1.
  • Referans26. Furu M, Ito H, Nishikawa T, Nankaku M, Kuriyama S, Ishikawa M et al. Quadriceps strength affects patient satisfaction after total knee arthroplasty. J Orthop Sci. 2016; 21 (1): 38- 43.
  • Referans27. Kamenaga T, Muratsu H, Kanda Y, Miya H, Kuroda R, Matsumoto T. The Influence of Postoperative Knee Stability on Patient Satisfaction in Cruciate-Retaining Total Knee Arthroplasty. J Arthroplasty. 2018; 33 (8): 2475- 2479.
  • Referans28. Abram SG, Nicol F, Spencer SJ. Patient reported outcomes in three hundred and twenty eight bilateral total knee replacement cases (simultaneous versus staged arthroplasty) using the Oxford Knee Score. Int Orthop. 2016; 40 (10): 2055- 2059.
  • Referans29. West JA, Scudday T, Anderson S, Amin NH. Clinical outcomes and patient satisfaction after total knee arthroplasty: a follow-up of the first 50 cases by a single surgeon. J Int Med Res. 2019; 47 (4): 1667- 1676.
  • Referans30. Minator Sajjadi M, Keyhani S, Kazemi SM, Hanafizadeh B, Ebrahimpour A, Banasiri M. Patient Satisfaction Following Total Knee Arthroplasty: Comparison of Short-Term Results in Rheumatoid Arthritis and Osteoarthritis. Arch Bone Jt Surg. 2019; 7 (1): 61- 66.
  • Referans31. Dawson J, Fitzpatrick R, Murray D, Carr A. Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg Br. 1998; 80 (1): 63- 9.
  • Referans32. Osinski T, Bekka S, Regnaux JP, Fletcher D, Martinez V. Functional recovery after knee arthroplasty with regional analgesia: A systematic review and meta-analysis of randomised controlled trials. Eur J Anaesthesiol. 2019; 36 (6): 418- 426.
  • Referans33. Aljehani M, Madara K, Snyder-Mackler L, Christiansen C, Zeni JA Jr. The contralateral knee may not be a valid control for biomechanical outcomes after unilateral total knee arthroplasty. Gait Posture. 2019; (70): 179- 184.
  • Referans34. De Vroey H, Staes F, Weygers I, Vereecke E, Van Damme G, Hallez H et al. Hip and knee kinematics of the forward lunge one year after unicondylar and total knee arthroplasty. J Electromyogr Kinesiol. 2019; (6) 48: 24- 30.
  • Referans35. Kerrigan DC, Todd MK, Della Croce U, Lipsitz LA, Collins JJ. Biomechanical gait alterations independent of speed in the healthy elderly: evidence for specific limiting impairments. Arch Phys Med Rehabil. 1998; 79: 317- 322.
  • Referans36. Al-Zahrani KS, Bakheit AMO. A study of the gait characteristics of patients with chronic osteoarthritis of the knee. Disabil Rehabil. Taylor & Francis: 2002; 24: 275- 280.
  • Referans37. Biggs PR, Whatling GM, Wilson C, Metcalfe AJ, Holt CA. Which osteoarthritic gait features recover following total knee replacement surgery? PLoS One. 2019: 25; 14 (1).
  • Referans38. Ouellet D, Moffet H. Locomotor deficits before and two months after knee arthroplasty. Arthritis Rheum. 2002; 47 (5): 484- 93.
  • Referans39. Mutsuzaki H, Takeuchi R, Mataki Y, Wadano Y. Target range of motion for rehabilitation after total knee arthroplasty. J Rural Med. 2017; 12 (1): 33- 37.
  • Referans40. Saleh KJ, Lee LW, Gandhi R, Ingersoll CD, Mahomed NN, Sheibani-Rad S. Quadriceps strength in relation to total knee arthroplasty outcomes. Instr Course Lect. 2010; 59: 119- 30.
  • Referans41. Maempel JF, Clement ND, Brenkel IJ, Walmsley PJ. Range of movement correlates with the Oxford knee score after total knee replacement: A prediction model and validation. Knee. 2016; 23 (3): 511- 6.
  • Referans42. Kurowicki J, Khlopas A, Sodhi N, Newman JM, Sultan AA, Chughtai M. Quadriceps and Hamstring Muscle Strength Improves After Unicompartmental Knee Arthroplasty. Surg Technol Int. 2017: 9; 31: 267- 271.
  • Referans43. Miner AL, Lingard EA, Wright EA, Sledge CB, Katz JN. Knee range of motion after total knee arthroplasty: how important is this as an outcome measure? J Arthroplasty. 2003; 18 (3): 286- 94.
  • Referans44. Jiang C, Zhang WK, Jiang Y, Chen LQ. Case-control study of influence factors analysis on short-term recovery after total knee arthroplasty in old patients with osteoarehritis. Zhongguo Gu Shang. 2012; 25 (5): 377- 9.
  • Referans45. Brown M, Sinacore D.R, Binder E.F, Kohrt W.M. Physical and performance measures for the identification of mild to moderate frailty. J Gerontol A Biol Sci Med Sci. 2000; 55 (6): 350- 355.
  • Referans46. Neumann D.A. Kinesiology of the hip: A focus on muscular actions. J. Orthop. Sports Phys. Ther. 2010; 40 (2): 82– 94.
  • Referans47. Semciw A.I., Pizzari T., Murley G.S., Green R.A. Gluteus medius: An intramuscular EMG investigation of anterior, middle and posterior segments during gait. J. Electromyogr. Kinesiol. 2013; 23 (4): 858– 864.
There are 47 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Emrah Çalışkan 0000-0001-5500-6571

Volkan İğdir 0000-0002-7599-8923

Publication Date December 16, 2019
Submission Date July 25, 2019
Published in Issue Year 2019 Volume: 9 Issue: 4

Cite

AMA Çalışkan E, İğdir V. Total Diz Artroplastisinde Kalça ve Diz Eklem Hareket Açıklığı ile Kas Kuvveti Ölçümünün Subjektif Fonksiyonel Sonuçlar Üzerine Etkisi. Sakarya Tıp Dergisi. December 2019;9(4):652-660. doi:10.31832/smj.596740

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