{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:59:29Z","timestamp":1763463569703,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We compared early postoperative functional activities of patients undergoing unilateral and bilateral total knee arthroplasty (TKA).\\r\\nMethods: A total of 241 patients underwent bilateral (n=130; 12 men, 118 women; mean age 67.5\u00b17.6 years) or unilateral (n=111; 7 men, 104 women; mean age 66.3\u00b19.0 years) primary TKA for gonarthrosis. All the patients had indications for bilateral TKA and received the same rehabilitation program postoperatively. Functional activities and walking speed of the patients were assessed with the Iowa Level of Assistance Scale and Ambulation Velocity Scale, respectively, before surgery and on the second and sixth postoperative days and during discharge. In addition, knee range of motion and HSS (Hospital for Special Surgery) knee scores were measured.\\r\\nResults: There were no significant differences between the two groups preoperatively (p&gt;0.05). Compared to baseline, functional activity levels during discharge showed significant improvement in both groups (p&lt;0.05), whereas improvement in walking speed was significant only in the unilateral TKA group (p&lt;0.05). Comparison of postoperative functional activity levels favored unilateral over bilateral TKA in all instances (p&lt;0.05). The two groups did not differ significantly with respect to postoperative walking speed, HSS knee scores, range of motion of the knee, and mean hospital stay (p&gt;0.05). Complications included knee hematoma (n=2) and deep vein thrombosis (n=1) in the unilateral TKA group, and knee hematoma (n=1) in the bilateral TKA group.\\r\\nConclusion: Postoperative physiotherapy programs should consider decreases in functional activities of patients undergoing bilateral TKA\n\n\u00d6zet\n\nAma\u00e7: Tek tarafl\u0131 ve iki tarafl\u0131 total diz artroplastisi (TDA) uygulanan hastalar\u0131n ameliyat sonras\u0131 erken d\u00f6nemdeki fonksiyonel hareketleri kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya, gonartroz nedeniyle primer TDA uygulanan 241 hasta al\u0131nd\u0131. Bu hastalar\u0131n 130\u2019una iki tarafl\u0131 (12 erkek, 118 kad\u0131n; ort. ya\u015f 67.5\u00b17.6), 111\u2019ine tek tarafl\u0131 (7 erkek, 104 kad\u0131n; ort. ya\u015f 66.3\u00b19.0) TDA uyguland\u0131. T\u00fcm hastalarda iki tarafl\u0131 TDA endikasyonu vard\u0131. Hastalara ayn\u0131 rehabilitasyon program\u0131 uyguland\u0131. Hastalar\u0131n ameliyat \u00f6ncesi ve sonras\u0131 2. ve 6. g\u00fcnlerdeki ve taburcu edilirken Iowa Yard\u0131m D\u00fczeyi Skalas\u0131 ile fonksiyonel hareketleri, Iowa Y\u00fcr\u00fcme H\u0131z\u0131 Skalas\u0131 ile y\u00fcr\u00fcme h\u0131zlar\u0131 de\u011ferlendirildi. Ayr\u0131ca, diz hareket a\u00e7\u0131kl\u0131klar\u0131 \u00f6l\u00e7\u00fcld\u00fc ve diz fonksiyonlar\u0131 HSS (Hospital for Special Surgery) diz skoru ile de\u011ferlendirildi.\\r\\nSonu\u00e7lar: \u0130ki grubun ameliyat \u00f6ncesi t\u00fcm verileri benzer bulundu (p&gt;0.05). Ameliyat \u00f6ncesine g\u00f6re, taburculuk s\u0131ras\u0131ndaki fonksiyonel hareket d\u00fczeyleri iki grupta da anlaml\u0131 d\u00fczelme g\u00f6sterdi (p&lt;0.05). Y\u00fcr\u00fcme h\u0131z\u0131ndaki d\u00fczelme ise sadece tek tarafl\u0131 TDA hastalar\u0131nda anlaml\u0131yd\u0131 (p&lt;0.05). \u0130ki tarafl\u0131 TDA grubunda ameliyat sonras\u0131 t\u00fcm de\u011ferlendirmelerde fonksiyonel hareketler tek tarafl\u0131 TDA grubuna g\u00f6re daha geri bulundu (p&lt;0.05); y\u00fcr\u00fcme h\u0131zlar\u0131nda ise anlaml\u0131 fark yoktu (p&gt;0.05). Ameliyat sonras\u0131 HSS diz skorlar\u0131, diz fleksiyon dereceleri ve hastanede kal\u0131\u015f s\u00fcresi a\u00e7\u0131s\u0131ndan iki grup aras\u0131nda anlaml\u0131 fark bulunmad\u0131 (p&gt;0.05). Komplikasyon olarak, tek tarafl\u0131 TDA grubunda dizde hematom (n=2) ve derin ven trombozu (n=1), iki tarafl\u0131 TDA grubunda ise dizde hematom (n=1) g\u00f6r\u00fcld\u00fc.\\r\\n\u00c7\u0131kar\u0131mlar: \u0130ki tarafl\u0131 TDA sonras\u0131 uygulanacak fizyoterapi programlar\u0131n\u0131n bu hastalar\u0131n fonksiyonel hareketlerinde g\u00f6zlenen azalmay\u0131 dikkate almas\u0131 gerekir<\/jats:p>","DOI":"10.3944\/aott.2009.478","type":"journal-article","created":{"date-parts":[[2010,2,3]],"date-time":"2010-02-03T15:23:57Z","timestamp":1265210637000},"page":"478-483","source":"Crossref","is-referenced-by-count":6,"title":["Comparison of early postoperative functional activity levels of patients undergoing unilateral and bilateral total knee arthroplasty"],"prefix":"10.5152","volume":"43","author":[{"given":"Serkan","family":"Bakirhan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bayram","family":"Unver","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasfi","family":"Karatosun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2321\/2278","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:57:04Z","timestamp":1763463424000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2321"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2009,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.478","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}