Background. Treatment of knee osteoarthritis (OA) in early stages as well as the pain syndrome associated with it usually suggests the combination of medicines and physical therapy means. However, no method has proven its absolute efficiency yet. Transcatheter arterial embolization of popliteal branches is a new minimally invasive treatment that is currently being studied and tested. The objective of our research was the analysis as well as generalization of the outcomes of the pain syndrome in knee OA treatment with the selective embolization of popliteal branches. Materials and Methods. The reviewed articles were retrieved from PubMed database and eLIBRARY digital library considering the criteria like the emboli material, size, and type; possible complications and their effect on the outcome; the patient enrolment criteria for this type of surgical management; the short and long-term outcomes. Results. Transcatheter arterial embolization of popliteal branches is a new minimally invasive method of knee OA treatment. All authors revealed the pathology growth of the vasculature and its complete embolization as a result of the intervention. The review articles present a significant abatement in patients resistant to conventional medical treatment, minimal possible complications, and good long-term outcomes. Conclusion. Since this method of knee OA management is new and understudied, and the number of the published findings does not exceed two hundred it required further thorough investigation and randomized clinical trials.
Objective: to evaluate the immediate and long-term outcomes of revision knee replacement using porous metaphysical sleeves and cones. Material and methods. The research involved 134 patients who underwent revision arthroplasty of their knee joints. The patients were divided into two groups according to the type of metaphyseal fixator: sleeves (Group 1) — 97 patients, and cones (Group 2) — 37 patients. The evaluation of the surgical outcomes was carried out at discharge from the hospital (in 7-12 days) as well as 6, 12, and 24 months after their surgeries. The survival rate of the implants was analyzed by the Kaplan — Meyer method. A revision with total replacement of the implant or its components was considered to be a critical event. Results. The analysis of the survival rate of the implants using various metaphysical fixators showed that the groups with metaphyseal sleeves and cones do not differ statistically (Log Rank criterion (Mantel — Cox) p=0.108). Conclusion. The medium term follow-up revealed no difference in clinical, functional or radiological outcomes of revision knee arthroplasty using porous cones or metaphyseal sleeves in 2A, 2B, and 3 (by Anderson Orthopaedic Research Institute classification) bone loss replacements.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.