A Differentiated Approach to Primary Knee Arthroplasty in Gonarthrosis Patients

Osadchuk, T.I.; Gayko, Georgii; Kalashnikov, Andryi; Protsenko, Volodymyr; Stavinskyi, Yurii; Solonitsyn, Yevgen

doi:10.35630/2023/13/1.214

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…The operated patients were followed up from 1 to 9 years after surgery. To evaluate the results of treatment, we developed a scoring system for the functional status of the knee joint, which was supplemented by the Lecken algofunctional index [11]. Among the patients who underwent periarticular osteotomies, the results of surgical treatment were analysed in 67 patients with OAK.…”

Section: Resultsmentioning

confidence: 99%

Surgical Treatment of Patients With Osteoarthritis of the Knee Joints

Osadchuk,

Kalashnikov,

Kostohryz

et al. 2023

Clin. and prev. med.

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Introduction. Osteoarthritis affects 7 % of the world’s population. The number of affected people worldwide increased by 48 % from 1990 to 2019. At the initial stages of knee osteoarthritis treatment, conservative treatment and corrective osteotomies are used. Corrective osteotomies in the area of the knee joint have shown excellent results for the treatment of limited arthrosis with a predominant lesion of the medial part of the joint in relatively young patients. However, despite the good results reported in the literature, patient satisfaction usually deteriorates over time, and some inevitably require further treatment with total knee arthroplasty in cases of progression of osteoarthritis. The aim of the study. On the basis of a retrospective analysis of surgical treatment of patients with osteoarthritis of the knee joints, justify the differentiated use of surgical interventions. Materials and methods. The article considers a differentiated approach to peri-articular osteotomies and primary endoprosthesis in gonarthrosis, in particular, in the focus of the endoprosthesis selection algorithm, based on related factors, such as the stage of the disease, the patient’s age, and the presence of concomitant complications, including the presence or absence of aseptic necrosis, contractures, instability ligamentous apparatus and defects of the condyles of the tibial bone. 391 knee joints were operated on in 383 patients. Results. In general, good results were obtained in 65 % (210 people) of endoprosthetics. The patients felt well, did not feel pain, did not limp, the range of motion was restored within normal limits, there was no deformation of the joint, the axis of the limb was correct, the joint was stable. Satisfactory results were obtained in 35 % (114 people), the patients felt well, did not feel pain, moderate lameness remained, range of motion was limited to no more than 800, there was no joint deformation, the axis of the limb was correct, the joint was stable. No unsatisfactory results were obtained. Conclusions. The developed differentiated approach to operative treatment of patients with osteoarthritis of the knee joints allowed to obtain 65 % good and 35 % satisfactory results. The prospect of further development in this direction continues due to the improvement of the design of endoprostheses and the technique of surgical intervention

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Section: Resultsmentioning

confidence: 99%

Surgical Treatment of Patients With Osteoarthritis of the Knee Joints

Osadchuk,

Kalashnikov,

Kostohryz

et al. 2023

Clin. and prev. med.

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“…На підставі аналізу національних реєстрів країн трьох континентів (Швеція, Австралія, США) за 2003-2017 роки встановлено поступове збільшення кількості операцій первинного та ревізійного ендопротезування колінного суглоба [4]. Серед причин збільшення кількості вказаних процедур називають більше сприйняття їх хірургами та пацієнтами [5]; підвищення тривалості життя [6], частоти остеоартриту не лише в осіб старших за 65 років, а й в людей віком 30-65 років [7,8].…”

Section: вступunclassified

Reconstructive surgeries in the case of the knee joint osteoarthritis

Popsuishapka¹,

Lytvyshko²,

Pidgaiska³

et al. 2023

OTP

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Objective. To clarify the indications and volume of reconstructive surgeries under conditions of knee joint arthritis and to improve the methods of surgical correction of peri-articular deformations using an external rod fixator. Methods. During the last 10 years (2012‒2022), reconstructive surgeries were performed in 45 patients (49 joints). Indications for surgery were based on the study of pain and its localization, peri-articular deformation of the limb, ultrasound (USD) and X-ray examinations. Results. Indications for certain reconstructive surgical interventions on the knee joint are substantiated. The role of pathological changes of the meniscus in the development of knee joint arthritis has been determined. The positive clinical effect of paracapsular resection of the front part of the meniscus with hyperplastic growths of synovial tissue is shown. Deformation of the extremety (43 patients — with varus deformity, 2 — with valgus deformity) limited the function of the limb and caused pain. Surgical treatment in such cases were aimed at eliminating the deformation of the proximal part of the tibia. The types of osteotomies, the features of the author's rod external fixation device application, and the postoperative management of patients are presented. Due to external fixator, it is possible to perform, if necessary, angular correction of the limb axis during the period when the patient begins to walk with partial weight bearing, and the functional load of the limb makes it possible to achieve fusion of fragments within 3.5–4 months. A long-term positive clinical effect was obtained in 42 (93 %) patients. Conclusions. Indications for pathogenetic treatment should be based, first of all, on the identification of the source (or pathogenesis) of the pain syndrome, then on the analysis of the type and magnitude of peri-articular deformation of the limb, signs of functional insufficiency of the limb associated with it. In the third place, the X-ray signs should be analyzed. Elimination of angular peri-articular deformation of the limb has a positive effect on the course of knee arthritis, reduces pain, increases physical activity, and slows down the progression of cartilage destruction.

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Manejo de gonartrosis con terapia regenerativa

Pilatasig Plasencia,

Telenchana Chimbo

2024

LATAM

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La gonartrosis es una condición degenerativa que afecta a una proporción significativa de la población, particularmente a personas mayores o con antecedentes de lesiones articulares. Se caracteriza por dolor, rigidez de la articulación y disminución de la funcionalidad con un evidente deterioro severo de la calidad de vida del paciente y convirtiendose en un mayor gasto para los sistemas de salud de las diferentes naciones. En los últimos años, las terapias regenerativas han emergido como una alternativa prometedora para el tratamiento de la gonartrosis, siendo la infiltración de factores de crecimiento derivados de plaquetas, el plasma rico en plaquetas, la terapia con células madre, y la utilización de biomateriales útiles para la reparación del cartílago además de aliviar los síntomas, promover la regeneración del tejido articular y ralentizar la progresión de la enfermedad. Este estudio no experimental de tipo descriptivo se basa en una búsqueda bibliográfica de información científica de los últimos 5 años sobre los beneficios de la terapia regenerativa en el desarrollo de la gonartrosis con el objetivo de brindar recomendaciones sobre su uso según los estadios de la patología y realizar una caracterización respecto a los beneficios de cada una de las terapias. En conclusión, métodos como la infiltración de células madre, los factores de crecimiento y las terapias con plasma rico en plaquetas han demostrado potencial terapéutico para reducir el dolor, mejorar la función articular y, en algunos casos, frenar el daño del cartílago.

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A Differentiated Approach to Primary Knee Arthroplasty in Gonarthrosis Patients

Cited by 3 publications

References 5 publications

Surgical Treatment of Patients With Osteoarthritis of the Knee Joints

Surgical Treatment of Patients With Osteoarthritis of the Knee Joints

Reconstructive surgeries in the case of the knee joint osteoarthritis

Manejo de gonartrosis con terapia regenerativa

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