Arthroplasty Features in Overweight Patients (Review)

Юосеф, А. И.; Ахтямов, И. Ф.

doi:10.21823/2311-2905-2017-23-2-115-123

Cited by 4 publications

(2 citation statements)

References 47 publications

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“…Кроме того, дислокация эндопротеза у пациентов с ожирением наблюдается в 2-3 раза чаще, чем у больных с ИМТ <30 кг/м 2 . У больных с избыточной массой тела в 1,5 раза чаще возникает необходимость в ревизионной операции, причем на более ранних сроках [3,[5][6][7]. Избыточная масса тела входит в список условных противопоказаний для замены сустава, и большинство специализированных клиник крайне неохотно берется за лечение пациентов с повышенным ИМТ, опасаясь снижения показателей результативности.…”

Section: Conclusion the Study Results Demonstrate The High Potentialunclassified

Early functional results of total knee arthroplasty in patients with alimentary obesity

Helo

Ахтямов

Саид

et al. 2018

N.N. Priorov Journal of Traumatology and Orthopedics

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Введение. Эндопротезирование коленного сустава перешло в разряд стандартных плановых вмешательств в специализированных клиниках. Изучение результатов операций, выполняемых в типичных случаях, уже не столь актуально, как наблюдение за пациентами с сопутствующей патологией, поскольку у таких пациентов чаще регистрируют различные осложнения. Цель исследования: оценить эффективность замены коленного сустава у пациентов с повышенным индексом массы тела на ранних этапах реабилитации.

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Section: Conclusion the Study Results Demonstrate The High Potentialunclassified

Early functional results of total knee arthroplasty in patients with alimentary obesity

Helo

Ахтямов

Саид

et al. 2018

N.N. Priorov Journal of Traumatology and Orthopedics

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“…The presence of arterial hypertension (AH) increases the risk of cardiovascular complications after surgery by 35%; another risk factor here is a decreased renal function (Kristensen et al 2014). An increase in body mass index (BMI) for every 5 kg/m 2 increases the risk of postoperative complications by 1.5 times (Yousef and Akhtyamov 2017).…”

Section: Introductionmentioning

confidence: 99%

Development of a risk-oriented algorithm for the combined use of hemostatics and anticoagulants to prevent thrombosis and bleeding cases after total arthroplasty of knee or hip joints

Головко¹,

Сафроненко²,

Gantsgorn³

et al. 2021

RRP

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Introduction: The goal of our study was to develop a risk-oriented algorithm for the combined use of hemostatics and anticoagulants in patients after total arthroplasty of the knee or hip joints to reduce the risk of thrombohemorrhagic complications. Materials and methods: We performed a retrospective study (n=253). In group (Gr.) 1, the time interval (TI) between the administration of hemostatic and anticoagulant prophylaxis was ≤17 hours (n=145; 57.31%), and in Gr. 2 – 18-24 hours (n=108; 42.68%). We analyzed the influence of different factors on the development of thrombosis and bleeding cases after the operation. Results and discussion: Thrombohemorrhagic complications were observed in 27 (10.67%) patients. Thrombosis in Gr. 1 was associated with the use of tranexamic acid, and were recorded 2.2 times more often than in Gr. 2 (p<0.05). The development of thrombosis in Gr. 1 was influenced by: class II obesity, type 2 diabetes mellitus, myocardial infarction, venous pathology, age of patients >75 years, for women – an initially low level of international normalized ratio, and activated partial thromboplastin time (APTT) (p<0.05). The development of bleeding in Gr. 1 was influenced by: age >75 years, among men and women – an increased preoperative level of APTT, for women – a decreased level of fibrinogen and platelets (p<0.05). Conclusion: To prevent thrombosis and bleeding after arthroplasty of large joints, the TI between the use of hemostatics and anticoagulants should be at least 18 hours, especially in patients with the above risk factors, in particular, when using tranexamic acid and low molecular weight heparins.

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Reasons for patients dissatisfaction with the results of primary knee replacement (review)

Demin,

Sereda,

Parfeev

et al. 2023

Saratov J Med Sci Res

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Objective: based on world literature data, to determine the main reasons for patient dissatisfaction with the results of primary knee arthroplasty, and also to propose ways to solve them to increase the level of patient satis¬faction with the results of surgical treatment. Review writing methodology. A search for scientific papers on the subject understudy was carried out in the PubMed and eLibrary databases from 1997 to 2022 using the keywords: "knee-joint", "knee arthroplasty", "gonarthrosis", "epidemiology", "satisfaction", "evaluation methods", "awareness", "forecasting techniques", "results". Full text papers on epidemiology, patient dissatisfaction, and methods for assessing the results of primary knee arthroplasty were analyzed. Conclusion. The main reason for patient dissatisfaction with the results of primary knee arthroplasty is their unfulfilled expectations due to lack of information about the upcoming operation.

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Arthroplasty Features in Overweight Patients (Review)

Cited by 4 publications

References 47 publications

Early functional results of total knee arthroplasty in patients with alimentary obesity

Early functional results of total knee arthroplasty in patients with alimentary obesity

Development of a risk-oriented algorithm for the combined use of hemostatics and anticoagulants to prevent thrombosis and bleeding cases after total arthroplasty of knee or hip joints

Reasons for patients dissatisfaction with the results of primary knee replacement (review)

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