Modern Trends in Orthopedics: The Knee Arthroplasty

Тихилов, Тихилов Рашид; Корнилов, Николай Николаевич; Куляба, Т. А.; Сараев, Александр Викторович; Игнатенко, Василий Львович

doi:10.21823/2311-2905-2012--2-5-15

Cited by 5 publications

(1 citation statement)

References 61 publications

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“…Total knee artroplasty (TKA) is widely used in treating patients with terminal gonarthrosis and when conservative therapy fails [1][2][3][4][5]. The most common approach in TKA is medial mediapatellar approach (MMPA) described by Von Langenbeck as early as in 1874 [4].…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive (Epivastus) Approach for Total Knee Arthroplasty

Sokolovskii,

Zykin,

Rukina

et al. 2023

Sovrem Tehnol Med

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The aim of the study was to assess the efficiency of a developed minimally invasive (epivastus) approach in total knee arthroplasty (TKA) by comparing its early results with those of a standard medial mediapatellar approach (MMPA). Materials and Methods.A single-center, comparative randomized prospective study involved 127 patients, who underwent TKA using MMPA (n=62) and a modified minimally invasive epivastus approach (n=65) within the period from January to December, 2022. The study groups were comparable by gender, age, BMI, gonarthrosis stage, and knee joint functioning parameters.Results. The surgery duration in the epivastus group was significantly lower compared to MMPA group (p<0.001). However, the interpretation of tissue trauma markers assessment appeared rather ambiguous. There were no statistically significant differences in lactate dehydrogenase (p=0.253). C-reactive protein, myoglobin, creatinine showed a significant increase in MMPA group (p<0.001; p=0.002 and p=0.048, respectively), while aspartate aminotransferase, creatine phosphokinase and ESR, in contrast, increased in the epivastus group (p<0.001; p=0.024 and p=0.010, respectively). Pain syndrome determined by VAS 3 days after the surgery was significantly lower in the epivastus group (p=0.006). The extent of blood loss appeared to be much greater in MMPA group (p=0.006). The joint function indicators on day 3 after the surgery were found to be better in the patients after TKA using an epivastus approach (p<0.001). The postoperative assessment of the endoprosthetic spatial orientation showed the indicators characterizing the correct endoprosthetic implantation to be comparable in both groups (p≥0.06).Conclusion. The present study demonstrated the efficiency of the developed minimally invasive (epivastus) approach in TKA. However, it should be taken into consideration that surgeons should take a training course to be able to accomplish a high-quality approach.An ambiguous interpretation of tissue trauma markers assessment of performing minimally traumatic approaches requires terminology correction. It is probably necessary to change the approach to the approach marking and use the terms specifying minimal invasiveness and the reduction of muscle injury rather than soft tissues in general.

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Section: Introductionmentioning

confidence: 99%

Minimally Invasive (Epivastus) Approach for Total Knee Arthroplasty

Sokolovskii,

Zykin,

Rukina

et al. 2023

Sovrem Tehnol Med

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Russian Version of HSS Knee Replacement Expectations Survey: Language and Cultural Adaptation

Cherkasov

Ibiev

Сараев

et al. 2017

N.N. Priorov Journal of Traumatology and Orthopedics

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Purpose . To perform language and cultural adaptation of the Hospital of Special Surgery (HSS) Knee Replacement Expectations Survey and evaluate its reliability. Material and methods . To preserve the HSS validity its language and cultural adaptation was performed in several steps: (1) direct translation, (2) synthesis of the intermediate version, (3) back translation, (4) expert commission review and creation of the 2nd intermediate version, (5) pre-testing and formation of a final version, study of reliability with evaluation of Cronbach’s alpha and intra class correlation coefficient (ICC). Total number of 35 patients (mean age 54.2 years) with terminal-stage gonarthrosis who were admitted for total knee arthroplasty (TKA) participated in the study. Results . Cronbach’s alpha and intra class correlation coefficient (ICC) for the translated and adapted version of HSS Knee Replacement Expectations Survey made up 0.871 and 0.82 (95% confidence interval 0.725-0.897) that was indicative of high correlation between Russian version and the original. Conclusion . Russian version of HSS Knee Replacement Expectations Survey is a reliable tool and can be used for the evaluation of patient expectations prior to TKA.

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Validation and Cross-Cultural Adaptation of Rating Systems Womac, KSS and FJS-12 in Patients With Knee Disorders and Injuries

Иржанский

Куляба

Kornilov

2018

Traumatology and Orthopedics of Russia

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The purposeof the work — is validation and cultural adaptation of the english-language rating systems for knee function assessment for use in scientific, medical and educational institutions of the Russian Federation.Materials and Methods.The english versions of rating systems WOMac® 3.1 Index, The knee Society clinical Rating System©, FjS-12® were translated to Russian language by orthopedic surgeon with advanced level of english and the professional translator specializing in the translation of medical texts. Reverse translation was provided by third independent translator born in the english-speaking country (native speaker). a printed version of the various translations of the questionnaires was filled by patients with an interval of two days. The study group included 150 patients with Stage III knee osteoarthritis (90 women and 60 men aged 48 to 75 years, an average of 62.5 years) hospitalized in Vreden Research Institute of Traumatology and Orthopedics from February to april 2017 for total knee arthroplasty.Results.good and very good retest reliability of WOMac (α = 0.87 and α = 0.9), kSS (α = 0.89 and α = 0.86) and FjS-12 (α = 0.94 and α = 0.96) was revealed. The study revealed a strong correlation between the results of the questionnaires performed by different translators: WOMac (Icc = 0.89), kSS (Icc = 0.86), FjS-12 (Icc = 0.92). The correlation dependence between subsections of WOMac (stiffness – Icc = 0.98, pain – Icc = 0.87, daily functions – Icc = 0.89) and kSS (knee score – Icc = 0.94, function score – Icc = 0.88), which indicates a good constructive validity.Conclusion. The results of the study of criterial and constructive validity, as well as the retest reliability of the Russian versions of the WOMac, kSS and FjS-12 scales, indicate that they are a reliable and sensitive tool for assessing the function of knee joint, which can be widely used by Russian researchers in practical and scientific activities.

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Modern Trends in Orthopedics: The Knee Arthroplasty

Cited by 5 publications

References 61 publications

Minimally Invasive (Epivastus) Approach for Total Knee Arthroplasty

Minimally Invasive (Epivastus) Approach for Total Knee Arthroplasty

Russian Version of HSS Knee Replacement Expectations Survey: Language and Cultural Adaptation

Validation and Cross-Cultural Adaptation of Rating Systems Womac, KSS and FJS-12 in Patients With Knee Disorders and Injuries

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