Total Knee Arthroplasty After Proximal Tibia Fracture

Павлов, Д. В.; Gorbatov, Roman O.

doi:10.21823/2311-2905-2016-0-1-65-73

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…The first attempts of surgical treatment in patients suffering from gonarthrosis date back to the middle of the 19 th century when interposition arthroplasty and knee arthrodesis were first performed [6]. Currently, total knee arthroplasty is one of the most effective methods of surgical treatment, which makes it possible to restore the range of motions and stability in the affected joint, to relieve pain [7]. However, the presence of bone defects, capsular adhesion, scar-adhesions of the anterior femoral muscles, extra-articular deformities, post-traumatic changes in the bone structure lead to unsatisfactory surgical outcomes in more than 17% of cases [1,2,8].…”

Section: Introductionmentioning

confidence: 99%

“…For example, when using the Zimmer PSI patientspecific cutting blocks (Zimmer, Canada) for knee arthroplasty, deviation in the position of the femoral and tibial prosthetic components by more than 3° compared to the preoperative planning is diagnosed in 3-17% of cases. The use of GMK MyKnee guides (Medacta International, Switzerland) leads to deviation in the position of endoprosthesis components by more than 3° from the plan in 12.4% of cases [11,12,17,18].…”

Section: Introductionmentioning

confidence: 99%

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Total Knee Arthroplasty Using Virtual Prototyping and Additive Manufacturing

Gorbatov¹,

Романов²,

Karyakin³

2018

Sovrem Tehnol Med

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Total Knee Arthroplasty Using Virtual Prototyping and Additive Manufacturing

Gorbatov¹,

Романов²,

Karyakin³

2018

Sovrem Tehnol Med

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Long-term results of reconstructive surgery in posttraumatic deformities of the proximal epymetaphysis of the tibia

Malyshev

Зыкин²,

Gorbatov³

et al. 2022

N.N. Priorov Journal of Traumatology and Orthopedics

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BACKGROUND: Tibial plateau fractures (TPF) are common and account for up to 1% of all fractures. The most unfavorable results of their treatment occur with nonunion, malunion, and malunion of TPF fractures. Unfavorable functional results of treatment are due to the occurrence of stiffness in the joint, the development of post-traumatic osteoarthritis, instability in the joint and the presence of infectious complications. In this case, there are indications for surgical treatment of intraarticular fractures of TPF. AIM: to evaluate long-term results and factors leading to knee arthroplasty after reconstructive surgery for post-traumatic deformities of the proximal tibial epimetaphysis. MATERIALS AND METHODS: The long-term (in terms of 5 to 10 years) treatment results were assessed in 46 patients with malunion of intra-articular fractures of the tibial plateau, operated in the period from 2010 to 2015.The average age of patients was 47.611 years. We considered both cases of neglected conservative treatment (87%) and cases with unsuccessful surgical fixation (13%). RESULTS: The KOOS pain score was 75.0 [66.6; 94.0] points, which corresponds to a good result. Satisfactory results were observed during the examination on the basis of daily physical activity (66.1 [51.5; 85.3] points) and on the basis of symptoms and stiffness (65.4 [53.6; 86.0] points). Average scores for the attribute physical activity while playing sports, games and entertainment and for the attribute quality of life 53.75 [25.0; 81.0] and 53.8 [25.0; 81.0] points, respectively, were assessed as unsatisfactory. In terms of up to 10 years, 5 out of 46 patients (10.9%) underwent knee arthroplasty. A statistically significant relationship was determined between the varus deformity more than 3 persisting after reconstructive surgery (r=0.664, p 0.0001), the time period between injury and reconstructive surgery (r=0.262, p=0.007) and the appearance of indications for TKA. CONCLUSION: The study revealed a statistically significant direct correlation relationships between persisting varus deformity more than 3, as well as a long time interval between injury and the performed reconstructive surgery with the emergence of indications for arthroplasty.

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Features and Results of Knee Arthroplasty after Knee Fractures Fixation

Расулов¹,

Kulyaba²,

Kornilov

et al. 2021

Traumatology and Orthopedics of Russia

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Abstract The purpose of the study - to find out surgical intervention features, the function restoration dynamics and clinical results after primary total knee replacement (TKA) in patients with a history of osteosynthesis of intra-articular fractures, to assess the risk of complications and to suggest measures for their prevention. Material and methods. The study includes a retrospective (100 observations) and prospective (40 observations) comparative analysis of the results of primary TKA in patients with a history of osteosynthesis of intra-articular fractures (MOS) of the bones forming the knee joint (main group) and without them (comparison group). Adapted Russian-language versions of the KSS, WOMAC and FJS-12 score scales were used to study the clinical and functional results of the TKA, the incidence of any complications after arthroplasty and the X-ray position of the endoprosthesis components on the KRESS scale were evaluated. Statistical analysis of the data obtained was carried out in accordance with generally accepted methods. Results. Statistically significant differences were revealed between the patients of the main and the comparison groups according to the following indicators: the patients of the main group were 8 years younger, the duration of the operation time, the volume of intraoperative blood loss, the need for implantation of structures with an increased degree of mechanical coupling between the components of the endoprosthesis, the number of postoperative complications were greater in the patients of the main group. Functional results on the KSS and WOMAC scales did not have statistically significant and clinically differences, when assessing the satisfaction of TKA on the FJS-12 scale, statistically significantly worse results were obtained in the main group. TKA in patients with a history of MOS for intraarticular fractures of the knee joint area statistically and clinically significantly increased the amplitude of movements in the knee joint - from 89 to 108 , that is, by 19 , the function recovery dynamics according to the KSS, WOMAC and FJS-12 scales was slowed down at 3 and 6 months, and according to the WOMAC and FJS-12 scales and by 12 months after surgery. Conclusion. The trauma and subsequent surgical treatment of intra-articular fractures of the knee joint leads to an earlier development of posttraumatic arthritis of the 3rd degree, functional results have no statistically significant differences, satisfaction with the results of TKA in this category of patients is less, and the number of postoperative complications, are greater. A history of MOS significantly slows down the dynamics and degree of recovery of function in the early postoperative period.

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Total Knee Arthroplasty After Proximal Tibia Fracture

Cited by 5 publications

References 14 publications

Total Knee Arthroplasty Using Virtual Prototyping and Additive Manufacturing

Total Knee Arthroplasty Using Virtual Prototyping and Additive Manufacturing

Long-term results of reconstructive surgery in posttraumatic deformities of the proximal epymetaphysis of the tibia

Features and Results of Knee Arthroplasty after Knee Fractures Fixation

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