Abstract
The goal was to evaluate the immediate results of treatment and knee function in patients after total knee replacement.Material and methods. The study included: questioning of patients, analyzing the medical records of inpatients, analyzing the features of surgical intervention and treatment during the postoperative period. We examined 81 patients with grade 3 gonarthrosis according to Ahlbäck. The patients underwent an examination of an orthopedic traumatologist with clinical assessment of their state by the KOOS scale (The Knee injury and Osteoarthritis Outcome Score).Results. A significant reduction in the pain syndrome was observed in the period from 30 to 180 days, ranging from 38.07 (11.1-50.0) points to 86.88 (72.2-97.2) points, respectively, which in turn speeded up the rehabilitation time after endoprosthetics (p <0.05). The severity of the pain syndrome in the period of 30-90 days after surgery was significantlylower in patients with rotation-endoprosthesis (50.0 - 66.4 points) than in those with modular endoprosthesis (38.07 - 60.6 points), respectively (p <0.05). The severity of symptoms throughout the period of observation of patients after surgery was significantly lower in patients with rotation-endoprosthesis (50.0 - 65.6 - 88.8 - 92.06 points) than inthose with modular endoprosthesis (35.1 - 56.9 – 82.9 - 86.2 points), respectively (p <0.05). Conclusions. The evaluation of the knee joint function restoration after endoprosthetics using the KOOS scale isvery detailed, which justifies its wider use in this category of patients.
Highlights
Рисунок 4. – Показатели выраженности болевого синдрома по шкале KOOS Pain у пациентов после эндопротезирования с применением связанных ротационных и тотальных с цементной фиксацией моделей эндопротезов
The severity of symptoms throughout the period of observation of patients after surgery was significantly lower in patients with rotation-endoprosthesis (50.0 - 65.6 - 88.8 - 92.06 points) than in those with modular endoprosthesis (35.1 - 56.9 – 82.9 - 86.2 points), respectively (p
Summary
Цель – оценить ближайшие результаты лечения и функцию коленного сустава у пациентов после эндопротезирования коленного сустава с применением шкалы KOOS. Выраженность болевого синдрома в периоде 30-90 суток после оперативного вмешательства значительно ниже у пациентов с установленными ротационными моделями эндопротезов (50,0-66,4 балла), нежели модульными (38,07-60,6 балла), соответственно (p
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