Analysis of the results of monocondillary endoprosthesis in conditions of low bone density of bone tissue

Authors

  • V.O. Movchaniuk National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • Р.М. Zhuk National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • O.D. Karpinska State Institution “Sytenko Institute of Spine and Joint Pathology of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine
  • M.Yu. Karpinsky State Institution “Sytenko Institute of Spine and Joint Pathology of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine

DOI:

https://doi.org/10.22141/1608-1706.2.23.2022.885

Keywords:

knee joint, monocandillary arthroplasty, osteoporosis

Abstract

Background. Pain is the main cause of joint arthroplasty, but for many patients it allows to restore functional capacity. Self-report questionnaires reflect people’s perceptions and satisfaction with their own health. Moreover, physical functions are better characterized by patients themselves than by physicians. The purpose was to determine the effectiveness of the developed method of monocondylar knee arthroplasty in conditions of low bone density. Materials and methods. 3 groups of patients were studied: Group I — 59 (67.8 %) people, patients with normal bone density, who were operated on by the classical method of monocondylar endoprosthesis; Group II — 6 (6.9 %) patients with low bone density, who underwent monocondylar endoprosthesis according to the author’s method, Group III — 22 (25.3 %), patients with low bone density who underwent monocondylar endoprosthesis knee joint according to the classical method. All patients before and one year after arthroplasty were surveyed according to the KOOS questionnaire. Results. Prior to treatment, patients experience significant discomfort with the knee joint, which is manifested in the presence of pain during movements of the knee joint — flexion and extension, walking not only on the stairs but also on a flat surface. Patients in most cases complain of swelling of the knee joint, pain at night and after a long rest. Symptoms are more pronounced in elderly patients — over 65 years, and in patients with low bone density — osteoporosis, which is a complicating factor. The condition of patients after arthroplasty also depends not only on the quality of the operation, but also on the patient’s age, ie, the older the patient, the greater the likelihood of worse results, as well as the presence of comorbidities, especially osteoporosis. Worse endoprosthesis outcomes in group III patients were due to complications that led to revisions in some patients. Conclusions. In patients of group II, who underwent monocondylar endoprosthesis according to the new method, the results were close to the results of group I — patients without osteoporosis. Due to the fact that in group II there were quite elderly patients, the results of arthroplasty were slightly lower, but close to the results of group I and better than in patients of group III. There were no complications in patients of group II. The author’s technique of monocondylar knee arthroplasty allows to obtain good results not only against the background of osteoporotic changes, but also to increase the age limit of operated patients and can be offered for wider use.

Downloads

Download data is not yet available.

References

Dixon T., Shaw M., Ebrahim S., Dieppe P. Trends in hip and knee joint replacement: socioeconomic inequalities and projections of need. Ann. Rheum. Dis. 2004. 63. 825-830. http://dx.doi.org/10.1136/ard.2003.012724

Healy W.L., Sharma S., Schwartz B., Iorio R. Athletic activity after total joint arthroplasty. J. Bone Joint Surg. Am. 2008. 90. 2245-2252. http://dx.doi.org/10.2106/JBJS.H.00274

Weiss J.M., Noble P.С., Conditt M.А. et al. What functional activities are important to patients with knee replacements? Clin. Orthop. Relat. Res. 2002. 172-188.

Kwon S.K., Kang Y.G., Kim S.J., Chang C.В., Seong S.C., Kim T.K. Correlations between commonly used clinical outcome scales and patient satisfaction after total knee arthroplasty. J. Arthroplasty. 2010. 25. 1125-1130. http://dx.doi.org/10.1016/j.arth.2009.10.015

Carr A., Hewlett S., Hughes R. et al. Rheumatology outcomes: the patient’s perspective. J. Rheumatol. 2003. 30. 880-883.

Roos E.М., Lohmander L.S. Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health Qual. Life Outcomes 2003. 1.64.

Rodriguez-Merchan E.C. Knee instruments and rating scales designed to measure outcomes. Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology. 2012. 13.1-6.

Collins N.J., Misra D., Felson D.Т., Crossley K.М., Roos E.M. Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index ­(WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS). Arthritis care & research. 2011. 63. Suppl. 11. S208-28.

Alviar M.J., Olver J., Brand C., Hale T., Khan F. Do patient-reported outcome measures used in assessing outcomes in rehabilitation after hip and knee arthroplasty capture issues re­levant to patients? Results of a systematic review and ICF linking process. Journal of rehabilitation medicine: official journal of the UEMS European Board of Physical and Rehabilitation Medicine. 2011. 43. 374-81.

Мовчанюк В.О., Жук П.М., Карпінська О.Д., Карпінський М.Ю., Сухоруков С.І. Експериментальне дослідження щільності кісткової тканини при монокондилярній артропластиці колінного суглоба за попередніми даними КТ та інтраопераційного її визначення. Травма. 2022. 23 (1). 12-18. DOI: 10.22141/1608-1706.1.23.2022.877

Everitt B.S., Skrondal A. The Cambridge Dictionary of Statistics. Ed. 4. Cambridge University Press, 2010. 480 p.

Published

2022-07-08

How to Cite

Movchaniuk, V., Zhuk Р., Karpinska, O., & Karpinsky, M. (2022). Analysis of the results of monocondillary endoprosthesis in conditions of low bone density of bone tissue. TRAUMA, 23(2), 4–16. https://doi.org/10.22141/1608-1706.2.23.2022.885

Issue

Section

Original Researches

Most read articles by the same author(s)

1 2 3 4 5 6 > >>