Features of preoperative planning of patients with degenerative-dystrophic diseases of the hip and knee joints

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

The article presents the results of a comparative analysis of the main medical and statistical characteristics and comorbid background of 1782 patients with coxarthrosis who were admitted for hip arthroplasty and 2482 with gonarthrosis for knee arthroplasty. With both sites of arthrosis, women were more common than men (with coxarthrosis, about 2 times, with gonarthrosis, almost 4 times). In coxarthrosis, the proportion of men with comorbidities was higher than that in gonarthrosis, in women - an inverse relationship. In both cases, hypertension and obesity were the most common comorbidities. In young patients, the best results were obtained with the use of minimally invasive techniques - short legs with coxarthrosis and single-denture prostheses with gonarthrosis, which must be considered when planning the provision of high-tech medical care.

Full Text

Restricted Access

References

  1. Денисов Л.Н., Насонова В.А. Ожирение и остеоартроз // Науч.-практ. ревматология. - 2010. - № 3. - С. 48-51.
  2. Корнилов Н.Н., Куляба Т.А., Филь А.С., Муравьёва Ю.В. Данные регистра эндопротезирования коленного сустава РНИИТО им. Р.Р.Вредена за 2011-2013 годы // Травматология и ортопедия России. - 2015. - № 1. - С. 136-151.
  3. Приходько В.С., Тарбушкин А.А., Прохорова М.Ю. и др. Риски при эндопротезировании крупных суставов у пациентов с ожирением // Ожирение и метаболизм. - 2015. - Т. 12, № 4. - С. 52-56.
  4. Юосеф А.И., Ахтямов И.Ф. Особенности артропластики у пациентов с избыточной массой тела (Обзор литературы) // Травматология и ортопедия России. - 2017. - Т. 23, № 2. - С. 115-123.
  5. Яровиков А.В., Зоря В.И., Гурьев В.В., Иванов Л.В. Отдаленные результаты тотального эндопротезирования коленного сустава у пациентов с избыточной массой тела: Сб. матер. Пироговского форума. - М., 2017. - С. 484.
  6. Blagojevic M., Jinks C., Jeffery A. et al. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis // Osteoarthritis Cartilage. - 2010. - N 18. - P. 24-33.
  7. Charlson M.E., Pompei P., Ales K.L., MacKenzie C.R. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation // J. Chronic Dis. - 1987. - N 40. - P. 373-383.
  8. Christensen P., Henriksen M., Bartels E.M. et al. Long-term weight-loss maintenance in obese patients with knee osteoarthritis: a randomized trial // Am. J. Clin. Nutr. - 2017. - Vol. 106, N 3. - P. 755-763.
  9. Jahng K.H., Bas M.A., Rodriguez J.A., Cooper H.J. Risk Factors for Wound Complications After Direct Anterior Approach Hip Arthroplasty // J. Arthroplasty. - 2016. - Vol. 31, N 11. - P. 2583-2587.
  10. Kurtz S., Ong K., Lau E. et al. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030 // J. Bone Joint Surg. Am. - 2007. - N 89. - P. 780-785.
  11. Losina E., Paltiel A.D., Weinstein A.M. et al. Lifetime medical costs of knee osteoarthritis management in the United States: impact of extending indications for total knee arthroplasty // Arthritis Care Res. (Hoboken). - 2015. - N 67. - P. 203-215.
  12. Losina E., Thornhill T.S., Rome B.N. et al. The dramatic increase in total knee replacement utilization rates in the United States cannot be fully explained by growth in population size and the obesity epidemic // J. Bone Joint Surg. Am. - 2012. - N 94. - P. 201-207.
  13. Murphy L., Schwartz T.A., Helmick C.G. et al. Lifetime risk of symptomatic knee osteoarthritis // Arthritis Rheum. - 2008. - N 59. - P. 1207-1213.
  14. Weinstein A.M., Rome B.N., Reichmann W.M. et al. Estimating the burden of total knee replacement in the United States // J. Bone Joint Surg. Am. - 2013. - N 95. - P. 385-392.
  15. Xie J., Xu B., Kang P. et al. The efficacy and safety of postoperative retransfusion drain following total hip arthroplasty: Meta-analysis // Zhonghua Wai Ke Za Zhi. - 2016. - Vol. 54, N 2. - P. 108-113.

Statistics

Views

Abstract: 52

PDF (Russian): 13

Dimensions

Article Metrics

Metrics Loading ...

PlumX

Refbacks

  • There are currently no refbacks.

Copyright (c) 2019 Eco-Vector

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies