THE ADVANTAGES OF MINIMAL BONE CUTS RESECTION IN TOTAL KNEE REPLACEMENT
. Introduction. Total knee arthroplasty (TKA) is one of the most successful and effective surgical options for reducing pain and restoring function in patients with severe osteoarthritis. Patient satisfaction is one of many outcome measures reported by patients. Purpose of the study. To clinically i...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Ukrainian Medical Stomatological Academy
2022-11-01
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| Series: | Вісник проблем біології і медицини |
| Subjects: | |
| Online Access: | https://vpbm.com.ua/upload/2022-3 (166)/47-min.pdf |
| _version_ | 1828744647599456256 |
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| author | Linko Ya. V. Rokyta T. G. Rokyta V. G. |
| author_facet | Linko Ya. V. Rokyta T. G. Rokyta V. G. |
| author_sort | Linko Ya. V. |
| collection | DOAJ |
| description | . Introduction. Total knee arthroplasty (TKA) is one of the most successful and effective surgical options for reducing pain and restoring function in patients with severe osteoarthritis. Patient satisfaction is one of many outcome measures reported by patients. Purpose of the study. To clinically investigate the effectiveness of total knee arthroplasty (TKA) in the treatment of deforming diseases of the knee joint (KJ), as well as to demonstrate a high level of effectiveness of minimal bone cuts in TKA. Patient satisfaction can be assessed in two categories: satisfaction determinants and satisfaction components. The former have been described as all patient-related factors, including age, gender, personality traits, patient expectations, medical and psychiatric comorbidities, patient diagnosis leading to TKA, and severity of arthropathy. The latter include all processes and technical aspects of performing TKA, ranging from anesthetic and surgical factors, type of implants and postoperative rehabilitation. Materials and Methods. For the period from 2015-2018, on the basis of the orthopedic department of KCH No. 7 and LEH of the city of Lviv, 1250 patients were operated on for arthrosis of the knee joint. Total cement arthroplasty was performed by the authors of the article using NexGen (Zimmer, USA) and Sigma (DePuy, Johnson&Johnson, USA) endoprostheses. Both models with preservation of the posterior cruciate ligament (75%) and without preservation of the posterior cruciate ligament (25%) were used. In both cases, only a fixed platform was used. Results and its discussion. Based on the experience of more than 1250 knee replacements from 2015-2018 wasestablished than minimal bone cuts in knee replacements give more superior resultsand survival probability.We strongly believe that should be a reasonable balance when do you perform«traditional» knee replacement between bone cuts and soft tissue. Arthrosis with varus deformity of the knee joint was observed in 82% of cases, valgus deformity of the knee, respectively, was in 18% of patients. Among the patients, women predominated (72%), the age of the patients ranged from 42 to 86 years, with an average of 69 years. Conclusions. Thus, although total knee arthroplasty is an effective treatment for late stages of knee arthrosis, the percentage of dissatisfied patients reaches up to 30% (3,4,5). Based on our research, the number of patients “satisfied” with the results of the operation was mainly observed in the group where minimal bone cuts and “smart” soft tissue balance were performed. This approach seems especially appropriate in the light of future revision prosthetics. |
| first_indexed | 2024-04-13T21:21:09Z |
| format | Article |
| id | doaj.art-97ea6aab654d44088df679ac585c3071 |
| institution | Directory Open Access Journal |
| issn | 2077-4214 2523-4110 |
| language | English |
| last_indexed | 2024-04-13T21:21:09Z |
| publishDate | 2022-11-01 |
| publisher | Ukrainian Medical Stomatological Academy |
| record_format | Article |
| series | Вісник проблем біології і медицини |
| spelling | doaj.art-97ea6aab654d44088df679ac585c30712022-12-22T02:29:29ZengUkrainian Medical Stomatological AcademyВісник проблем біології і медицини2077-42142523-41102022-11-01132433110.29254/2077-4214-2022-3-166-324-3312077-4214-2022-3-166-324-331THE ADVANTAGES OF MINIMAL BONE CUTS RESECTION IN TOTAL KNEE REPLACEMENTLinko Ya. V.0Rokyta T. G.1Rokyta V. G.2 Kyiv City Clinical Hospital № 7 Kyiv City Clinical Hospital № 7 Lviv Emergency Hospital . Introduction. Total knee arthroplasty (TKA) is one of the most successful and effective surgical options for reducing pain and restoring function in patients with severe osteoarthritis. Patient satisfaction is one of many outcome measures reported by patients. Purpose of the study. To clinically investigate the effectiveness of total knee arthroplasty (TKA) in the treatment of deforming diseases of the knee joint (KJ), as well as to demonstrate a high level of effectiveness of minimal bone cuts in TKA. Patient satisfaction can be assessed in two categories: satisfaction determinants and satisfaction components. The former have been described as all patient-related factors, including age, gender, personality traits, patient expectations, medical and psychiatric comorbidities, patient diagnosis leading to TKA, and severity of arthropathy. The latter include all processes and technical aspects of performing TKA, ranging from anesthetic and surgical factors, type of implants and postoperative rehabilitation. Materials and Methods. For the period from 2015-2018, on the basis of the orthopedic department of KCH No. 7 and LEH of the city of Lviv, 1250 patients were operated on for arthrosis of the knee joint. Total cement arthroplasty was performed by the authors of the article using NexGen (Zimmer, USA) and Sigma (DePuy, Johnson&Johnson, USA) endoprostheses. Both models with preservation of the posterior cruciate ligament (75%) and without preservation of the posterior cruciate ligament (25%) were used. In both cases, only a fixed platform was used. Results and its discussion. Based on the experience of more than 1250 knee replacements from 2015-2018 wasestablished than minimal bone cuts in knee replacements give more superior resultsand survival probability.We strongly believe that should be a reasonable balance when do you perform«traditional» knee replacement between bone cuts and soft tissue. Arthrosis with varus deformity of the knee joint was observed in 82% of cases, valgus deformity of the knee, respectively, was in 18% of patients. Among the patients, women predominated (72%), the age of the patients ranged from 42 to 86 years, with an average of 69 years. Conclusions. Thus, although total knee arthroplasty is an effective treatment for late stages of knee arthrosis, the percentage of dissatisfied patients reaches up to 30% (3,4,5). Based on our research, the number of patients “satisfied” with the results of the operation was mainly observed in the group where minimal bone cuts and “smart” soft tissue balance were performed. This approach seems especially appropriate in the light of future revision prosthetics. https://vpbm.com.ua/upload/2022-3 (166)/47-min.pdf knee joint,total arthroplasty,rehabilitation,prosthesis,deformity,arthrosis. |
| spellingShingle | Linko Ya. V. Rokyta T. G. Rokyta V. G. THE ADVANTAGES OF MINIMAL BONE CUTS RESECTION IN TOTAL KNEE REPLACEMENT Вісник проблем біології і медицини knee joint,total arthroplasty,rehabilitation,prosthesis,deformity,arthrosis. |
| title | THE ADVANTAGES OF MINIMAL BONE CUTS RESECTION IN TOTAL KNEE REPLACEMENT |
| title_full | THE ADVANTAGES OF MINIMAL BONE CUTS RESECTION IN TOTAL KNEE REPLACEMENT |
| title_fullStr | THE ADVANTAGES OF MINIMAL BONE CUTS RESECTION IN TOTAL KNEE REPLACEMENT |
| title_full_unstemmed | THE ADVANTAGES OF MINIMAL BONE CUTS RESECTION IN TOTAL KNEE REPLACEMENT |
| title_short | THE ADVANTAGES OF MINIMAL BONE CUTS RESECTION IN TOTAL KNEE REPLACEMENT |
| title_sort | advantages of minimal bone cuts resection in total knee replacement |
| topic | knee joint,total arthroplasty,rehabilitation,prosthesis,deformity,arthrosis. |
| url | https://vpbm.com.ua/upload/2022-3 (166)/47-min.pdf |
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