One-stage bilateral total knee arthroplasty
| Autor: | A.N. Kosyakov, V.V. Vovk, E.V. Tuz, E.M. Fedin, A.V. Miloserdov |
|---|---|
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Radiation Diagnostics, Radiation Therapy. 13:40-46 |
| ISSN: | 2707-0700 2707-0697 2014-2021 |
| DOI: | 10.37336/2707-0700-2022-1-4 |
| Popis: | Total knee arthroplasty (TA) is one of the most successful orthopedic surgeries performed in the last decades providing a high degree of patient satisfaction. But there is still controversy regarding the safety and efficacy between simultaneous bilateral TA (SBTA) or two-stage bilateral TA (TSBTA). The purpose of the study is to initiate a database of patients after SBTA for radiological monitoring of the condition of patients and knee joint endoprostheses. For the period 2014-2021 SBTA was performed in 230 patients with bilateral gonarthrosis 3rd stage: women – 167 (72.6%), men – 63 (27.4%). The age of patients – from 30 to 84 years. The body mass index (BMI) ranged from 22.5 (patient, 76 years old) to 48.7 (patient, 52 years old). Investigation design. Inclusion criteria: bilateral gonarthrosis in the 3rd stage of the disease with severe pain and severe functional impairments. Exclusion criteria: polymorbid diseases in the acute stage, morbid obesity, past myocardial infarction, stroke, varicose veins of the lower extremities, obesity, chronic heart failure, chronic renal failure, anemia of various origins (hemoglobin less than 110-115 g/l), HIV, uncompensated sugar diabetes, hidden foci of untreated infection. Conclusion. Patients should be selected for SBTA/TSBTA and consulted on the based of the risks associated with each strategy. The ability to provide effective assistance in complex cases provides patients with high satisfaction and increases the prestige of the clinic. A database of patients after SBTA was created for radiological monitoring of the condition of patients and knee joint endoprostheses. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|