Features and Results of Knee Arthroplasty after Knee Fractures Fixation
- 作者: Rasulov M.S.1, Kulyaba T.A.1, Kornilov N.N.1,2, Saraev A.V.1, Petukhov A.I.1, Bantser S.A.1, Petlenko I.S.1
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隶属关系:
- Vreden National Medical Research Center of Traumatology and Orthopedics
- Mechnikov North-Western State Medical University
- 期: 卷 27, 编号 4 (2021)
- 页面: 9-20
- 栏目: Clinical studies
- URL: https://ogarev-online.ru/2311-2905/article/view/124887
- DOI: https://doi.org/10.21823/2311-2905-1694
- ID: 124887
如何引用文章
详细
The purpose of the study — to assess the results and risk of complications of primary total knee arthroplasty in patients with a history of osteosynthesis of intra-articular fractures.
Methods: Our study integrates the retrospective and prospective analysis of the results of primary total knee arthroplasty (TKA) performed in 140 patients, in period from 2015 to 2019. The retrospective part of the study included the arthroplasty results of 100 patients, prospective — 40 patients. Each of the groups was divided into 2 subgroups: with previous osteosynthesis (OS) of intra-articular fractures before arthroplasty and without history of knee surgery before arthroplasty. To assess the results of TKA, adapted to Russian-language versions of the KSS, WOMAC and FJS-12 scales were used. The X-ray of the endoprosthesis components positioning was assessed using the KRESS scale.
Results: Statistically significant differences were found between retrospective groups with OS and without it in the duration of the surgery, in the volume of intraoperative blood loss, in the higher frequency for implantation of the endoprosthesis systems with an increased degree of coupling of the components. The rate of postoperative complications was higher in retrospective group OS. Mid-term functional results did not show statistically significant differences on the KSS and WOMAC scales, patient satisfaction rates on the FJS-12 scale were worse in retrospective group OS. Prospective group of patients with a history of OS for intraarticular fractures demonstrated statistically significant increase of the knee ROM from 89° to 108°, after the TKA. The function recovery dynamics according to the KSS, WOMAC and FJS-12 was slowed down at 3 and 6 months, and according to the WOMAC and FJS-12 scales, even after 12 months post-operation.
Conclusions: The previous trauma and knee intra-articular fractures fixation leads to an earlier development of post-traumatic osteoarthritis. Functional results in the retrospective and prospective groups do not have statistically significant differences. The number of postoperative complications is greater in the retrospective groups. OS in the history statistically significantly slows down the dynamics of function recovery in the early postoperative period.
作者简介
Magomed Rasulov
Vreden National Medical Research Center of Traumatology and Orthopedics
Email: magomed93r@yandex.ru
ORCID iD: 0000-0003-3392-1853
аспирант, врач травматолог-ортопед
俄罗斯联邦, St. PetersburgTaras Kulyaba
Vreden National Medical Research Center of Traumatology and Orthopedics
Email: taraskuliaba@mail.ru
ORCID iD: 0000-0003-3175-4756
Dr. Sci. (Med.)
俄罗斯联邦, St. PetersburgNikolai Kornilov
Vreden National Medical Research Center of Traumatology and Orthopedics; Mechnikov North-Western State Medical University
Email: drkornilov@hotmail.com
ORCID iD: 0000-0001-6905-7900
Dr. Sci. (Med.)
俄罗斯联邦, St. Petersburg; St. PetersburgAlexander Saraev
Vreden National Medical Research Center of Traumatology and Orthopedics
Email: saraefff@mail.ru
ORCID iD: 0000-0002-9223-6330
Cand. Sci. (Med.)
俄罗斯联邦, St. PetersburgAleksey Petukhov
Vreden National Medical Research Center of Traumatology and Orthopedics
Email: drpetukhov@mail.ru
ORCID iD: 0000-0002-2403-6521
Cand. Sci (Med.), Orthopedic Surgeon, Researcher, Knee Pathology Department
俄罗斯联邦, St. PetersburgSergey Bantser
Vreden National Medical Research Center of Traumatology and Orthopedics
Email: serg249_spb@mail.ru
ORCID iD: 0000-0002-7291-7032
Cand. Sci. (Med.)
俄罗斯联邦, St. PetersburgIrina Petlenko
Vreden National Medical Research Center of Traumatology and Orthopedics
编辑信件的主要联系方式.
Email: petlenko1995@yandex.ru
ORCID iD: 0000-0002-3600-3583
клинический ординатор
俄罗斯联邦, St. Petersburg参考
- Зубрицкий В.Ф., Козлов Ю.А. Инфекционные осложнения в эндопротезировании крупных суставов. Вестник Национального медико-хирургического Центра им. Н.И. Пирогова. 2012;7(1):98-103.
- Zubritsky V.F., Kozlov Yu.A. [Infectious complications during large joint replacement]. Vestnik Natsional’nogo mediko-khirurgicheskogo Tsentra im. N.I. Pirogova [Bulletin of Pirogov National Medical Surgical Center]. 2012;7(1):89-103.
- Беленький И.Г., Кочиш А.Ю., Кислицын М.А. Переломы мыщелков большеберцовой кости: современные подходы к лечению и хирургические доступы (обзор литературы). Гений ортопедии. 2016;(4):114-122. doi: 10.18019/1028-4427-2016-4-114-122.
- Belen’kii I.G., Kochish A.Yu., Kislitsyn M.A. [Fractures of the tibial condyles: current treatment methods and surgical approaches (literature review)]. Genij Ortopedii. 2016;4:114-122. (In Russian). doi: 10.18019/1028-4427-2016-4-114-122.
- Кочиш А.Ю., Беленький И.Г., Сергеев Б.А., Майоров Б.А. Анатомо-клиническое обоснование малоинвазивной установки дополнительной медиальной пластины при накостном остеосинтезе у пациентов с переломами дистального отдела бедренной кости. Гений ортопедии. 2020;26(3):306-312. doi: 10.18019/1028-4427-2020-26-3-306-312.
- Kochish A. Yu., Belen’kii I.G., Sergeev B.A., Maiorov B.A. [Anatomical and clinical rationale for minimally invasive placement of an additional medial plate for extramedullary osteosynthesis in patients with fractures of the distal femur]. Genij Ortopedii. 2020;26(3):306-312. (In Russian). doi: 10.18019/1028-4427-2020-26-3-306-312
- Larsen P., Court-Brown C.M., Vedel J.O., Vistrup S., Elsoe R. Incidence and Epidemiology of Patellar Fractures. Orthopedics. 2016;39(6):e1154-e1158. doi: 10.3928/01477447-20160811-01.
- Lunebourg A., Parratte S., Gay A., Ollivier M., Garcia-Parra K., Argenson J.N. Lower function, quality of life, and survival rate after total knee arthroplasty for posttraumatic arthritis than for primary arthritis. Acta Orthop. 2015;86(2):189-194. doi: 10.3109/17453674.2014.979723.
- Schenker M.L., Mauck R.L., Ahn J., Mehta S. Pathogenesis and prevention of posttraumatic osteoarthritis after intra-articular fracture. J Am Acad Orthop Surg. 2014;22(1):20-28. doi: 10.5435/JAAOS-22-01-20.
- Wang X.S., Zhou Y.X., Shao H.Y., Yang D.J., Huang Y., Duan F.F. Total Knee Arthroplasty in Patients with Prior Femoral and Tibial Fractures: Outcomes and Risk Factors for Surgical Site Complications and Reoperations. Orthop Surg. 2020;12(1):210-217. doi: 10.1111/os.12610.
- Kornah B.A., Safwat H.M., Abdel-Hameed S.K., Abdel-AAl M., Abdelaziz M., Abuelesoud M.I. et al. Managing of post-traumatic knee arthritis by total knee arthroplasty: case series of 15 patients and literature review. J Orthop Surg Res. 2019;14(1):168. doi: 10.1186/s13018-019-1180-3.
- Marczak D., Synder M., Sibiński M., Okoń T., Kowalczewski J. One-stage total knee arthroplasty with pre-existing fracture deformity: post-fracture total knee arthroplasty. J Arthroplasty. 2014;29(11):2104-2108. doi: 10.1016/j.arth.2014.07.007.
- Куляба Т.А., Корнилов Н.Н., Тихилов Р.М. (ред.) Руководство по первичному эндопротезированию коленного сустава. СПб.; 2021. Гл. 9. С. 225-275.
- Kulyaba, T.A., Kornilov N.N., Tikhilov R.M. (ed). [Guide to Primary Knee Arthroplasty]. Saint Petersburg; 2021. Сh. 9. р. 225-275. (In Russian).
- Brockman B.S., Maupin J.J., Thompson S.F., Hollabaugh K.M., Thakral R. Complication Rates in Total Knee Arthroplasty Performed for Osteoarthritis and Post-Traumatic Arthritis: A Comparison Study. J Arthroplasty. 2020;35(2):371-374. doi: 10.1016/j.arth.2019.09.022.
- Phruetthiphat O.A., Zampogna B., Vasta S., Tassanawipas B., Gao Y., Callaghan J.J. TKR after posttraumatic and primary knee osteoarthritis: a comparative study. J Orthop Surg Res. 2021;16(1):173. doi: 10.1186/s13018-021-02322-8.
- Lizaur-Utrilla A., Collados-Maestre I., Miralles-Muñoz F.A., Lopez-Prats F.A. Total Knee Arthroplasty for Osteoarthritis Secondary to Fracture of the Tibial Plateau. A Prospective Matched Cohort Study. J Arthroplasty. 2015;30(8):1328-1332. doi: 10.1016/j.arth.2015.02.032.
- Kester B.S., Minhas S.V., Vigdorchik J.M., Schwarzkopf R. Total Knee Arthroplasty for Posttraumatic Osteoarthritis: Is it Time for a New Classification? J Arthroplasty. 2016;31(8):1649-1653.e1. doi: 10.1016/j.arth.2016.02.001.
- Bala A., Penrose C.T., Seyler T.M, Mather R.C. 3rd, Wellman S.S., Bolognesi M.P. Outcomes after Total Knee Arthroplasty for post-traumatic arthritis. Knee. 2015;22(6):630-639. doi: 10.1016/j.knee.2015.10.004.
- Иржанский А.А., Куляба Т.А., Корнилов Н.Н. Валидация и культурная адаптация шкал оценки исходов заболеваний, повреждений и результатов лечения коленного сустава WOMAC, KSS и FJS-12. Травматология и ортопедия России. 2018;24(2):70-79. doi: 10.21823/2311-2905-2018-24-2-70-79.
- Irzhanski A.A., Kulyaba T.A., Kornilov N.N. [Validation and Cross-Cultural Adaptation of Rating Systems Womac, KSS and FJS-12 in Patients with Knee Disorders and Injuries]. Travmatologiya i ortopediya Rossii [Traumatology and Orthopedics of Russia]. 2018;24(2):70-79. (In Russian). doi: 10.21823/2311-2905-2018-24-2-70-79.
- Малышев Е.Е., Павлов Д.В., Горбатов Р.О. Эндопротезирование коленного сустава после переломов проксимального отдела большеберцовой кости. Травматология и ортопедия России. 2016;(1):65-73.
- Malyshev E.E., Pavlov D.V., Gorbatov R.O. [Total knee arthroplasty after proximal tibia fracture]. Travmatologiya i ortopediya Rossii [Traumatology and Orthopedics of Russia]. 2016;(1):65-73. (In Russian).
- Best M.J., Amin R.M., Raad M., Kreulen R.T., Musharbash F., Valaik D. et al. Total Knee Arthroplasty after Anterior Cruciate Ligament Reconstruction. J Knee Surg. 2020:Nov 26. doi: 10.1055/s-0040-1721423.
- Weiss N.G., Parvizi J., Trousdale R.T., Bryce R.D., Lewallen D.G. Total knee arthroplasty in patients with a prior fracture of the tibial plateau. J Bone Joint Surg Am. 2003;85(2):218-221. doi: 10.2106/00004623-200302000-00006.
- Scott C.E., Davidson E., MacDonald D.J., White T.O., Keating J.F. Total knee arthroplasty following tibial plateau fracture: a matched cohort study. Bone Joint J. 2015;97-B(4):532-538. doi: 10.1302/0301-620X.97B4.34789.
- Saleh H., Yu S., Vigdorchik J., Schwarzkopf R. Total knee arthroplasty for treatment of post-traumatic arthritis: Systematic review. World J Orthop. 2016;7(9):584-591. doi: 10.5312/wjo.v7.i9.584.
- Liu Y., Zhao X.D., Zou C. Lingering risk: A meta-analysis of outcomes following primary total knee arthroplasty for patients with post-traumatic arthritis. Int J Surg. 2020; 77:163-172. doi: 10.1016/j.ijsu.2020.03.053.
- Brockman B.S., Maupin J.J., Thompson S.F., Hollabaugh K.M., Thakral R. Complication Rates in Total Knee Arthroplasty Performed for Osteoarthritis and Post-Traumatic Arthritis: A Comparison Study. J Arthroplasty. 2020;35(2):371-374. doi: 10.1016/j.arth.2019.09.022.
- Houdek M.T., Watts C.D., Shannon S.F., Wagner E.R., Sems S.A., Sierra R.J. Posttraumatic Total Knee Arthroplasty Continues to Have Worse Outcome Than Total Knee Arthroplasty for Osteoarthritis. J Arthroplasty. 2016;31(1):118-123. doi: 10.1016/j.arth.2015.07.022.
- Mehin R., O’Brien P., Broekhuyse H., Blachut P., Guy P. Endstage arthritis following tibia plateau fractures: average 10-year follow-up. Can J Surg. 2012;55(2):87-94. doi: 10.1503/cjs.003111.
- Середа А.П., Грицюк А.А., Зеленяк К.Б., Серебряков А.Б. Факторы риска инфекционных осложнений после эндопротезирования коленного сустава. Инфекции в хирургии. 2010;8(4):67-76.
- Sereda A.P., Gritsyuk A.A., Zelenyak K.B., Serebryakov A.B. [Risk factors for infectious complications after knee replacement]. Infektsii v khirurgii [Infections in Surgery]. 2010;8(4):67-76. (In Russian).
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