EVALUATION OF THE FUNCTIONAL STATE OF PATIENTS AFTER ARTHROPLASTY WITH ANKYLOSED HIP JOINT
Keywords:
Ankylosed hip joint, assessment of the functional state, pain, range of motion, walking, before and after surgery, scoreAbstract
Primary total hip arthroplasty was performed in 250 patients. Long-term results were studied after 12 months in 240 patients (250 cases). All patients underwent an assessment of the functional state of patients with ankylized hip joints according to the scale we developed using a 6-point system, three parameters were assessed - pain, range of motion and walking). Summing up the scores on the parameters - pain, range of motion and walking, the results of the functional state of the hip joint were evaluated. The average score of 6-5 points directly indicates hip arthroplasty. An increase in the average score after surgical treatment compared to before surgery according to 3 criteria indicates the effectiveness of TE HJ. The treatment results in 240 (91%) patients after 12 months were studied. a good result was obtained in 224 in the main group, 122 (97.6%) patients, and 102 (88.7%) patients in the control group. A satisfactory result was obtained in 15 patients, of which 3 (2.4%) patients were obtained in the main group and 12 (10.4%) patients in the control group. An unsatisfactory result was obtained in 1 patient, of which there were no patients in the main group and the control group in 1 (1.6%) patient. Mean value in points after surgery 12 months later. In the main group, it was 11.2 points, in the control group it was 10.2 points. The results of the study indicate that total hip arthroplasty is an effective method of surgical treatment that eliminates pain and improves the patient's quality of life.
References
Amzaev, S.Y. New methods of increasing the effectiveness of hip arthroplasty in rhizomelic form of Bekhterev's disease. / S.Y. Amzaev // Vestnik KRSU. Bishkek- 2011. -№4. - pp. 132-136. (journal on the list recommended by VAK).
Amzaev S.Y. Practical application of standardized assessment of treatment outcomes after hip arthroplasty. / S.Y. Amzayev // Medicine of Kyrgyzstan. Bishkek- 2011. -№ 3. - pp. 23-29.
Azizov M.J., Alimov A.P. Ten-year experience of hip arthroplasty in the clinic of Research Institute of Trauma Surgery of M3 RUz // Surgery of Uzbekistan. - Tashkent, 2011. - N2. - pp. 6-12.
Azizov M.J. Hip arthroplasty is an innovative technology in treating arthrological diseases// Organization and management Amzaev, S.Y. Experience of the endoprosthesis of large joints of the lower extremity in rhizomelic form of Bechterew-Strumpel-Mari disease.// Tashkent, 2014. - Vol. 51, No. 1. - pp.65-68.
Akramov V. R. Some problems of the endoprosthesis of previously operated hip joint / Bulletin of the Association of Doctors of Uzbekistan. - Tashkent, 2011. - N2. - pp. 110-113.
Akramov V. R. Peculiarities of hip arthroplasty with anatomical abnormalities of the acetabulum // Bulletin of the Association of Doctors of Uzbekistan. - Tashkent, 2011. - N3 - pp. 94-97
Asilova S. U. Assessment of the ability to work of patients and disabled people after total hip arthroplasty // Journal of Theoretical and Clinical Medicine. - Tashkent, 2015. - N3 - P. 52-55.
Asilova S.U. Rehabilitation of patients after hip replacement / S.U. Asilova, D.R. Ruzibaev // Actual problems of traumatology and orthopedics: materials of the scientific and practical conference (Samarkand, 7 November 2014). - Samarkand, 2014. - pp. 246-247.
Dzhumabekov S.A., Kazakov S.K., Amzaev S.Y., Sadykov E.S. Some aspects of hip arthroplasty in rhizomelic form of Bekhterev disease // Traumatology and Orthopedics. Materials of I congress of traumatologists and orthopaedists of Kazakhstan. Astana-Volume 2. - appendix 16. -2009.-pp. 75-82.
Zagorodnyi N.V., Nuzhdin V.I. Bone-plastic replacement of acetabular socket defects in revision hip arthroplasty // Vestnik Traumatologii i Orthopedii n.N. Priorov. - М., 2013. - N4 - P. 29-33.
Poloyko Y.F. Modern possibilities of radial diagnostics of ankylosing spondyloarthritis/news of radial diagnostics .2000 No.2. – pp.10- 12.
Sergeev K.S., Bogdanov M.A., Sadykov E.S., Amzaev S.Y. Technical aspects of hip arthroplasty in rhizomelic form of Bekhterev disease. Bishkek, 2011. - №4. - pp. 127-132. (journal on the list recommended by the Higher Attestation Commission).
Sergeev K.S. Experience of using author's methods in hip arthroplasty at rhizomelic form of Bekhterev's disease./ K.S. Sergeev, I.N. Katrenko, S.Y. Amzaev // Medical science and education of the Urals. Tyumen - 2012. -№1. – pp.78-79. (Journal on the list recommended by VAK).
Al-Hadithy N, Rozati H, Sewell MD, Dodds AL, Brooks P, Chatoo M. Causes of a painful total knee arthroplasty. Are patients still receiving total knee arthroplasty for extrinsic pathologies? // Int Orthop. 2012 Jun. Stevenage, UK.
Adelani MA, Keeney JA, Palisch A, Fowler SA, Clohisy JC. Has total hip arthroplasty in patients 30 years or younger improved? A systematic review// Clin Orthop Relat Res. 2013 Aug. St Louis, USA.
Angadi DS, Brown S, Crawfurd EJ. Cemented polyethylene and cementless porous-coated acetabular components have similar outcomes at a mean of seven years after total hip replacement: a prospective randomised study // J Bone Joint Surg Br. 2012 Dec. Northampton, UK.
Boyer P, Huten D, Loriaut P, Lestrat V, Jeanrot C, Massin P. Is alumina-on-alumina ceramic bearings total hip replacement the right choice in patients younger than 50 years of age? A 7- to 15-year follow-up study // Orthop Traumatol Surg Res. 2010 Oct. Paris, France.
Daniel J Blizzard 1 , Colin T Penrose 1 , Charles Z Sheets 1 , Thorsten M Seyler 1 , Michael P Bolognesi 1 , Christopher R Brown 1 Ankylosing Spondylitis Increases Perioperative and Postoperative Complications After Total Hip Arthroplasty . 2017 Aug;32(8):2474-2479. doi: 10.1016/j.arth.2017.03.041. Epub 2017 Mar 27.
Yong Zeng, Qiangkai Huang, Hongbing Ma, Bing Xu Two-Stage Treatment for Ankylosing Spondylitis With Severe Hip Contracture Orthopedics . 2019 Nov 1;42(6):e502-e506. doi: 10.3928/01477447-20190906-03. Epub 2019 Sep 12.
M Lv 1 , J Q Zhang 1 , X S Wang 1 , Y Huang 1 , W Li 1 , C Y Zhang 1[Surgical technique and early clinical outcomes of direct anterior approach to total hip arthroplasty] Beijing Da Xue Xue Bao Yi Xue Ban. 2017 Apr 18;49(2): pp.206-213.
V D Chaklin[Clinical aspects and treatment of ankylosing spondyloarthrosis] Khirurgiia (Mosk). 1973 Dec;49(12):20-6.
Guan Zheng 1 , Zhongyu Xie 1 2 , Peng Wang 1 2 , Jinteng Li 1 , Ming Li 1 , Shuizhong Cen 1 , Su'an Tang 1 , Wenjie Liu 1 , Guiwen Ye 1 , Yuxi Li 1 , Shan Wang 3 , Xiaohua Wu 3 , Hongjun Su 3 , Yanfeng Wu 4 , Huiyong Shen 5 6 Enhanced osteogenic differentiation of mesenchymal stem cells in ankylosing spondylitis: a study based on a three-dimensional biomimetic environment Cell Death Dis. 2019 Apr 25;10(5):350.
Yanbin Zhu 1 , Fei Zhang, Wei Chen, Qi Zhang, Song Liu, Yingze Zhang Incidence and risk factors for heterotopic ossification after total hip arthroplasty: a meta-analysis Review Arch Orthop Trauma Surg. 2015 Sep;135(9):1307-14.
Jun Xu 1, Min Zeng, Jie Xie, Ting Wen, Yihe Hu Cementless total hip arthroplasty in patients with ankylosing spondylitis: A retrospective observational study Observational Study Medicine (Baltimore). 2017 Jan;96(4): e5813.
Xun-Bing Zhu 1, Ling-Li Yuan, Guan-Sheng Han, Jun-Zhu Han, Jian-Sheng Zhou Short term effect of total hip arthroplasty through direct anterior approach for the treatment of ankylosing spondylitis with hip flexion deformity Zhongguo Gu Shang. 2019 Feb 25;32(2):141-145.
Dong-Xu Feng 1 2, Kun Zhang 1, Yu-Min Zhang 1 , Yue-Wen Nian 1 , Jun Zhang 1 , Xiao-Min Kang 2 , Shu-Fang Wu 3 , Yang-Jun Zhu 4 Bilaterally Primary Cementless Total Hip Arthroplasty for Severe Hip Ankylosis with Ankylosing Spondylitis Orthop Surg . 2016 Aug;8(3):352-9.
Xiao-Gang Huang 1, Bin Zeng 2 [Total hip arthroplasty for the treatment of bony ankylosis in patients with ankylosing spondylitis] Zhongguo Gu Shang. 2018 Dec 25;31(12):1104-1107.
Guoyang Wan, Junying Sun, Guochun Zha, Xijiang Zhao, Tao Wang, Zhenjun You, Kangquan Zhao, Ning Xu MID- AND LONG-TERM EFFECTIVENESS OF THIRD-GENERATION CERAMIC-ON-CERAMIC TOTAL HIP ARTHROPLASTY IN YOUNGER PATIENTS]] Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2015 Sep;29(9):1057-61.
Y Li 1, X S Weng, J Lin, J Jin, W W Qian Total hip arthroplasty in patients with Psoriatic arthritis] [Article in Chinese] Zhonghua Yi Xue Za Zhi. 2017 Nov 7;97(41):3230-3233.
Yong Liu 1, Junying Sun 2, Tao Wang 1, Xijiang Zhao 1, Haibo Yin 1 [Effectiveness of total hip arthroplasty in the treatment of involved hips in patients with ankylosing spondylitis] Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 Jan 15;31(1):25-30
Ki-Tack Kim 1, Sang-Hun Lee, Kyung-Soo Suk, Jung-Hee Lee, Bi-O Jeong Outcome of pedicle subtraction osteotomies for fixed sagittal imbalance of multiple etiologies: a retrospective review of 140 patients Review Spine (Phila Pa 1976). 2012 Sep 1;37(19):1667-75.
