Efficiency of computer navigation technology in total knee replacement
https://doi.org/10.51922/1818-426X.2023.2.73
Abstract
We studied the treatment outcomes in 124 patients (102 women and 22 men) aged 51 to 83 years (median 69 [65; 76] years) on 124 knee joints. Patients were divided into 2 groups: the study group – 62 people aged 51 to 83 years (median – 69.1 [64;74] years), who used computer navigation, and the comparison group – 62 people aged 56 to 83 years (median 69 [65;78] years), in which surgical intervention was performed according to the standard technique. Long-term results were studied in terms of 3 to 36 months. During the examination, the deformity variant was determined, radiometric parameters of the knee joints were measured using the Knee Society Score (KSS), Functional Knee Society Score (FKSS), and Western Ontario and McMaster University Osteoarthritis Index (WOMAC) scales. Also, functional stress tests were performed to assess the stability of the knee joint in the frontal plane and functional indicators of the range of motion.
After surgery, in the study group, the WOMAC values decreased by 5.90 times and the median value to 11 [8;15] points (p < 0.001), in the comparison group they decreased by 4.81 times to 13.5 [8;16] points (p < 0.001), KSS increased by 3.88 times. Median KSS in the study group increased 3.91 times and reached 86 [84;95] points (p < 0.001), in the comparison group it increased 3.86 times only to 85 [77;95] points (p < 0.001). FKSS data increased by 1.75 times. The median FKSS in the study group increased 2.08 times and reached 94 [85;99] points (p < 0.001), in the comparison group it increased 1.60 times only to 93 [83;95] points (p < 0.001).
About the Authors
Mohammad Ali Alqatawneh
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
E. V. Zhuk
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
P. I. Bespalchuk
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
D. I. Mikhalkevich
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
References
1. Zhuk, E. V. Sravnenie rezul’tatov ispol’zovaniya navigacionnoj i tradicionnoj metodiki total’nogo endoprotezirovaniya kolennogo sustava / E. V. Zhuk, P. I. Loznuho // Innovacii v medicine i farmacii. – 2018. – P. 265–268.
2. Metod total’nogo endoprotezirovaniya kolennogo sustava s ispol’zovaniem komp’yuternoj navigacionnoj tekhnologii: instrukciya po primeneniyu № 103-0922, utv. M-vom zdravoohraneniya Resp. Belarus’ 23.12.22 g. / UO «Belorusskij gosudarstvennyj medicinskij universitet»; Mohammad Ali Al’ Kataune, P. I. Bespal’chuk. – Minsk, 2022. – 20 s.
3. Bellamy, N. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheamatic drug therapy in patients with osteoarthritis of the hip or knee / N. Bellamy [et al.] // J. Rheumatol. – 1988. – Vol. 15, № 12. – P. 1833–184.
4. Evans, J. T., How long does a knee replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of followup / J. T. Evans, R. W. Walker, J. P. Evans, A. W. Blom, A. Sayers, M. R. Whitehouse // The Lancet. – 2019. – № 393. – P. 655–663.
5. Insall, J. N. Rationale of The Knee Society clinical rating system / J. N. Insall, L. D. Dorr, R. D. Scott, W. N. Scott // Clin. Orthop. – 1989. – № 248. – P. 13–14.
6. Palmer, S. Total Knee Arthroplasty (TKA) [online]. Medscape 2020. https://emedicine.medscape.com/article/1250275overview#:~:text=The%20primary%20indication%20for%20total,pain%20caused%20by%20severe%20arthritis.
Review
For citations:
Alqatawneh M., Zhuk E.V., Bespalchuk P.I., Mikhalkevich D.I. Efficiency of computer navigation technology in total knee replacement. Medical Journal. 2023;(2):73-78. (In Russ.) https://doi.org/10.51922/1818-426X.2023.2.73
Views:
35
Email this article 