The dynamics of patients' life quality indices under the conditions of two-stage knee joint replacement
Year: 2017, volume 13 Issue: №3 Pages: 768-772
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Shpinyak S.P., Fedonnikov A.S., Barabash А.Р., Barabash Ju.A.
Organization:
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Shpinyak S.P., Fedonnikov A.S., Barabash А.Р., Barabash Ju.A.
Organization:
Summary:
The aim: to analyze the changes in the life quality indices of the patients with deep periprosthetic joint infection of the knee under the two-stage surgical treatment. Material and Methods. 57 patients who underwent two-stage revision-ary treatment in Research Institute of Traumatology, Orthopedics and Neurosurgery were interviewed with life quality questionnaire Short Form Medical Outcomes Study (SF 36 v.1). Interview results were compared with standardized population indices of SF-36 scales for males and females. Results. In all groups regardless of sex there was a general tendency for an increase in physical and psychological health component up to mean population values after the first stage of surgery and further growth after the second stage. Rehabilitation potential of psychomotor health was higher in women than in men. The ability to handle stress was lower in direct ratio with the patients' age. Conclusion. Two-stage reendoprosthetic treatment with articulating antimicrobial spacer implantation having high grade of fixation is an effective treatment method for deep periprosthetic infection which increases physical health and improves social functioning of patients.
Keywords: infection, quality of life
Bibliography:
1. Kuzmin II, Isaeva MR The problem of infectious complications in joint replacement. Vladivostok: Dalnauka, 2006; 123 p.
2. Jakoffsky JJ, Hedley ЕК, eds. Revision knee replacement: a guide for physicians. Moscow: GEOTAR-Media, 2015; 320 p.
3. Trampuz A, Zimmerli W. Prosthetic joint infections: update in diagnosis and treatment. Swiss Med Wkly 2005; 135 (17): 243-251.
4. Ochsner PE, Borens O, Bodler PM, et al. Infections of the musculoskeletal system. 2nd ed. Wehrheim, 2015; 260 p. German (Ochsner PE, Borens O, Bodler PM, et al. Infektionen des Bewegungsapparates: berarbeitete und erweiterte Auflage. Wehrheim, 2015; 260 S.)
5. Norkin IA, Shpinyak SP, Girkalo MV, Barabash AP Results of surgical treatment of infectious complications of total replacement of large joints. Vestnik travmatologii i ortopedii im. N.N. Priorova 2014; (3): 67-72
6. Amirdzhanova VN, Gorjachev DV, Korshunov Nl, et al. Population indicators of quality of life questionnaire SF-36 (results of a multicenter study of quality of life "MIRAGE") Nauchno-prakticheskaja revmatologija 2008; (1): 36-48
7. NovikAA, lonova Tl. A guide to the study of quality of life in medicine. M.: OLMA-PRESS, 2002; 314p.
8. Rebrova OJ. Statistical analysis of medical data: The use of application programms Statistica. M.: MediaSfera, 2002; 312 p.
9. Shpinyak SP, Barabash АР, Lyasnikova AV. The use of spacers in the treatment of infectious complications in total knee replacement. Sovremennyie problemyi nayki i obrazovania 2015; (5). URL: http://www.science-education.ru/ru/article/ view?id=21443
10. Parvizi J, Gerke Т. Proceeding of the International Consensus Conference on periprosthetic infection. Sankt-Petersburg: RNIITO im. R.R. Vredena, 2014; 355 p.
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