Prophylaxis of knee joint contractures after primary knee replacement with kinesiotherapy (metaanalysis and literature review)

Authors

  • Volodymyr Filipenko Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine https://orcid.org/0000-0001-5698-2726
  • Vera Kolesnichenko Karazin Kharkiv National University. Ukraine, Ukraine
  • Volodymyr Mezentsev Kharkiv Medical Academy of Postgraduate Education. Ukraine, Ukraine
  • Oleksiy Tankut Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine
  • Zorik Arutunan Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine

DOI:

https://doi.org/10.15674/0030-598720191107-114

Keywords:

primary knee replacement, kinesiotherapy programs, special exercises, metaanalysis

Abstract

Primary knee replacement is one of the most common orthopedic procedures. However, in some cases, after surgical treatment, functional disorders in the form of joint contractures, reduced strength of periarticular muscles, persistent pain syndrome, and a high level of disability can persist.

Methods: we analyzed randomized controlled studies which reflect the results of kinesiotherapy before and after primary knee replacement in patients with knee joints osteoarthritis. Study included the results of rehabilitation programs for patients with hip and knee joints osteoarthritis, who underwent a primary total replacement of the affected joint. A literature search was conducted in the MEDLINE database for the period 2009–2017.

Results: present methods of kinesiotherapy are aimed at early mobilization of patients and the achievement of functional independence. A comparative analysis of the data of the primary (before the beginning of rehabilitation activities) and control (after the end of treatment) examinations in the main and control groups of patients revealed a significant improvement in joint function (p < 0.05). However, in the long-term follow-up, 12 months or more after the end of the kinesiotherapy program, the differences in the studied parameters between the participants of the main and control groups were not significant. The presence of unfavorable results of the primary knee replacement to a certain extent is associated with a decrease in the functional capabilities of the quadriceps femoris due to the development of degenerative disorders and reflex arthrogenic muscle inhibition.

Conclusions: there are no individual kinesiotherapy programs that determine the regimen, dosage, and intensity of physical exercises in this category of patients, depending on the initial functionality level of the knee joint and the musculoskeletal system as a whole, and the features of the postoperative recovery period.

Author Biographies

Volodymyr Filipenko, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD, Prof. in Traumatology and Orthopаedics

Vera Kolesnichenko, Karazin Kharkiv National University. Ukraine

MD in Traumatology and Orthopаedics

Volodymyr Mezentsev, Kharkiv Medical Academy of Postgraduate Education. Ukraine

PhD in Traumatology and Orthopаedics

Oleksiy Tankut, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

PhD in Traumatology and Orthopаedics

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Filipenko, V., Kolesnichenko, V., Mezentsev, V., Tankut, O., & Arutunan, Z. (2023). Prophylaxis of knee joint contractures after primary knee replacement with kinesiotherapy (metaanalysis and literature review). ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (1), 107–114. https://doi.org/10.15674/0030-598720191107-114

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No. 1 (2019)

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DIGESTS AND REVIEWS

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Copyright (c) 2019 Volodymyr Filipenko, Vera Kolesnichenko, Volodymyr Mezentsev, Oleksiy Tankut, Zorik Arutunan

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