Complex rehabilitation treatment after knee arthroplasty

Authors

  • Volodymyr Staude 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 https://orcid.org/0000-0001-5918-0905
  • Yevgeniya Radzishevska Kharkiv National Medical University of the Ministry of Health of Ukraine, Ukraine
  • Oleg Yaremenko Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine
  • Anna Staude Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine

DOI:

https://doi.org/10.15674/0030-598720221-212-19

Keywords:

Rehabilitation, knee arthroplasty, restore joint function, massage, physical exercises

Abstract

Knee arthroplasty can significantly improve the quality of life of patients with knee osteoarthritis. About 20 % of patients after
knee arthroplasty unsatisfied with surgical treatment results. One of the factors that reduces the unsatisfactory results is the use
of new rehabilitation technologies. Objective. Investigate the feasibility and effectiveness of the proposed rehabilitation system within
2–3 months after knee arthroplasty. Methods. A prospective study of two groups of patients with osteoarthritis after knee arthroplasty
was conducted. The group БР consisted of 28 patients who did not undergo special rehabilitation treatment. The group Р consisted
of 30 patients who underwent special rehabilitation treatment in the hospital within 2–3 months after surgery. The groups were comparable
in terms of age and body mass index. Flexion and extension angles of the operated knee were measured in patients of both
groups within 2–3 and 5–6 months after surgery. The course of special rehabilitation treatment included: massage of the muscles
of the lower back, buttocks, thighs, leg and foot on the operated side; performing special physical exercises twice a day for
two weeks. Methods of non-parametric statistics were used to process the results. The statistical significance of the differences for
unrelated samples was checked using the Mann-Whitney U-test (CMU), for the connected ones, the Wilcoxon test (CV). Results.
After a course of rehabilitation, in group Р the flexion angle rate increased 1.3 times and amounted to 90° (90°; 100°) (КВ, р < 0.01).
In group БР during the same period the flexion angle rate underwent a partial regression, amounting 100° (100°; 110°). The rate
of extension angle in both groups Р did not change. But in group Р, in all patients who had a deficiency of extension angle of the operated
knee, it disappeared. In group БР, in all patients who had deficiency of extension angle of the operated knee, it decreased
slightly, but did not disappear. Conclusions. The use of proposed rehabilitation treatment within 2–3 months after knee arthroplasty
restores the volume of movements in the operated knee, reduces the risk of contracture of the operated joint (especially extension
contracture) and restores the normal stereotype of walking.

Author Biographies

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

DM Sci. in Traumatology and Orthopaedics

Zorik Arutunan, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

PhD in Traumatology and Orthopaedics

Yevgeniya Radzishevska, Kharkiv National Medical University of the Ministry of Health of Ukraine

PhD

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How to Cite

Staude, V., Arutunan, Z. ., Radzishevska, Y. ., Yaremenko, O. ., & Staude, A. (2023). Complex rehabilitation treatment after knee arthroplasty. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (1-2), 12–19. https://doi.org/10.15674/0030-598720221-212-19

Issue

No. 1-2 (2022)

Section

ORIGINAL ARTICLES

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