Application of external osteosynthesis in correction of varus deformation of lower extremities in patients with gonarthrosis
- Authors: Artemiev A.A.1, Akhpashev A.A.1, Abakirov M.D.1, Reshetnikov A.N.2, Shipulin A.A.3, Gululyan G.G.3, Kashoob A.M.3, Solovyov Y.S.3
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Affiliations:
- Academy of Postgraduate Education under the FSBU “Federal Research and Clinical Center of Specialized Medical Care and Medical Technologies FMBA of Russia”
- Saratov State Medical University named after V.I. Razumovsky
- Peoples Friendship University of Russia, Medical Institute
- Issue: Vol 11, No 4 (2020)
- Pages: 31-40
- Section: Original Study Articles
- URL: https://journals.rcsi.science/clinpractice/article/view/34246
- DOI: https://doi.org/10.17816/clinpract34246
- ID: 34246
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Abstract
Background. Arthrosis of the knee joint is one of the most common diseases in elderly patients with the varus deformity. One of the treatment methods is corrective osteotomy. Aims: optimization of the diagnosis of deformities in patients with gonarthrosis, improvement of the technique of operation and postoperative control of the main reference lines and angles, assessment of the correction results, analysis of complications. Methods. A retrospective clinical study was conducted. 39 patients were observed, in whom 78 operations were performed on both legs simultaneously. In all the cases, tibia osteotomies and osteosynthesis with the Ilizarov apparatus were used. All the patients underwent an X-ray study of the legs along the entire length with the identification of the main reference lines and angles. Results. In all the cases, it was possible to normalize the position of the mechanical axis and the angle of orientation of the knee joint. After the surgery, the wounds were not sutured to prevent compartment syndrome. The correction was performed in a single-stage manner in elderly patients, gradually in young patients. The period of fixation with the Ilizarov apparatus was 16.6 ± 3.1 weeks. Conclusions. The Ilizarov method has significant advantages: low invasiveness, stable fixation, absence of foreign bodies to the end of treatment. This allows us to recommend it for a wider use in patients with gonarthrosis and varus deformity.
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##article.viewOnOriginalSite##About the authors
Aleksander A. Artemiev
Academy of Postgraduate Education under the FSBU “Federal Research and Clinical Center of Specialized Medical Care and Medical Technologies FMBA of Russia”
Email: alex_artemiev@mail.ru
SPIN-code: 3124-2701
MD, PhD, Professor
Russian Federation, MoscowAlexander A. Akhpashev
Academy of Postgraduate Education under the FSBU “Federal Research and Clinical Center of Specialized Medical Care and Medical Technologies FMBA of Russia”
Email: akhpashev@gmail.com
ORCID iD: 0000-0002-0977-805X
SPIN-code: 9965-1828
MD, PhD
Russian Federation, MoscowMedetbek D. Abakirov
Academy of Postgraduate Education under the FSBU “Federal Research and Clinical Center of Specialized Medical Care and Medical Technologies FMBA of Russia”
Email: Abakirovmedetbek@mail.ru
MD, PhD, Professor
Russian Federation, MoscowAndrej N. Reshetnikov
Saratov State Medical University named after V.I. Razumovsky
Email: anreshetnikov@gmail.com
MD, PhD, Professor
Russian Federation, SaratovAleksander A. Shipulin
Peoples Friendship University of Russia, Medical Institute
Email: mp-747@yandex.ru
MD, aspirant
Russian Federation, MoscowGevorg G. Gululyan
Peoples Friendship University of Russia, Medical Institute
Email: gululov@yandex.ru
MD, aspirant
Russian Federation, MoscowAli M. Kashoob
Peoples Friendship University of Russia, Medical Institute
Author for correspondence.
Email: Dr.ali.kashoob@gmail.com
ORCID iD: 0000-0002-4999-585X
MD, aspirant
Russian Federation, MoscowYurij S. Solovyov
Peoples Friendship University of Russia, Medical Institute
Email: iurij.soloviov@yandex.ru
MD, aspirant
Russian Federation, MoscowReferences
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