Total Joint Replacement and Joint-Saving Techniques for the Treatment of Knee Osteoarthritis: The Problems of Decision-Making
Downloads
Background: Recently, there has been an increasingly insufficient use of conservative methods of therapy and an unreasonable increase in indications for total replacement of large joints. According to the literature, more than 25% of cases of knee joint replacement could have been avoided if patients had been provided with optimal non-surgical methods of treatment. In addition, orthopedic traumatologists have once more focused on unheralded joint-saving surgeries like corrective osteotomy, arthrodesis, arthroscopic techniques, arthromedullary bypass grafting, distraction of the knee joint, tunneling, or osteoperforation due to an increase in the number of revision surgeries and unsatisfactory results of knee joint replacement.
Aim: This reviewed the international literature on knee joint replacement and consider alternative methods of surgical treatment of knee osteoarthritis.
Materials and Methods: The analysis of international scientific publications on the treatment of osteoarthritis of the knee joint was performed.
Results: Joint-saving surgeries for knee osteoarthritis represent an alternative to arthroplasty and improve the quality of life of patients. Such interventions do not require specialized expensive equipment. The intervention is accompanied by a shorter recovery period, with a lower rate of complications than in the case of the replacement of the affected joint.
Mulcahy, H. Current concepts in knee replacement: complications / H. Mulcahy, F.S.Chew // AJR Am J Roentgenol. – 2014. – Vol.202. − №1. – P.76-86.
Alekseeva, L.I. Osteoarthritis: epidemiology, classification, risk factors and progression, clinic, diagnosis, treatment / L.I. Alekseeva, E.A. Taskina, N.G. Kashevarova // Sovremennaya revmatologiya. - 2019. - T. 13. - No. 2. - P. 9-21.
Fazlova, I.Kh. Availability of high-tech medical care for patients with decompensated forms of deforming osteoarthrosis of large joints of the lower extremities / I.Kh. Fazlova, A.A. Usanova, N.N. Guranova, O.G. Radaikina, D.D. Kosynkina // Sovremennye problemy nauki i obrazovaniya. - 2020. - No. 2. - P. 108-116.
Dabare, C. Differences in presentation, progression and rates of arthroplasty between hip and knee osteoarthritis: Observations from an osteoarthritis cohort study-a clear role for conservative management / C. Dabare, K. Le Marshall, A. Leung, C.J. Page, P.F. Choong, K.K. Lim // Int J Rheum Dis. 2017. Vol.20. №10. P.1350-1360.
Riddle, D. L. Use of a validated algorithm to judge the appropriateness of total knee arthroplasty in the United States: a multicenter longitudinal cohort study / D.L. Riddle, W.A. Jiranek, C.W. Hayes //Arthritis & rheumatology. – 2014. – Vol. 66. – №8. – P. 2134-2143.
Lychagin, A.V. Osteoarthritis of the knee joint in the elderly - is arthroplasty always justified? / A.V. Lychagin, A.V. Garkavi, V.A. Meshcheryakov, V.S. Kaikov, // Vestnik Rossijskogo gosudarstvennogo medicinskogo universiteta. - 2019. - No. 2. - P. 77-82.
Kurtz, S. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030 / S. Kurtz, K. Ong, E. Lau, F. Mowat, M. Halpern // J Bone Joint Surg Am. – 2007. – Vol.89. − №4. – P.780–5.
Mansurov, D.Sh. Limitation of indications for primary knee arthroplasty / Mansurov, D. Sh., Spichko, A. A., Tkachenko, A. N., Khaidarov, V. M., Balgley, A. G. // Proceedings of the V International Congress of the Association of Rheumoorthopedists. - Voronezh. - 2021. - P. 75-77.
Vorokov, A.A. Endoprosthetics of the hip joint: determination of indications for surgery (scientific review) / A.A. Vorokov, A.N. Tkachenko, A.A. Khromov, V.M. Khaidarov // Mediko-farmacevticheskij zhurnal «Pul's». - 2020. - Vol. 22. − No. 6. - P.40-50.
Garkavi, A.V. The role of arthroscopy in determining indications for knee arthroplasty in gonarthrosis / A. V. Garkavi, A. B. Serebryakov, A. A. Tarbushkin, D. A. Garkavi // Vrach. - 2013. - Vol. 6. - P. 77-80.
Gademan, M.G. Indication criteria for total hip or knee arthroplasty in osteoarthritis: a state-of-the-science overview / M.G. Gademan, S.N. Hofstede, T.P. Vliet Vlieland, R.G. Nelissen, P.J. Marang-van de Mheen // BMC Musculoskelet Disord. 2016. Vol. 17. №1. P.463.
Ghomrawi, H.M. Evaluation of two appropriateness criteria for total knee replacement /H.M.K. Ghomrawi, M. Alexiades, H. Pavlov, D. Nam, Y. Endo, L.A. Mandl, A.I. Mushlin // Arthritis Care Res (Hoboken). – 2014. – Vol.66. − №11. – P.1749-53.
Arias-de la Torre, J. Impact of comorbidity on the short- and medium-term risk of revision in total hip and knee arthroplasty /J. Arias-de la Torre, K. Smith, A. Dregan, J.M. Valderas, J.P. Evans, D. Prieto-Alhambra, L. Lozano, A.J. Molina, V. Martín , L. Domingo, L. Muñoz , M. Espallargues // BMC Musculoskelet Disord. – 2020. – Vol.21. − №1. – P.447.
Prikhodko, V. S., Tarbushkin, A. A., Prokhorova, M. Yu., Shilin, A. P., Usmanov, D. N., Risks in large joint replacement in patients with obesity. S.Morozov // Ozhirenie i metabolizm. - 2015. - Vol. 12. - No. 4. - P. 52-56.
Martin, J.R. Morbid Obesity and Total Knee Arthroplasty: A Growing Problem/ J. R. Martin, J.M. Jennings, D.A. Dennis // J Am Acad Orthop Surg. – 2017. – Vol.25. − №3. – P.188-194.
Martin, R. Osteo-Chondroisation, a clinical working hypothesis for chronic, purely cartilaginous defects in the knee / R. Martin, R.P. Jakob // in: ISAKOS congress. − Shanghai, 2017 ([Poster]).
Lychagin, A. Primary total knee arthroplasty and obesity / A. Lychagin, A. Gritsyuk, Yu. Gasanov // Vrach. - 2018. - Vol. 29. - No. 10. - P. 58-60.
Makarevich, E.R. Organ-preserving surgical interventions in the treatment of gonarthrosis / E. R. Makarevich, Chirak, V. E., Vrublevsky, V. A., Danilenko, O. A., Zhuk, E. V. // Medicinskij zhurnal. - 2018. - No. 1. - P. 134-139.
Shumkov, P.S. Video arthroscopy of the knee joint on an outpatient basis as a method of organ-preserving surgery for gonarthrosis / P.S. Shumkov, V.M. Ladeyshchikov // Zdorov'e sem'i-21 vek. - 2013. - No. 2. - P. 211-220.
Nazarov, E.A. Degenerative-dystrophic diseases of the knee and ankle joints / E.A. Nazarov, A.V. Seleznev. - St. Petersburg: SpetsLit, 2020. - 182 p.
Peng H, Ou A, Huang X, Wang C, Wang L, Yu T. et al. Osteotomy around the knee: the surgical treatment of osteoarthritis. Orthopaedic Surgery. 2021; 13(5): 1465-1473.
He, M. Progress in the treatment of knee osteoarthritis with high tibial osteotomy: a systematic review / M. He, X. Zhong, Z.Li, K. Shen, W. Zeng // Syst Rev. – 2021. – Vol.10. − №1. – P.56.
Murray, R. High Tibial Osteotomy for Varus Deformity of the Knee / R. Murray, P.W. Winkler, H.S. Shaikh, V. Musahl // J Am Acad Orthop Surg Glob Res Rev. – 2021. – Vol.5. − №7. − e21.00141.
Zykin, A.A. Corrective osteotomies in the treatment of gonarthrosis / A.A. Zykin, N.A. Tenilin, E.E. Malyshev, S.A. Gerasimov//Modern problems of science and education. - 2014. - No. 4. – S. 288-288.
Chalmers, B.P. Total Knee Arthroplasty After High Tibial Osteotomy Results in Excellent Long-Term Survivorship and Clinical Outcomes / B.P. Chalmers, A.K. Limberg, M.E. Tibbo, K.I. Perry, M. W. Pagnano , M.P. Abdel // J Bone Joint Surg Am. – 2019. – Vol.101. − №11. – P.970-978.
Dzhumabekov, S.A. Minimally invasive surgical correction of the proximal tibia with fixation with an extraosseous plate with angular stabilization as a method of choice for treatment in the initial stage of gonarthrosis in adults / S. A. Dzhumabekov, Zh. D. Sulaimanov, E.T. Aitnazarov, B.Zh. Sulaimanov // Dostizheniya nauki i obrazovaniya. - 2016. - No. 10 (11). - P. 50-55.
Nakayama, H. Physiologic knee joint alignment and orientation can be restored by the minimally invasive double level osteotomy for osteoarthritic knees with severe varus deformity / H. Nakayama, T. Iseki, R. Kanto, S. Kambara, M. Kanto, S. Yoshiya, S. Schröter // Knee Surg Sports Traumatol Arthrosc. – 2020. – Vol.28. − №3. – P.742-750.
Khrulev, V.N. Corrective periarticular osteotomies in the treatment of deforming arthrosis of the knee joint / V.N. Khrulev, V.N. Kornilov, K.A. Novoselov // Travmatologiya i ortopediya Rossii. - 1996. - No. 4. – P. 79-85.
Bialik, V.E. Complications of an angle-opening high tibial osteotomy. Analysis of the causes and ways to eliminate them / V. E. Bialik, S. A. Makarov, E.I. Bialik, V.A. Nesterenko, M.R. Nurmukhametov // Nauchno-prakticheskaya revmatologiya. - 2021. – Vol. 59. - No. 2. - P. 215-224.
Vena, G. Complications of osteotomies about the knee / G.Vena, S. D'Adamio, A. Amendol// Sports Med Arthrosc Rev. – 2013. – Vol.21. − №2. – P.113-20.
Holschen, M. Komplikationen kniegelenknaher Umstellungsosteotomien [Complications of corrective osteotomies around the knee] / M. Holschen, P. Lobenhoffer// Orthopade. – 2016. – Vol.45. − №1. – P.13-23. German.
Neri, T. The Use of Navigation in Osteotomies Around the Knee / T.Neri, D. Myat, D. Parker // Clin Sports Med. – 2019. – Vol.38. − №3. – P.451-469.
Prizov, A.P. Overcorrection after high tibial osteotomy: a clinical case / A.P. Prizes, N.V. Zagorodniy, A.A. Nikitin, F.L. Lazko, E.A. Belyak, A.A. Akhpashev, M.F. Lazko, M. F.// Klinicheskaya praktika. - 2022. - Vol. 13. - No. 1. - P. 99-106.
Zajonz, D. Knee arthrodesis as last resort for persistent knee joint infections : Comparison of extramedullary and intramedullary treatment / D. Zajonz, B. Zimmerlich, R. Möbius, M. Edel, J. Przybyl, A. Höch, J.K. M. Fakler, A. Roth, M.Ghanem // Orthopade. – 2021. – Vol.50. − №3. – P.207-213.
Solomin, L.N. Knee Joint Bone Defects: Reconstruction With Bone Transport and Arthrodesis / L.N. Solomin, E.A. Shchepkina, K.L. Korchagin, J.R. Buksbaum, G.A. Sheridan, S. R. Rozbruch // J Arthroplasty. – 2021. – Vol.36. − №8. – P.2896-2906.
Korchagin, K.L. Arthroscopic-assisted arthrodesis of the knee joint with an individual intramedullary nail with simultaneous correction of the femur deformity (clinical observation and literature review) / K.L. Korchagin, D.V. Chugaev, L.N. Solomin, E.P. Sorokin, S.A.Lasunsky // Vestnik travmatologii i ortopedii im. N.N. Priorova. - 2020. - Vol. 27. - No. 1. - P.43-52.
Reinke, C. Arthrodesis of the Infected Knee Joint with the Ilizarov External Fixator: an Analysis of 13 Cases / C. Reinke, H. Bäcker, S. Lotzien , T.A. Schildhauer, D. Seybold, J. Gessmann // Z Orthop Unfall. – 2020. – Vol.158. − №1. – P.58-74. English, German.
Dearing, J. Evidence based factors influencing outcome of arthroscopy in osteoarthritis of the knee / J. Dearing, R.W. Nutton // Knee. – 2008. – Vol.15. − №3. – P.159-63.
Donell, S. Arthroscopy in the management of knee osteoarthritis / S.Donell // Knee. – 2014. – Vol.21. − №2. – P.351-2.
Ishtukov R.R. Analysis of early results of surgical treatment of osteoarthritis of the knee joint / R.R. Ishtukov, T.B. Minasov, R.R. Yakupov, O.A. Saubanov, A.O. Ginoyan, I.I. Garipov, N.Z. Tatlybaeva // Kreativnaya hirurgiya i onkologiya. – 2018. – No. 4. - P. 273-278-
Irismetov, M.E. Clinical and diagnostic algorithm for arthroscopic treatment of osteoarthritis of the knee joint / M.E. Irismetov, N.B. Safarov, F.M. Usmonov // Medicus. – 2019. – No. 3 (27). – P. 54.
Shevtsov, V.I. Modern technologies for the treatment of patients with deforming arthrosis of the knee joint / V.I. Shevtsov, T.Yu. Karaseva, E.A. Karasev, A.G. Karasev, A.Ya. Korkin // Genij ortopedii. - 2009. - No. 3. - P. 17-24.
Ushakov, S.A. Corrective osteotomies in the treatment of lower limb deformities in deforming osteoarthritis of the knee joint / S.A. Ushakov, A.V. Bazhenov, P.A. Ovchinnikov, E.V. Boyar// Ural'skij medicinskij zhurnal. - 2022. - Vol. 21. - No. 2. – P. 71-74.
Tatarenkov, V.I. Two-year results of the clinical application of arthromedullary bypass grafting in osteoarthritis of the knee joint / V.I. Tatarenkov, V.G. Bulgakov, N.S. Gavryushenko // Vestnik travmatologii i ortopedii im. N.N. Priorova. - 2021. - Vol. 28. - No. 2. − P. 5-12.
Jansen, M.P. Knee Joint Distraction Compared with High Tibial Osteotomy and Total Knee Arthroplasty: Two-Year Clinical, Radiographic, and Biochemical Marker Outcomes of Two Randomized Controlled Trials / M.P. Jansen, N.J. Besselink, R.J. van Heerwaarden, R. J. H. Custers, P. J. Emans, S. Spruijt, S.C. Mastbergen, F. P. J. G. Lafeber // Cartilage. – 2021. – Vol.12. − №2. – P.181-191.
van der Woude, J.A.D. Five-Year Follow-up of Knee Joint Distraction: Clinical Benefit and Cartilaginous Tissue Repair in an Open Uncontrolled Prospective Study / J.-T. A. D. van der Woude, K. Wiegant, P. M. van Roermund , F. Intema, R.J. H. Custers, F. Eckstein, J.M. van Laar, S.C. Mastbergen, F.P. J. G. Lafeber // Cartilage. – 2017. – Vol.8. − №3. − P.263-271.
Takahashi, T. Is Knee Joint Distraction a Viable Treatment Option for Knee OA?-A Literature Review and Meta-Analysis / T. Takahashi, T.G. Baboolal, J. Lamb , T.W.Hamilton, H.G. Pandit // J Knee Surg. −2019. – Vol.32. − №8. –P.788-795.
Azhikulov, R.N. Azhikulov R., Asanov N., Kazbekov A., Tusupzhanov M. Reparative methods for restoring cartilage tissue defects against the background of osteoarthritis // Valeologiya: Zdorov'e, Bolezn', Vyzdorovlenie. – 2022. – No. 4. - P. 112-115.
All Content should be original and unpublished.
