Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics25910.21823/2311-2905-2012--3-12-20CLINICAL STUDIESКЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯClinical studiesEVALUATION OF MIDTERM FUNCTIONAL RESULTS AFTER TOTAL AND UNICOMPARTMENTAL KNEE ARTHROPLASTY WITH DIFFERENT SCORING SYSTEMSСРАВНИТЕЛЬНАЯ ОЦЕНКА СРЕДНЕСРОЧНЫХ ФУНКЦИОНАЛЬНЫХ ИСХОДОВ ОДНОМЫЩЕЛКОВОГО И ТОТАЛЬНОГО ЭНДОПРОТЕЗИРОВАНИЯ КОЛЕННОГО СУСТАВА С ИСПОЛЬЗОВАНИЕМ РАЗЛИЧНЫХ БАЛЛЬНЫХ СИСТЕМKornilovN. N.КорниловН. Н.
Russian Federation
drkornilov@hotmail.comKulyabaT. A.КулябаТ. А.
Russian Federation
taraskulyaba@hotmail.comPhedorovR. E.ФедоровР. Э.
Russian Federation
fedorov.ruslan.8@mail.ruThe Vreden Russian Research Institute of Traumatology and OrthopedicsФГБУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздравсоцразвития РоссииSmolensk Regional Clinical HospitalОГБУЗ «Смоленская областная клиническая больница»30092012183122001112016https://journal.rniito.org/jour/article/view/259

Using KSS, WOMAC and IKDC score systems the authors evaluated functional results of 64 total (TKA) and unicompartmental (UKA) knee arthroplasties performed in department of knee pathology of Vreden’s Russian Research Institute Travmatology and Orthopaedics from 2001 till 2006. Before joint replacement there was no significant difference in magnitude of performance deficit between both groups. After 5-10 years (7 in average) all patients had similar pain relief but activities of daily living and level of physical performance, including high flexion, were significantly higher in UKA group than TKA. KSS and WOMAC score systems did not reflect this important difference in physical capacities of UKA and TKA patients comparing to IKDC.

Изучены функциональные исходы тотального и одномыщелкового эндопротезирования коленного сустава у 64 пациентов, проходивших лечение в Российском НИИ травматологии и ортопедии им. Р.Р. Вредена в период с 2001 по 2006 г. с использованием балльных шкал оценки KSS, WOMAC и IKDC. До артропластики значимых различий в функциональном статусе больных обеих групп отмечено не было. Через 5-10 (в среднем 7) лет после одномыщелкового эндопротезирования уровень двигательной активности пациентов, в том числе связанной с необходимостью глубокого сгибания коленного сустава, оказался достоверно выше, чем у больных, перенесших тотальную артропластику. Традиционно используемые для изучения исходов эндопротезирования балльные шкалы KSS и WOMAC по сравнению с системой оценки IKDC характеризовались низкой информативностью в отношении показателей двигательной активности больного.

коленный суставэндопротезированиеартропластикарезультатыkneeTKAUKAmidterm resultsAlviar M.J., Olver J., Brand C., Hale T., Khan F. Do patient-reported outcome measures used in assessing outcomes in rehabilitation after hip and knee arthroplasty capture issues relevant to patients? Results of a systematic review and ICF linking process. J. Rehabil. Med. 2011;43(5):374-381.Anderson A.F., Irrgang J.J., Kocher M.S., Mann B.J., Harrast J.J. International Knee Documentation Committee. The International Knee Documentation Committee Subjective Knee Evaluation Form: normative data. Am. J. Sports Med. 2006;34(1):128-135.Argenson J.N., Chevrol-Benkeddache Y., Aubaniac J.M. Modern unicompartmental knee arthroplasty with cement: a three to ten-year follow-up study. J. Bone Joint Surg. 2002;84-A(12):2235-2239.Bade M.J., Stevens-Lapsley J.E. Early high-intensity rehabilitation following total knee arthroplasty improves outcomes. J. Orthop. Sports Phys. Ther. 2011; 41(12):932-941.Basaran S., Guzel R., Seydaoglu G., Guler-Uysal F. Validity, reliability, and comparison of the WOMAC osteoarthritis index and Lequesne algofunctional index in Turkish patients with hip or knee osteoarthritis. Clin. Rheumatol. 2010;29(7):749-756.Brazier J., Roberts J., Deverill M. The estimation of a preference-based measure of health from the SF-36. J. Health Econ. 2002;21(2):271-292.Breivik H., Borchgrevink P.C., Allen S.M., Rosseland L.A., Romundstad L., Hals E.K., Kvarstein G., Stubhaug A. Assessment of pain. Br. J. Anaesth. 2008;101(1):17-24.Bryant D., Norman G., Stratford P., Marx R.G., Walter S.D., Guyatt G. Patients undergoing knee surgery provided accurate ratings of preoperative quality of life and function 2 weeks after surgery. J. Clin. Epidemiol. 2006;59(9):984-993.Crawford K., Briggs K.K., Rodkey W.G., Steadman J.R. Reliability, validity, and responsiveness of the IKDC score for meniscus injuries of the knee. Arthroscopy. 2007;23(8):839-844.Engh G.A., Dwyer K.A., Hanes C.K. Polyethylene wear of metal-backed tibial components in total and unicompartmental knee prostheses. J. Bone Joint Surg. 1992;74-B(1):9-17.Faik A., Benbouazza K., Amine B., Maaroufi H., Bahiri R., Lazrak N., Aboukal R., Hajjaj-Hassouni N. Translation and validation of Moroccan Western Ontario and McMaster Universities (WOMAC) osteoarthritis index in knee osteoarthritis. Rheumatol. Int. 2008;28(7):677-683.Greene K.A., Harwin S.F. Maximizing patient satisfaction and functional results after total knee arthroplasty. J. Knee Surg. 2011;24(1):19-24.Hassaballa M.A., Porteous A.J., Learmonth I.D. Functional outcomes after different types of knee arthroplasty: kneeling ability versus descending stairs. Med. Sci. Monit. 2007;13(2):CR77-81.Ito H., Matsuno T., Hirayama T., Tanino H., Minami A. Health-related quality of life in patients with systemic lupus erythematosus after medium to long-term follow-up of hip arthroplasty. Lupus. 2007;16(5):318-23.Kasodekar V.B., Yeo S.J., Othman S. Clinical outcome of unicompartmental knee arthroplasty and influence of alignment on prosthesis survival rate. Singapore Med. J. 2006;47(9):796-802.Kort N.P., van Raay J.J., van Horn J.J. The Oxford phase III unicompartmental knee replacement in patients less than 60 years of age. Knee Surg. Sports Traumatol. Arthrosc. 2007;15(4):356-360.Kuptniratsaikul V., Rattanachaiyanont M. Validation of a modified Thai version of the Western Ontario and McMaster (WOMAC) osteoarthritis index for knee osteoarthritis. Clin. Rheumatol. 2007;26(10):1641-1645.Naal F.D., Fischer M., Preuss A., Goldhahn J., von Knoch F., Preiss S., Munzinger U., Drobny T. Return to sports and recreational activity after unicompartmental knee arthroplasty. Am. J. Sports Med. 2007;35(10):1688-1695.Walton N.P., Jahromi I., Lewis P.L., Dobson P.J., Angel K.R., Campbell D.G. Patient perceived outcomes and return to sport and work: TKA versus mini-incision unicompartmental knee arthroplasty. J. Knee Surg. 2006;19(2):112-116.Weale A.E., Halabi O.A., Jones P.W., White S.H. Perceptions of outcomes after unicompartmental and total knee replacements. Clin Orthop Relat Res. 2001 Jan;(382):143-53.Xie F., Li S.C, Goeree R., Tarride J.E., O'Reilly D., Lo N.N., Yeo S.J., Yang K.Y., Thumboo J. Validation of Chinese Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in patients scheduled for total knee replacement. Qual. Life Res. 2008;17(4):595-601.Yang K.G., Raijmakers N.J., Verbout A.J., Dhert W.J, Saris D.B. Validation of the short-form WOMAC function scale for the evaluation of osteoarthritis of the knee. J. Bone Joint Surg. 2007;89-B(1):50-56.