Presnyakov EV¹, Tkachenko AN¹, Deev RV¹, Starchik DA¹, Balgley AG¹, Mansurov DSh², Maryam Jamil³ and Ehsan Ulhaq¹

¹North-Western State Medical University named after I.I. Mechnikov Ministry of Health of the Russian Federation, Saint-Petersburg, Russia
²Samarkand State Medical University, Samarkand, Uzbekistan
³Department of General Surgery Ghurki Trust Hospital, Lahore Medical and Dental College (LMDC) Lahore, Pakistan
⁴Department of Orthopedics Services Hospital Lahore, Services Institute of Medical Sciences (SIMS) Lahore, Pakistan

*Corresponding Author: Ehsan Ulhaq, Department of Orthopedics Services Hospital Lahore, Services Institute of Medical Sciences (SIMS) Lahore, Pakistan.

Received: February 14, 2023; Published: March 20, 2023

Abstract

Introduction and Materials and Methods In the clinic of orthopedics and trauma North-western State Medical University named after I.I. Mechnikov from 01.01.2022 to 15.12.2022, a total of 187 total knee replacement (TKR) were done in patients with osteoarthritis. A random sample taken for histological studies from 30 patients aged 40 to 76 years (19 F, 11 M). Samples were prepared according to the standard protocol for bone tissue, the bone fragments tested were decalcified in electrolyte decalcification solution (Biovitrum, Russia). Histological processing, pouring, and microtomy with a section thickness of 5 μm were performed as per standard protocol. The preparations were stained with dyes (hematoxylin and eosin) and safranin O.

Results: Only 48 (25.7%) patients before TKR were at least once had inpatient conservative or minimally invasive surgical treatment for osteoarthritis of the knee joint. 18 (9.6%) patients had intraoperative and postoperative complications. Among the 30 morphological studies performed, 3 (10%) patients grade I, 8 (26.7%) subjects grade II, and in 19 (63.3%) - grade III osteoarthritis of the knee joint was diagnosed.

Conclusions: Among patients who underwent TKR, only one in four (48 people - 25.7%) was at least once had inpatient conservative or minimally invasive surgical treatment for OA. According to the morphological study, 11 (36.7%) clinical observations undergoing arthroplasty were verified as grade I-II OA. To form a strategy for the treatment of patients with osteoarthritis of knee joint, it is vital to develop an algorithm for teamwork between therapist, orthopedic surgeon, rheumatologist, rehabilitation medicine specialist, specialists in restorative medicine and healthcare organizers in the process.

Keywords: osteoarthritis, knee replacement, complications, morphological examination, indications and contraindications to surgery

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Citation

Citation: Ehsan Ulhaq., et al. “Validity of Knee Arthroplasty in Osteoarthritis” Acta Scientific Orthopaedics 6.4 (2023): 64-69.

Copyright

Copyright: © 2023 Ehsan Ulhaq., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.