The Multidisciplinary Management of the Patient with Knee Endoprosthetics. A Case Report
Life Sciences- Rheumatology
DOI:
https://doi.org/10.22376/ijlpr.2023.13.6.L427-L435Keywords:
Total Knee Endoprosthetics, Osteoarthritis, Pain Syndrome, Physical Exercises, Physiotherapy, Rehabilitation, Multidisciplinary ManagementAbstract
The most commonly diagnosed type of arthritis is osteoarthritis (OA) of the knee joint, the incidence of which constantly increases with increasing life expectancy. Theaim of this case study is the multidisciplinary management of the patient with knee endoprosthetics. The case was defined as the right knee joint's osteoarthritis operative treatmentand rehabilitation. A 64-year-old -male patient complained of right-sided stage III idiopathic gonarthrosis. The patient passed the general blood analysis, biochemical blood analysis,coagulogram, and urine analysis. The patient passed the ultrasound low limbs veins examination. The total right knee endoprosthesis with the implantation was done. The prosthesiscomponents as Journey II BCS Femoral Component Right 4, Tibial component Journey Right 4, and liner Journey II BCS XLPE Right 10 mm 3-4 were fixed to the male patient. Thepatient's rehabilitation period passed through three stages: III, idiopathic gonarthrosis with various deformities of the right lower limb; stage III, patellofemoral arthrosis, synovitis ofthe right knee joint, osteoporosis, complicated joint insufficiency, and stage III. The male patient was prescribed the non-steroidal anti-inflammatory drugs (NSAIDs). The male patientreceived the treatment with the hyaluronic acid. The male patient had no improvement results for four years, and the pharmacological treatment was unsuccessful. The prosthesiscomponents are Journey II BCS Femoral Component Right 4, Tibial component Journey Right 4, and liner Journey II BCS XLPE Right 10 mm 3-4 fixed to the male patient. Physicalrehabilitation after the total knee endoprosthetic was performed several stages after surgery. Stage one - immediately after surgery during the first 5 days. Stage two – the clinicalstage in the early recovery period. Stage three - after the hospital during the first 3 months. After 6 months, the male patient was allowed to walk without the additional support.He was restricted from lifting weights and preventing falls. A year after the operation, the right knee joint movements' amplitude was sufficient, and there was no pain syndrome.Total knee endoprosthesis leads to high patient satisfaction and provides patients with life-quality benefits, pain relief, and function. The patient's rehabilitation period, includingphysical exercises and physiotherapy, is a very important stage. Effective patient rehabilitation after knee endoprosthetics is possible using multidisciplinary management.
References
Luyten FP, Bierma-Zeinstra S, Dell'Accio F, Kraus VB, Nakata K, Sekiya I, et al. Toward classification criteria for early osteoarthritis of the knee. Semin Arthritis Rheum. 2018;47(4):457-63. doi: 10.1016/j.semarthrit.2017.08.006, PMID 28917712.
Skou ST, Roos EM. Physical therapy for knee and hip osteoarthritis patients: supervised, active treatment is current best practice. Clin Exp Rheumatol. 2019;37(5);Suppl 120(5):112-7. PMID 31621559.
Millerand M, Berenbaum F, Jacques K. Danger signals and inflammation in osteoarthritis. Clin Exp Rheumatol. 2019;37;Suppl 120 (5):48-56.
Sun X, Zhen X, Hu X, Li Y, Gu S, Gu Y et al. Osteoarthritis in the middle-aged and elderly in China: prevalence and influencing factors. Int J Environ Res Public Health. 2019;16(23):4701. doi: 10.3390/ijerph16234701, PMID 31779104, PMCID PMC6926632.
Vitaloni M, Botto-van Bemden A, Sciortino Contreras RM, Scotton D, Bibas M, Quintero M et al. Global management of patients with knee osteoarthritis begins with quality of life assessment: a systematic review. BMC Musculoskelet Disord. 2019;20(1):493. doi: 10.1186/s12891-019-2895-3, PMID 31656197.
Kitano M, Kawahata H, Okawa Y, Handa T, Nagamori H, Kitayama Y et al. Effects of low-intensity pulsed ultrasound on the infrapatellar fat pad in knee osteoarthritis: a randomized, double-blind, placebo-controlled trial. J Phys Ther Sci. 2023;35(3):163-9. doi: 10.1589/jpts.35.163, PMID 36866007.
Ji S, Liu L, Li J, Zhao G, Cai Y, Dong Y et al. Prevalence and factors associated with knee osteoarthritis among middle-aged and elderly individuals in rural Tianjin: a population-based cross-sectional study. J Orthop Surg Res. 2023;18(1):266. doi: 10.1186/s13018-023-03742-4, PMID 37005600.
Ren Y, Hu J, Tan J, Tang X, Li Q, Yang H et al. Incidence and risk factors of symptomatic knee osteoarthritis among the Chinese population: analysis from a nationwide longitudinal study. BMC Public Health. 2020;20(1):1491. doi: 10.1186/s12889-020-09611-7, PMID 33004017.
Shi C, Ye Z, Shao Z, Fan B, Huang C, Zhang Y et al. Multidisciplinary guidelines for the rational use of topical non-steroidal anti-inflammatory drugs for musculoskeletal pain (2022). J Clin Med. 2023;12(4):1544. doi: 10.3390/jcm12041544, PMID 36836078.
da Costa BR, Reichenbach S, Keller N, Nartey L, Wandel S, Jüni P et al. Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: A network meta-analysis. Lancet. 2017;390(10090):e21-33. doi: 10.1016/S0140-6736(17)31744-0, PMID 28699595.
Charlton JM, Escullier JF. Review of the year of osteoarthritis 2019: mechanics. Cartilaginous Osteoarthr. 2020;28(3):267-74. doi: 10.1016/j.joca.2019.12.003.
Tran DH, Hoshino H, Matsuyama Y. Morphological changes in the lower limbs with the progression of knee osteoarthritis over 6 years in a Toei cohort. Mod Rheumatol. 2021;31(3):743-9. doi: 10.1080/14397595.2020.1804668, PMID 32735180.
Lu Y, Zheng ZL, Lv J, Hao RZ, Yang YP, Zhang YZ. Relationships between morphological changes of lower limbs and gender during medial compartment knee osteoarthritis. Orthop Surg. 2019;11(5):835-44. doi: 10.1111/os.12529, PMID 31663282.
Xie J, Huang Z, Pei F. Role and progress of innate immunity in pathogenesis of osteoarthritis. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019;33(3):370-6. doi: 10.7507/1002-1892.201810068, PMID 30874397.
Collins NJ, Hart HF, Mills CG. Osteoarthritis 2018 review: Rehabilitation und Ergebnisse. Knorpelosteoarthritis. 2019;27(3):378-91. doi: 10.1016/j.joca.2018.11.010.
Doma K, Grant A, Morris J. The Effects of balance training on balance performance and functional outcome measures following total knee arthroplasty: A Systematic Review and Meta-Analysis. Sports Med. 2018;48(10):2367-85. doi: 10.1007/s40279-018-0964-7, PMID 30117054.
Henderson KG, Wallis JA, Snowdon DA. Active physiotherapy interventions following total knee arthroplasty in the hospital and inpatient rehabilitation settings: a systematic review and meta-analysis. Physiotherapy. 2018;104(1):25-35. doi: 10.1016/j.physio.2017.01.002, PMID 28802773.
Koch M, Chandra Sarma P, Dutta A, Kalita A. Effectiveness of combined kinetic chain exercises in the treatment of knee osteoarthritis in peri-menopausal and postmenopausal women in Guwahati. Int J Life Sci Pharm Res-Physiotherapy. 2022. 12(1):L38-46. doi: 10.22376/ijpbs/lpr.2022.12.1.L38-46.
Bindu S, Mazumder S, Bandyopadhyay U. Nonsteroidal anti-inflammatory drugs (NSAIDs) and organ damage: current perspective. Biochem Pharmacol. 2020;180:114147. doi: 10.1016/j.bcp.2020.114147, PMID 32653589.
Arden NK, Perry TA, Bannuru RR, Bruyère O, Cooper C, Haugen IK et al. Non-surgical management of knee osteoarthritis: comparison of ESCEO and OARSI 2019 guidelines. Nat Rev Rheumatol. 2021;17(1):59-66. doi: 10.1038/s41584-020-00523-9, PMID 33116279.
Yeap SS, Tanavalee A, Perez EC, Tan MP, Reyes BHM, Lee JK et al. 2019 revised algorithm for the management of knee osteoarthritis: the Southeast Asian viewpoint. Aging Clin Exp Res. 2021;33(5):1149-56. doi: 10.1007/s40520-021-01834-x, PMID 33774784.
Javadi Hedayatabad J, Ar K, Taher Chaharjui N, Waziri N, Mehrad-Majd H, Emadzadeh M et al. Effect of Eaton compared to hyaluronic acid on pain and function in patients with knee osteoarthritis: systematic review and meta-analysis. Surg Arh Bone. 2020;8(3):343-54. doi: 10.22038/abjs.2020.46925.2292.
Rosen J, Niazi F, Dysart S. Cost-effectiveness of treating early to moderate stage knee osteoarthritis with intra-articular hyaluronic acid compared to conservative interventions. Adv Ther. 2020;37(1):344-52. doi: 10.1007/s12325-019-01142-x, PMID 31735982.
Nowaczyk A, Szwedowski D, Dallo I, Nowaczyk J. Overview of first-line and second-line pharmacotherapies for osteoarthritis with special focus on intra-articular treatment. Int J Mol Sci. 2022;23(3):1566. doi: 10.3390/ijms23031566, PMID 35163488.
Karpinski K, Müller-Rath R, Niemeyer P, Angele P, Petersen W. Subgroups of patients with osteoarthritis and medial meniscus tear or crystal arthropathy benefit from arthroscopic treatment. Knee Surg Sports Traumatol Arthrosc. 2019;27(3):782-96. doi: 10.1007/s00167-018-5086-0, PMID 30128683.
Pan H, Zhang P, Zhang Z, Yang Q. Arthroscopic partial meniscectomy combined with medical exercise therapy versus isolated medical exercise therapy for degenerative meniscal tear: A meta-analysis of randomized controlled trials. Int J Surg. 2020;79:222-32. doi: 10.1016/j.ijsu.2020.05.035, PMID 32522685.
Miettinen HJA, Mäkirinne-Kallio N, Kröger H, Miettinen SSA. Health-related quality of life after hip and knee arthroplasty operations. Scand J Surg. 2021;110(3):427-33. doi: 10.1177/1457496920952232, PMID 32862793.
Wainwright TV, Jill M, MacDonald DA, Middleton RG, Reed M, Sahota O. Agreed statement on perioperative treatment for total hip replacement and total knee replacement: improved Recovery after surgery (ERAS®). Recommendations of the society. 2020;91(1):3-19. doi: 10.1080/17453674.2019.1683790.
Sebastian R, Gopalakrishnan G, Sanil Kumar P, Prasanth L. An epidemiological study of nosocomial infection in postoperative patients: pharmaceutical science-pharmacy. Int J Life Sci Pharm Res. 2022;12(2):1. doi: 10.22376/ijpbs/lpr.2022.12.2.P1-5.
Bannuru RR, Osani MK, Weissbrot EE, Arden NK et al. OARSI recommendations for nonsurgical treatment of knee, hip and polyarticular osteoarthritis. Osteoarthr Cartil. 2019;27(11):1578-89. doi: 10.1016/j.joca.2019.06.011.
Fischer KI, De Faoite D, Rose M. Patient-reported outcomes feedback report for knee arthroplasty patients should present selective information in a simple design - findings of a qualitative study. J Patient Rep Outcomes. 2020;4(1):6. doi: 10.1186/s41687-020-0173-7, PMID 31965364.
Kochman M, Kasprzak M, Kielar A. ACL reconstruction: which additional physiotherapy interventions improve early-stage rehabilitation? A systematic review. Int J Environ Res Public Health. 2022;19(23):15893. doi: 10.3390/ijerph192315893, PMID 36497965.
Gatewood CT, Tran AA, Dragoo JL. The efficacy of post-operative devices following knee arthroscopic surgery: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2017;25(2):501-16. doi: 10.1007/s00167-016-4326-4, PMID 27695905.
Published
How to Cite
Issue
Section
Copyright (c) 2023 Zhuravleva Nadezhda Vladimirovna, Diomidova Valentina Nikolaevna, Ukhterova Nadezhda Dmitrievna, Guryanova Evgenia Arkadievna, Smirnova Tatyana Lvovna, Vlasov Andrey Valerievich
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.