The Multidisciplinary Management of the Patient with Knee Endoprosthetics. A Case Report

Life Sciences- Rheumatology

Authors

  • Zhuravleva Nadezhda Vladimirovna Candidate of Medical Sciences, Associate Professor of the Department of Internal Diseases of the Federal State Educational Institution of Higher Education "Chuvash State University named after I.N. Ulyanov." Address: 45 Moskovsky Ave., Cheboksary, Russia, 428017 https://orcid.org/0000-0002-3627-7971
  • Diomidova Valentina Nikolaevna Doctor of medical sciences, Professor, Dean of the Medical Faculty of the Federal State Educational Institution of Higher Education “Chuvash State University named after I.N. Ulyanov” Address: 45 Moskovsky Ave., Cheboksary, Russia, 428017. Phone: (8352) 23-47-32
  • Ukhterova Nadezhda Dmitrievna Candidate of Medical Sciences, Associate Professor of the Department of Internal Diseases of the Federal State Educational Institution of Higher Education “Chuvash State University named after I.N. Ulyanov”; Address: 15 Moskovsky Ave., Cheboksary, Russia, 428037
  • Guryanova Evgenia Arkadievna Doctor of medical sciences, Professor, Dean of the Medical Faculty of the Federal State Educational Institution of Higher Education “Chuvash State University named after I.N. Ulyanov” Address: 45 Moskovsky Ave., Cheboksary, Russia, 428017. Phone: (8352) 23-47-32
  • Smirnova Tatyana Lvovna Ph.D. (Medicine), Associate Professor of the Department of Obstetrics and Gynecology of the Federal State Budgetary Educational Institution of Higher Education “Chuvash State University named after I.N. Ulyanov”. Address: 45 Moskovsky Prospect, Cheboksary, Russia, 428017
  • Vlasov Andrey Valerievich Chief physician of the budget institution Chuvash Republic "? ity clinical hospital" Ministry of Health Chuvash Republic. Address: 428028, Russia, Chuvash Republic, Cheboksary, Tractor -Builders Avenue, house 46

DOI:

https://doi.org/10.22376/ijlpr.2023.13.6.L427-L435

Keywords:

Total Knee Endoprosthetics, Osteoarthritis, Pain Syndrome, Physical Exercises, Physiotherapy, Rehabilitation, Multidisciplinary Management

Abstract

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.

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Published

2023-11-01

How to Cite

Nadezhda Vladimirovna, Z. ., Valentina Nikolaevna, D., Nadezhda Dmitrievna, U. ., Evgenia Arkadievna, G., Tatyana Lvovna, S. ., & Andrey Valerievich, V. . (2023). The Multidisciplinary Management of the Patient with Knee Endoprosthetics. A Case Report: Life Sciences- Rheumatology . International Journal of Life Science and Pharma Research, 13(6), L427-L435. https://doi.org/10.22376/ijlpr.2023.13.6.L427-L435

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Section

Case Study