The experience with the comprehensive rehabilitation of the elderly patients presenting with a concurrent pathology following the surgical intervention for the total endoprosthetics of the knee joint

Close metadata

Recommended articles:

Effect of hardware balance trainings on postural control, risk of falls and cognitive function on elderly people with chronic cerebral ischemia. (Randomized controlled trial). Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;(6):31-39

Natural healing factors of Nalchik resort in medical rehabilitation of the patients with post-traumatic stress disorder. (Randomized controlled trial). Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;(6):59-65

Current approaches to medical-psychological rehabilitation of military personnel of the Russian Federation Armed Forces. (Literature review). Problems of Balneology, Physiotherapy and Exercise Therapy. 2023;(6):86-91

Functional status of patients after myocardial revascularization combined with chronic low back pain at the sanatorium-resort stage of medical rehabilitation. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(1):30-41

Rehabilitative technologies in patients after total endoprosthesis of lower limbs’ major joints: scientometric analysis. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(1):54-61

International Classification of Health Interventions of World Health Organization as the basis for a new nomenclature of medical rehabilitation services. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(2):5-11

Organic mental disorders with comorbid alcoholism in the elderly. S.S. Korsakov Journal of Neurology and Psychiatry. 2023;(12):27-33

Continuity of medical care for patients as a means to prevent complications in the treatment of peripheral arterial embolisms. Russian Journal of Preventive Medicine. 2023;(12):27-33

Sinus histiocytosis of non-langerhans cell type with obstruction of the subglottic and tracheal region (Rosai—Dorfman disease). P.A. Herzen Journal of Oncology. 2024;(1):49-58

Diagnostic approaches to assessing mild behavioral impairment in patients with mild cognitive impairment. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(4-2):49-55

The comprehensive rehabilitation of the elderly patients presenting with a concurrent pathology remains an unresolved problem despite the rather widespread application of total endoprosthetic surgical methods in orthopedic practice. The present article was designed to report two clinical cases of the successful combined medical rehabilitation with the use of additional remedial factors taking into consideration the presence of the concomitant pathology in the aged patients with different duration of the postoperative period following total endoprosthetics of the knee joint. The patients were activated, taught to walk, and enjoyed a higher degree of independence in the everyday life.

Keywords:

total joint replacement

medical rehabilitation

advanced age

concomitant orthopedic pathology

robotic-assisted reconstruction of the walking ability

Authors:

Koneva E.S.

FGBU "Lechebno-reabilitatsionnyĭ tsentr" Minzdrava RF, Moskva

Shapovalenko T.V.

Lechebno-reabilitatsionnyĭ tsentr, Moskva

Liadov K.V.

Lechebno-reabilitatsionnyĭ tsentr Minzdravsotsrazvitiia Rossiĭskoĭ Federatsii, Moskva

List of references:

Koneva E.S., Serebryakov A.B., Kamalova E.G., Shapovalenko T.V., Tarbushkin A.A., Lyadov K.V. Analiz vyrazhennosti bolevogo sindroma vo vremya osushchestvleniya pervoy khod'in the patients posle operatsii total'nogo endoprotezirovaniya sustavov nizhney konechnosti [Analysis of the severity of pain syndrome during the first attempt at walking in the patients following the surgical intervention for total endoprosthetic replacement of the joints of the lower extremities]. Travmatologiya I ortopediya Rossii. 2012; 3: 41-4. [In Russ.].
Shapovalenko T.V., Kochorova L.V., Lyadov K.V., Koneva E.S. Sovremennye podkhody k organizatsii ranney reabilitatsii patsientov posle endoprotezirovaniya krupnykh sustavov nizhnikh konechnostey v usloviyakh FGBU "Lechebno-reabilitatsionny tsentr" Minzdravsotsrazvitiya Rossii [The modern approaches to the organization of early rehabilitation of the patients following the endoprosthetic treatment of the major joint of the lower extremities under conditions of the federal state budgetary institution "Therapeutic and Rehabilitative Centre" of the Russian Ministry of Health and Social Development]. Vestnik vosstanovitel'noy meditsiny. 2012; 4: 26-31. [In Russ.].
Koneva E.S. Analiz gemodinamicheskoy reaktsii na provedenie ranney khod'by u patsientov posle operatsii total'nogo endoprotezirovaniya sustavov nizhney konechnosti [Analysis of the severity of pain syndrome during walking in the patients soon after the surgical intervention for total endoprosthetic replacement of the joints of the lower extremities]. Vestnik vosstanovitel'noy meditsiny. 2012; 5: 55-9. [In Russ.].
Koneva E.S., Lyadov K.V., Shapovalenko T.V. Kompleksnye programmy I otsenka effektivnosti ranney posleoperatsionnoy reabilitatsii patsientov posle operatsii total'nogo endoprotezirovaniya sustavov nizhney konechnosti [The comprehensive programs and evaluation of the effectiveness of early postoperative rehabilitation of the patients following the surgical intervention for total endoprosthetic replacement of the joints of the lower extremities]. Voprosy kurortologii, fizioterapii I lechebnoy fizkul'tury. 2013; 4: 31-4. [In Russ.].
Koneva E.S., Shapovalenko T.V., Lyadov K.V., Romashin O.V. Kompleksnaya reabilitatsiya somaticheski otyagoshchyonnogo patsienta posle operatsii odnomomentnogo dvustoronnego endoprotezirovaniya tazobedrennykh sustavov [Comprehnsive rehabilitation of a patient presenting with somatic complications following simultaneous bilateral endoprosthetic replacement of both hip joints]. Lechebnaya fizkul'tura I sportivnaya meditsina. 2013; 1: 21-5. [In Russ.].
Koneva E.S., Lyadov K.V., Shapovalenko T.V., Serebryakov A.B. Vosstanovlenie stereotipa khod'by s ispol'zovaniem robotizirovannogo ustroistva u patsientov posle operatsii total'nogo endoprotezirovaniya kolednnykh sustavov [Restoration of the walking stereotype with the help of a robotic device in the patients following total endoprosthetic replacement of the knee joints]. Travmatologiya I ortopediya Rossii. 2013; 2: (68): 31-8. [In Russ.].
Kryuchok V.G., Kalenchits T.I., Liskovskaya Yu.O., Talako E.L., Lipnitsky O.M. Sravnitel'naya otsenka kachestva zhizni patsientov posle operatsii total'nogo endoprotezirovaniya tazobedrennogo sustava. V kn.: Materialy 64-y Mezhdunarodnoy nauchnoy konferentsii studentov I molodykh uchyonykh, posvyashchennoy 65-letiyu Pobedy v Velikoy Otechestvennoy voine "Aktual'nye problemy sovremennoy meditsiny 2010" [The comparative evaluation of the quality of life of the patients following total endoprosthetic replacement of the hip joint. In: Abstracts of the 64th International scientific conference of the students and young scientist dedicated to the 65th anniversary of the victory in the Great Patriotic war "The topical problems of present-day medicine 2010"]. Minsk. BGMU; 2010: ч: 1-2. [In Russ.].
Khalily C., Ilizaliturri V.M. Jr., Lester D.K. Bilateral pathologic fractures of the hip and acetabulum, treated with cementless total hip arthroplasty. J. Arthroplasty. 2002; 17 (5): 664-6.
Kravets D.Yu., Kuratnik T.L. Period posleoperatsionnoy podgotovki pered operatsiey TETS kak obyazatel'ny etap nepreryvnogo reabilitatsionnogo tsikla. Otsenka vozmozhnostey primeneniya gidromagnitoterapii na etape podgotovki k TETS. V kn.: Sbornik tezisov dokladov 66-y nauchno-prakticheskoy konferentsii studentov I molodykh uchyonykh s mezhdunarodnym uchastiem "Aktual'nye problemy sovremennoy meditsiny" [The period of postoperative preparation preceding the surgical intervention for endoprosthetic joint replacement (TEJR) as a mandatory stage of the continuous rehabilitative cycle. Evaluation of the possibility of the application of hydromagnetic therapy at the stage of preparation for TEJR. In: The collected abstracts of the reports at the 66th scientific and practical conference of the students and young scientists "The topical problems of present-day medicine"]. Minsk. BGMU; 2012: 27. [In Russ.].
Jewett B.A., Collis D.K. Sequential bilateral total hip replacement during the same hospitalization. Clin. Orthop. Relat. Res. 2005; 441: 256-61.

Close metadata