Preview

Science and Innovations

Advanced search

Studies of regional blood flow at the stage of preparation for revision total knee arthroplasty

https://doi.org/10.29235/1818-9857-2025-8-74-78

Abstract

The results of rheovasographic (RVG) and Doppler ultrasound (USDG) examination of the vessels of the lower extremities study of 13 patients, aged 50-75 years, with aseptic instability of the components of a knee joint endoprosthesis (TKA) at the stage of preparation for revision total knee arthroplasty (RTKA). To assess the orthopedic status, we used: clinical examination, radiography of the knee joint in 2 standard and axial projections, topogram and CT scan. The results of the conducted RVG and ultrasound Doppler studies indicate a decrease in the overall physiologically acceptable level of blood filling of the muscles of the lower extremities at rest, mainly in the thigh area, and a low reserve for restoring regional blood flow after revision, compared with primary prosthetics. 

About the Authors

M. Gerasimenko
РНПЦ травматологии и ортопедии; Белорусский государственный медицинский университет
Belarus


B. Maliuk
РНПЦ травматологии и ортопедии
Belarus


I. Kandybo
РНПЦ травматологии и ортопедии
Belarus


O. Shalatonina
РНПЦ травматологии и ортопедии
Belarus


L. Pashkevich
РНПЦ травматологии и ортопедии
Belarus


M. T. Mohammady
РНПЦ травматологии и ортопедии
Belarus


A. Dzemiantsou
6-я городская клиническая больница г. Минска
Belarus


References

1. Knee replacement / A.J. Price, A. Alvand, A. Troelsen [et al.] // Lancet. 2018. №392. P. 1672–1682.

2. Whitehouse How long does a knee replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up / J.T. Evans, R.W. Walker, J.P. Evans [et al.] // Lancet. 2019. №393. P. 655–663.

3. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? / R.B. Bourne, B.M. Chesworth, A.M. Davis [et al.] // Clinical Orthopaedics and Related Research. 2010. №468. P. 57–63.

4. Patient dissatisfac tion following total knee arthroplasty: a systematic review of the literature / R. Gunaratne, D.N. Pratt, J. Banda [et al.] // Тhe Journal of Arthroplasty. 2017. №32. P. 3854–3860.

5. Анализ основных причин ревизионной артропластики коленного сустава / Б. В. Малюк [и др.] // Медицинские новости. 2024. №7. С. 3–8.

6. Clinical and economic burden of revision knee arthroplasty / M. Bhandari, J. Smith, L.E. Miller, J.E. Block // Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders. 2012. №5. PP. 89–94.

7. The Current Epidemiology of Revision Total Knee Arthroplasty in the United States From 2016 to 2022 / J.A Dubin, S.S. Bains, A.E Paulson [et al.] // Тhe Journal of Ar throplast y. 2024. №39 (3). Р. 760–765. doi: 10.1016/j.arth.2023.09.013.

8. Monitoring the lifetime risk of revision knee arthroplasty over a decade: a population-level analysis of Australian national registry data / I.N. Ackerman, L. Busija, M. Lorimer [et al.] // Bone Joint Lett Journal. 2022. №104-B. Р. 613–619.

9. Патология вен нижних конечностей при первичном остеоартрозе коленных суставов / О.М. Лесняк, Е.В. Зубарева, М.Г. Гончарова, Д.М. Максимов // Остеопороз и остеопатия. 2016. №2. С. 101.

10. Роль метаболических нарушений в риске развития острого идиопатического тромбоза глубоких вен нижних конечностей / Д.Н. Ровенских, С.А. Усов, М.И. Воевода // Бюллетень СО РАМН. 2014. Т. 34, №5. С. 97–101.

11. Нарушение гемоциркуляции и лифатического оттока в регионе коленного сустава у пациентов с гонартрозом / М.С. Любарский, Н.Р. Мустафаев, И.А. Алтухов // Политравма. 2011. №3. С. 29–42.


Review

For citations:


Gerasimenko M., Maliuk B., Kandybo I., Shalatonina O., Pashkevich L., Mohammady M.T., Dzemiantsou A. Studies of regional blood flow at the stage of preparation for revision total knee arthroplasty. Science and Innovations. 2025;1(8):74-78. (In Russ.) https://doi.org/10.29235/1818-9857-2025-8-74-78

Views: 160


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1818-9857 (Print)
ISSN 2412-9372 (Online)