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Assessment of success of total knee arthroplasty in patients with rheumatoid arthritis

dc.contributor.advisorBlagojević, Zoran
dc.contributor.otherBaščarević, Zoran
dc.contributor.otherKadija, Marko
dc.contributor.otherStojanović, Roksanda
dc.creatorGluščević, Boris M.
dc.date.accessioned2017-06-12T10:09:26Z
dc.date.available2017-06-12T10:09:26Z
dc.date.available2020-07-03T08:52:34Z
dc.date.issued2017-04-12
dc.identifier.urihttp://nardus.mpn.gov.rs/handle/123456789/8272
dc.identifier.urihttp://eteze.bg.ac.rs/application/showtheses?thesesId=5024
dc.identifier.urihttps://fedorabg.bg.ac.rs/fedora/get/o:15698/bdef:Content/download
dc.identifier.urihttp://vbs.rs/scripts/cobiss?command=DISPLAY&base=70036&RID=48976655
dc.description.abstractUvod: Zglob kolena je jedan od najčešće zahvaćenih zglobova kod reumatoidnog artritisa i jedno ili oba kolena bivaju zahvaćena u 90% slučajeva dugotrajnog reumatoidnog artritisa. Klinički tok reumatoidnog artritisa može biti promenljiv, od blage do teške zglobno destruktivne forme koja progredira brzo i na kraju dovodi do nepodnošljivog bola i zglobnog deformiteta koji zahteva izvođenje totalne artroplastike kolena. Totalna artroplastika kolena se do sada pokazala kao dosta uspešan način lečenja obolelog zgloba kolena kod bolesnika sa reumatoidnim artritisom. Pacijenti sa reumatoidnim artritisom imaju dodatni potencijal za nastanak komplikacija, te se usled toga moraju uzeti u obzir mnoga značajna razmatranja u pogledu preoperativne evaluacije i hirurške tehnike, da bi se poboljšali rezultati totalne artroplastike kolena kod ovih pacijenata. Ciljevi studije: 1. Klinička i radiografska analiza rezultata totalne artroplastike kolena kod pacijenata sa reumatoidnim artritisom. 2. Poređenje rezultata totalne artroplastike kolena kod pacijenata sa reumatoidnim artritisom i pacijenata sa primarnom artrozom kolena. 3. Procena stepena preživljavanja totalne artroplastike kolena kod pacijenata sa reumatoidnim artritisom. 4. Utvrditi postojanje korelacije između vizuelne analogne skale bola i skorova za procenu rezultata totalne artroplastike kolena. Materijal i metode: U periodu od januara 2002. godine do decembra 2012. godine na III ženskom odeljenju Instituta za ortopedsko-hiruške bolesti “Banjica” urađeno je 108 totalnih artroplastika kolena sa zadnjom stabilizacijom uz žrtvovanje zadnje ukrštene veze, kod 78 pacijenata sa reumatoidnim artritisom (30 pacijenata je imalo bilateralnu totalnu artroplastiku kolena). Komparativnu grupu je činilo 103 pacijenta sa primarnom artrozom, gde je u isto vreme urađena 121 totalna artroplastika kolena (18 pacijenata je imalo bilateralnu totalnu artroplastiku kolena). Medijana vremena praćenja bolesnika je bila 80 meseci. Evaluacija pacijenata je rađena preoperativno i postoperativno u vremenskom intervalu od 3, 6 i 12 meseci, a nakon toga jednom godišnje. Sve totalne artroplastike su izvedene sa standardnom medijalnom parapatelarnom artrotomijom uz žrtvovanje zadnje ukrštene veze i maksimalnu sinovijektomiju. Balans kolena je rađen kombinovanom tehnikom...sr
dc.description.abstractIntroduction: The knee joint is one of the most commonly affected joints in rheumatoid arthritis, and one or both knees are affected in 90% of the cases of long-term rheumatoid arthritis. The clinical course of rheumatoid arthritis can be variable, from mild to severe articular destruction form that progresses quickly and eventually leads to unbearable pain and articular deformity that requires total knee arthroplasty. Total knee arthroplasty has so far proved to be quite a successful way of treating the diseased knee joint in patients with rheumatoid arthritis. Patients with rheumatoid arthritis have additional potential for complications, thus many important considerations have to be taken into account regarding the preoperative evaluation and surgical techniques, to improve the outcomes of total knee arthroplasty in these patients. Objectives of the study: 1. Clinical and radiographic analysis of the outcomes of total knee arthroplasty in patients with rheumatoid arthritis. 2. Comparison of the outcomes of total knee arthroplasty in patients with rheumatoid arthritis and patients with primary osteoarthritis of the knee. 3. Evaluation of the survival rate in total knee arthroplasty patients with rheumatoid arthritis. 4. Establishing correlation between the visual analog scale of pain and outcome assessment scoring systems in total knee arthroplasty. Materials and methods: In the period from January 2002 to December 2012, at the III female department of the Institute for Orthopedic Surgery "Banjica", 108 posterior stabilized total knee arthroplasties were performed in 78 patients with rheumatoid arthritis (30 patients had bilateral total knee arthroplasty). The second group consisted of 103 patients with primary osteoarthritis, who had 121 total knee arthroplasty done at the same time (18 patients had bilateral total knee arthroplasty). Median follow-up time was 80 months. The evaluation of the patients was done preoperatively and postoperatively in a time period of 3, 6 and 12 months, and annually thereafter. All total arthroplasties were performed with a standard medial parapatelar arthrotomy and sacrifice of the posterior cruciate ligament as well as maximum synoviectomy. Knee balance was done by combined techniques. Patella was replaced in all cases. All prostheses were posterior-stabilized...en
dc.formatapplication/pdf
dc.languagesr
dc.publisherУниверзитет у Београду, Медицински факултетsr
dc.rightsopenAccessen
dc.sourceУниверзитет у Београдуsr
dc.subjectArtrozasr
dc.subjectOsteoarthritisen
dc.subjectReumatoidni artritissr
dc.subjectArtroplastikasr
dc.subjectKolenosr
dc.subjectRezultatisr
dc.subjectRheumatoid arthritisen
dc.subjectArthroplastyen
dc.subjectKneeen
dc.subjectOutcomesen
dc.titleProcena uspešnosti totalne artroplastike kolena kod pacijenata sa reumatoidnim artritisomsr
dc.title.alternativeAssessment of success of total knee arthroplasty in patients with rheumatoid arthritisen
dc.typedoctoralThesis
dc.rights.licenseBY
dcterms.abstractБлагојевић, Зоран; Башчаревић, Зоран; Кадија, Марко; Стојановић, Роксанда; Глушчевић, Борис М.; Процена успешности тоталне артропластике колена код пацијената са реуматоидним артритисом; Процена успешности тоталне артропластике колена код пацијената са реуматоидним артритисом;
dc.identifier.fulltexthttp://nardus.mpn.gov.rs/bitstream/id/10639/IzvestajKomisije9531.pdf
dc.identifier.fulltexthttp://nardus.mpn.gov.rs/bitstream/id/10638/Disertacija.pdf


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