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Dnepropetrovsk state medical academy

Dnepropetrovsk state medical academy. Chair of Orthopaedics and Trauma. ORTEN Ltd. COMPLICATED KNEE JOINT REPLACEMENT. Professor, Dr Med. ALEXANDER E. LOSKUTOV. 2008. UKRAINE. OSTEOARTHROSIS. About 8.3 million people of Northern America are suffering on osteoarthrosis of large joints .

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Dnepropetrovsk state medical academy

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  1. Dnepropetrovsk state medical academy Chair of Orthopaedics and Trauma ORTEN Ltd COMPLICATED KNEE JOINT REPLACEMENT Professor, Dr Med. ALEXANDER E. LOSKUTOV 2008

  2. UKRAINE OSTEOARTHROSIS About 8.3 million people of Northern America are suffering on osteoarthrosis of large joints . Salter R.B. et al., 1986. In France every year about 3.4 million patients are visiting doctors due to osteoarthrosis. Vignon E., 2000. The degenerative diseases of locomotor system are revealed in half of adult population in Germany. Насонова В.А., Фаломеева О.М., 2001 Orthopaedic Clinic of Dnepropetrovsk medical academy

  3. UKRAINE OSTEOARTHROSIS In 1999 about 12 million Russian people were suffered from degenerative diseases of joints. The morbidity of osteoarthrosis in Ukraine was increased from 420 per 100,000in 1999 to 519,3 per 100,000in 2002. Коваленко В.М., Шуба Н.М., 2003 Orthopaedic Clinic of Dnepropetrovsk medical academy

  4. UKRAINE Joint replacement is only one radical method of medical rehabilitation of patients with severe pathology of knee joint. In Ukraine about 60 or 75% of patients with degenerative diseases of knee have to be considered as a category of complicated and not standard joint replacement. It is caused by following factors: Orthopaedic Clinic of Dnepropetrovsk medical academy

  5. UKRAINE COMPLICATED JOINT REPLACEMENT • The absence of succession of treatment. • Untimely determination of indications for surgical treatment. • «Accumulation» of big amount of patients with indications for knee joint replacement which have aggravation of clinical and functional disorders. This is resulting to the significant changes of forms of knee elements. Orthopaedic Clinic of Dnepropetrovsk medical academy

  6. UKRAINE The complicated knee joint replacement is considered as following clinical situations: 1. Knee involvement in rheumatoid arthritis. 2. Severe deformity of axis of lower extremity. 3. Severe restriction of motions or ankylosing of knee joint. 4. Condylar defects and deformities. Orthopaedic Clinic of Dnepropetrovsk medical academy

  7. RHEUMATOID ARTHRITIS X-ray films of female patient K., 56 years old, before and after bilateral two stage knee replacement with interval 5 month.

  8. UKRAINE RHEUMATOID ARTHRITIS X-ray films of male patient P., 63 years old, before and after left knee replacement Orthopaedic Clinic of Dnepropetrovsk medical academy

  9. UKRAINE RHEUMATOID ARTHRITIS X-ray films of male patient T., 57 years old, before and after left knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  10. UKRAINE RHEUMATOID ARTHRITIS X-ray films of female patient V., 53 years old, before and after left knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  11. RHEUMATOID ARTHRITIS The result of treatment of female patient H., 32 years old. 7 years after the replacement of fourth joints. Cemented bilateral hip joint replacement with ORTEN system in two stages. Simultaneous bilateral knee replacement.

  12. RHEUMATOID ARTHRITIS The result of treatment of female patient H., 32 years old. 7 years after the replacement of fourth joints. Cemented bilateral hip joint replacement with ORTEN system in two stages. Simultaneous bilateral knee replacement (continued).

  13. UKRAINE CONDYLAR DEFECTS AND DEFORMITIES Orthopaedic Clinic of Dnepropetrovsk medical academy

  14. UKRAINE CONDYLAR DEFECTS AND DEFORMITIES X-ray films of female patient A., 60 years old, before and after left knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  15. UKRAINE CONDYLAR DEFECTS AND DEFORMITIES X-ray films of female patient G., 70 years old, before and after left knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  16. CONDYLAR DEFECTS AND DEFORMITIES UKRAINE X-ray films of female patient K., 64 years old, before and after left knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  17. UKRAINE CONDYLAR DEFECTS AND DEFORMITIES X-ray films of female patient L., 64 years old, before and after left knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  18. UKRAINE CONDYLAR DEFECTS AND DEFORMITIES X-ray films of female patient D., 56 years old, before and after left knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  19. UKRAINE CONDYLAR DEFECTS AND DEFORMITIES X-ray films of female patient M., 63 years old, before and after left knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  20. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patient R., 58 years old, before and after left knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  21. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patient Ya., 62 years old, before and after right knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  22. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patient Ch., 65 years old, before and after right knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  23. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patient A., 66 years old, before and after right knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  24. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY After performing knee joint replacement patients with severe deformity of axis of lower extremity are required additional stabilization of lateral ligament apparatus using hinged orthoses. Orthopaedic Clinic of Dnepropetrovsk medical academy

  25. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patient V., 63 years old, before left knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  26. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patient V., 63 years old, after left knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  27. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patient G., 65 years old, before and after left knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  28. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patient I., 73 years old, before and after right knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  29. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patient E., 63 years old, before and after right knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  30. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patient N., 73 years old, before and after right knee replacement. First stage of bilateral knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  31. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patient N., 73 years old, before and after left knee replacement. Second stage of bilateral knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  32. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patient N., 68 years old, before and after left knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  33. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of male patient P., 59 years old, before and after right knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  34. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patientS., 66 years old, before bilateral knee replacement Orthopaedic Clinic of Dnepropetrovsk medical academy

  35. UKRAINE DEFORMITIES OF AXIS OF LOWER EXTREMITY X-ray films of female patientS., 66 years old, after bilateral knee replacement Orthopaedic Clinic of Dnepropetrovsk medical academy

  36. UKRAINE JOINT REPLACEMENT AFTER TIBIAL OSTEOTOMY X-ray films of female patientK., 80 years old, before and after right knee replacement Orthopaedic Clinic of Dnepropetrovsk medical academy

  37. UKRAINE JOINT REPLACEMENT AFTER TIBIAL OSTEOTOMY X-ray films of female patient K., 48 years old, before and after right knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  38. JOINT REPLACEMENT AFTER TIBIAL OSTEOTOMY UKRAINE X-ray films of female patientK., 61 years old, before and after left knee replacement Orthopaedic Clinic of Dnepropetrovsk medical academy

  39. UKRAINE JOINT REPLACEMENT AFTER TIBIAL OSTEOTOMY The functional result of female patientK., 61 years old, before and after left knee replacement Orthopaedic Clinic of Dnepropetrovsk medical academy

  40. JOINT REPLACEMENT AFTER TIBIAL OSTEOTOMY 3 years after operation X-ray films after trauma (falling)

  41. JOINT REPLACEMENT AFTER TIBIAL OSTEOTOMY

  42. JOINT REPLACEMENT AFTER TIBIAL OSTEOTOMY Functional result 1 year afterknee revision

  43. UKRAINE Severe restriction of motions and knee ankylosis X-ray films of male patientR., 31 years old, before and left knee replacement Orthopaedic Clinic of Dnepropetrovsk medical academy

  44. UKRAINE Severe restriction of motions and knee ankylosis X-ray films of female patientA., 55 years old, before and after right knee replacement Orthopaedic Clinic of Dnepropetrovsk medical academy

  45. UKRAINE Severe restriction of motions and knee ankylosis X-ray films of male patientP., 64 years old, before bilateral knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  46. UKRAINE Severe restriction of motions and knee ankylosis X-ray films of male patientP., 64 years old, after two stage bilateral knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  47. UKRAINE Severe restriction of motions and knee ankylosis Functional result of male patientP., 64 years old, after two stage bilateral knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  48. UKRAINE Severe restriction of motions and knee ankylosis X-ray films of male patientZh., 40 years old, before and after right knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  49. UKRAINE Severe restriction of motions and knee ankylosis X-ray films of female patientCh., 69 years old, before and after right knee replacement. Orthopaedic Clinic of Dnepropetrovsk medical academy

  50. UKRAINE Severe restriction of motions and knee ankylosis X-ray films of female patient O., 68 years old, before and after left knee replacement Orthopaedic Clinic of Dnepropetrovsk medical academy

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