QUALITY OF PATIENT’S LIFE WITH TRANSVERSE PATELLAR FRACTURES WITH VARIOUS TYPES OF OSTEOSYNTHESIS
Aim - to carry out a comparative analysis of the indicators of the quality of life of patients undergoing treatment for a transverse patellar fracture using various methods of treatment.
Materials and methods: Study design: controlled clinical trial. The study was conducted in 2015-2018 on the clinical basis of the emergency hospital in Semey. The study included 81 patients with patellar fractures, including 55 men (67.9%), 26 women (32.1%). The average age is 47.7 ± 2.6 years. The main group included 39 patients, including 27 men and 12 women, mean age - 48.3 ± 2.4 years, the comparison group - 42 patients, 28 men and 14 women, mean age - 47.2 ± 2, 6 years old. In the main group, treatment was carried out using an improved method of transosseous osteosynthesis. The patients of the comparison group underwent surgical treatment according to Weber-Muller [3].
To study the quality of life, the SF-36 and KOOS methods were used [13,14].
Research results: At a follow-up period of 3 months after treatment, using the SF-36 technique, significant differences between the groups on the scales - PF (Physical Functioning) (19.3%), RE (Role-Emotional) (23.9%) and BP (Bodily pain) (19.5%), p <0.05 in favor of the use of transosseous osteosynthesis.
When using the KOOS method on the pain scale, significant differences between the groups were revealed after 1 week (52.3% in favor of the main group), after 3 weeks (30.8%) and after 1.5 months (18.0%, p <0.05). On a symptom scale, significant differences were observed after 3 weeks and 6 months. Also, a significant excess of the quality of life was revealed in the main group on the scales "activity in everyday life" and "sport and recreation".
Output: The quality of life of patients with fractures of the patella was significantly higher in the group where the method of transosseous osteosynthesis was used.
Yelzhan M. Manarbekov1, https://orcid.org/0000-0002-36662-3977
Aigerim S. Abisheva1, https://orcid.org/0000-0002-6291-1876
Togzhan M. Manarbekova, Olga T. Van,
Оksana А. Yurkovskaya1, https://orcid.org/0000-0002-6251-5574
Zhanar M. Urazalina, Botagoz S. Turakhanova1,
Tanat D. Merzhakupov1, Askar A. Kozykenov1, Dilnar M. Amirgalina1,
NСJSC «Semey Medical University»,
Semey, Republic of Kazakhstan
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4. Ali M., Kuiper J., John J. Biomechanical analysis of tension band wiring (TBW) of transverse fractures of patella. Chin J Traumatol. 2016. Vol.19(5). P. 255–258.
5. Chen C., Huang H., Wu T., Lin J. Transosseous suturing of patellar fractures with braided polyester—a prospective cohort with matched historical control study. Injury. 2013. 44(10). pp.1309-1313. doi:10.1016/j.injury.2013.06.024
6. Chun K.A., Ohashi K., Bennett D.L., El-Khoury G.Y. Patellar fractures after total knee replacement. AJR Am J Roentgenol. 2005.185. pp.655-60.
7. Jonbergen H.P., BoeddhaA.V., MvanRaaijJ.J. Patient Satisfactionand Functional Outcomes Following Secondary Patellar Resurfacing. Orthopedics. 2016. Vol.39(5). P.e850-856.
8. Larsen P., Court-Brown C.M., Vedel J.O., Vistrup S., Elsoe R. Incidence and Epidemiology of Patellar Fractures. Orthopedics. 2016. Vol.39(6). P.e1154-e1158.
9. Matejčić A., Ivica M., Jurišić D., Ćuti T., Bakota B., Vidović D. Internal fixation of patellar apex fractures with the basket plate: 25 years of experience. Injury. 2015. Vol.46 Suppl 6. S.87-90.
10. Neumann M.V., Niemeyer P., Strohm P.C. Patellar fractures — a review of classification, genesis and evaluation of treatment. Acta Chir Orthop Traumatol Cech. 2014. 81(5). pp.303-312.
11. SF-36 health survey: Manual and Interpretation Guide / J.E. Ware et al.MA: Boston, 1993. - 143 p.
12. Taylor B.C., Mehta S., Castaneda J., French B.G., Blanchard C. Plating of patella fractures: techniques and outcomes. J Orthop Trauma. 2014. 28(9). e231-e235. doi:10.1097/BOT.
13. The Short Form-36 https://orthotoolkit.com/sf-36/ (Date of access to the site: 03.08.2013 year)
14. Knee Injury and Osteoarthritis Outcome Score https://orthotoolkit.com/koos/ (Date of access to the site: 30.08.2013 year)
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Manarbekov Ye.M., Abisheva A.S., Manarbekova T.M., Van O.T., Yurkovskaya О.А., Urazalina Zh.M., Turakhanova B.S., Merzhakupov T.D., Kozykenov A.A., Amirgalina D.M. Quality of patient’s life with transverse patellar fractures with various types of osteosynthesis // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 2, pp. 111-117. doi 10.34689/SH.2021.23.2.011 Манарбеков Е.М., Абишева А.С., Манарбекова Т.М., Ван О.Т., Юрковская О.А., Уразалина Ж.М., Тураханова Б.С., Мержакупов Т.Д., Козыкенов А.А., Амиргалина Д.М. Качество жизни пациентов с поперечными переломами надколенника пролеченные различными видами остеосинтеза // Наука и Здравоохранение. 2021. 2(Т.23). С. 111-117. doi 10.34689/SH.2021.23.2.011Похожие публикации:
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