FEATURES OF THE DEVELOPMENT OF MOVEMENTS AFTER KNEE ARTHROPLASTY

Abstract

Objective: to compare different versions of the development movements of the knee joint replacement.

Materials and methods: in the study involved 130 patients who arthroplasty of the knee was performed. Patients were divided into four groups depending on postoperative rehabilitation program. The first group included 25 patients who started the first day of the main complex of the rehabilitation program, and on the third day was carried out active and passive exercises to flex the knee. In the second group there were 25 patients who exercises on the knee flexion was performed 3 days and with the use of passive movement therapy. In the third group there were 40 patients who had been working out of movements applied immediately after surgery, and in the fourth - 40 patients, and the movements development was applied immediately after surgery, and the use of passive movement therapy.

Results: the amount of discharge for drainage and pain on the VAS scale at 1 and 5 hours were longer in patients of Group IV. On a scale of KSS 6 months after surgery was statistically significant difference between I and II, II and III, II and IV groups, and on the WOMAC scale of 12 months after the arthroplasty - between groups I and II. However, 12 months after the arthroplasty statistically significant difference in the groups on a scale we have not found KSS.

Conclusions: subject to adequate balance ligamentous apparatus in knee arthroplasty it is advisable to conduct an early standard rehabilitation program without using hardware techniques. The use of passive movement therapy significantly increases the amount of discharge for the drainage and increases the pain.