|
1
|
Wang R, Wu J, Akhtyamov I, Ziatdinov B, Cai J. A network meta-analysis of the efficacy of arthrodesis with various fixation methods in the treatment of advanced ankle osteoarthritis. Injury 2023:S0020-1383(23)00433-3. [PMID: 37188587 DOI: 10.1016/j.injury.2023.05.025] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2023] [Revised: 04/06/2023] [Accepted: 05/05/2023] [Indexed: 05/17/2023]
Abstract
This study aimed to compare the efficacy of arthrodesis with various fixation methods in the treatment of advanced ankle osteoarthritis. Thirty-two patients with osteoarthritis of the ankle (mean age 59.91±6.16 years) took part in the study. The patients were divided into 2 groups - Ilizarov apparatus (21 patients) and screw fixation (11 patients). Each group was also divided into subgroups based on etiology - posttraumatic and nontraumatic. The AOFAS and VAS scales were compared in the preoperative and postoperative periods. It was found that screw fixation was more effective in the treatment of late stages of osteoarthritis (OA) of the ankle during the postoperative period. Comparison of the AOFAS and VAS scales showed no significant differences between the groups in the preoperative period (p = 0.838; p = 0.937). After 6 months, the results were better in the screw fixation group (p = 0.042; p = 0.047). Complications were observed for a third of the patients (10 patients). 6 patients had pain in the operated limb (4 patients in the Ilizarov apparatus group). Three patients in the Ilizarov apparatus group developed a superficial infection, and one developed a deep infection. Different etiology did not affect the postoperative efficacy of arthrodesis. The choice of the type of should be related to a clear protocol for the presence of complications. When choosing the type of fixation for arthrodesis, a patient's condition as well as a surgeon's preferences should be taken into account.
Collapse
Affiliation(s)
- Ruoshi Wang
- Department of Traumatology, Orthopedics and Surgery of Extreme Conditions, Kazan State Medical University, 49 Butlerova, Tatarstan Respublika, Kazan 420012, Russian Federation; Trauma Department, The Central Hospital of WuHan (Affiliated to Tongji Medical College, Huazhong University of Science and Technology), 26 Shengli Street, Wuhan 430014, China
| | - Jingdong Wu
- Trauma Department, The Central Hospital of WuHan (Affiliated to Tongji Medical College, Huazhong University of Science and Technology), 26 Shengli Street, Wuhan 430014, China.
| | - Ildar Akhtyamov
- Department of Traumatology, Orthopedics and Surgery of Extreme Conditions, Kazan State Medical University, 49 Butlerova, Tatarstan Respublika, Kazan 420012, Russian Federation; Department of Traumatology №1, Orthopedics, Kazan Clinical Hospital No.7, 54 Marshala Chuykova Str., Tatarstan Respublika, Kazan 420103, Russian Federation
| | - Bulat Ziatdinov
- Department of Traumatology, Orthopedics and Surgery of Extreme Conditions, Kazan State Medical University, 49 Butlerova, Tatarstan Respublika, Kazan 420012, Russian Federation; Department of Traumatology №1, Orthopedics, Kazan Clinical Hospital No.7, 54 Marshala Chuykova Str., Tatarstan Respublika, Kazan 420103, Russian Federation
| | - Jun Cai
- Trauma Department, The Central Hospital of WuHan (Affiliated to Tongji Medical College, Huazhong University of Science and Technology), 26 Shengli Street, Wuhan 430014, China.
| |
Collapse
|
|
2
|
Betuganova A, Notov A, Ahkubekova Z, Aramisova R, Kambachokova Z, Shereuzhev T, Aramisov K, Kambachokova A. Features of the course of cardiovascular diseases against the background of COVID-19. CARDIOMETRY 2022. [DOI: 10.18137/cardiometry.2022.21.102106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Based on the analysis of 308 electronic medical records of patients with a confirmed diagnosis of a new coronavirus infection COVID-19, the features of the course of cardiovascular diseases at the regional level were studied. It was found that in patients with cardiovascular diseases, the severity of the course and mortality are higher than in patients without cardiac pathology.
Collapse
|