2019 / 02

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DOI: 10.24075/brsmu.2019.020

ORIGINAL RESEARCH

Osteoarthritis of the knee in the elderly: is knee replacement always justified?

Lychagin AV, Garkavi AV, Meshcheryakov VA, Kaykov VS
About authors

Faculty of General Medicine, I. M. Sechenov First Moscow State Medical University, Moscow, Russia

Correspondence should be addressed: Andrey V. Garkavi
Trubetskaya 8, bld. 2, Moscow, 119991; ur.xednay@22ragva

About paper

Author contribution: Lychagin AV devised a KJDS scale, planned the study, performed arthroscopy and follow-up observation, processed and analyzed the data. Garkavi AV planned the study and proposed its design, performed arthroscopy, intraarticular injections and follow-up observation, processed and analyzed the data, and wrote the manuscript. Meshcheryakov VA performed arthroscopy, intraarticular injections and follow-up observation, surveyed the patients. Kaykov VS performed arthroscopy, intraarticular injections, and follow-up observation, surveyed the patients.

Received: 2018-09-13 Accepted: 2019-03-25 Published online: 2019-04-06
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Fig. 1. Indications for knee replacement based on the KJDS score in patients who had been previously recommended to undergo TKR
Fig. 2. The distribution of patients based on therapeutic arthroscopy
Fig. 3. The attitude of patients who had no compelling indications for TKR to this surgical intervention after completing the suggested treatment course
Fig. 4. The attitude of patients who had compelling indications for TKR to this surgical intervention after completing the suggested treatment course
Fig. 5. The impact of arthroscopy on the attitude to TKR in patients with no compelling indication for TKR
Fig. 6. The impact of arthroscopy on the attitude to TKR in patients with compelling indications for TKR
Table 1. The evaluation of the severity of the knee joint dislocation syndrome (KJDS) expressed in points
Table 2. Patients’ attitude to TKR a year after completing the suggested treatment course