USE OF TECHNOLOGIES OF PLASTIC AND RECONSTRUCTIVE MICROSURGERY IN TREATMENT OF PATIENTS WITH PATHOLOGY OF KNEE

Abstract

Analysis of the results of surgical treatment of 63 patients with knee-joint pathology who were treated in Vreden’s Scientific-research Institute of traumatology and orthopaedics (Saint-Petersburg, Russia) within the period from 2000 to 2011. All the patients had pedicled flap transfer or free tissue transfer. 53 patients (84,1%) had additionally various orthopedic operations on the knee joint: 42 patients had primary or revision total knee arthroplasty, 6 patients had resections of bony tumors and total knee arthroplasty, 4 - knee arthrodesis, 1 - open reduction and internal fixation of patella. The results of treatment were estimated according to WOMAC knee score. 4 patients had total necrosis of flap what demanded repeated reconstructive microsurgical operation. 6 patients had knee arthroplasty surgical site infection, 1 patient had recidive of osteoblastic sarcoma and he was made leg amputation. 65,7% of patients had good results according to WOMAC knee score, 28,6% patients had satisfactory results. Microsurgical operations in patients with pathology of knee-joint mainly aim to correct various pathological changes of tissues located in this particular area. In cases of scarry deformations and defects of tissues located in the area of knee-joint microsurgical technologies increase the opportunities for fulfilling total knee arthroplasty and improve its results as well as results of other orthopedical operations. At the same time microsurgical technologies may be used as preparative operations, single-step maneuvers and operations fulfilled in case of development of local infectious complications.

Keywords

• коленный сустав
• реконструктивная микрохирургия
• пересадка комплексов тканей
• лечебная тактика
• тотальное эндопротезирование коленного сустава
• knee
• reconstructive microsurgery
• pedicled flap
• free tissue transfer
• tactics of treatment
• total knee arthroplasty