Chronic pain and functional impairment after arthroscopic surgery for a knee injury
Arthroscopic interventions are widely used to treat the consequences of the meniscus and anterior cruciate ligament (ACL) injuries. However, the long-term consequences of these surgeries are not always favorable and not in all cases allow to avoid the development of chronic pain and posttraumatic os...
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| Format: | Article |
| Language: | Russian |
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IMA-PRESS LLC
2023-02-01
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| Series: | Современная ревматология |
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| Online Access: | https://mrj.ima-press.net/mrj/article/view/1390 |
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| author | V. N. Khlaboshchina A. E. Karateev M. A. Makarov N. S. Filipsky E. A. Naryshkin V. A. Nesterenko A. M. Lila |
| author_facet | V. N. Khlaboshchina A. E. Karateev M. A. Makarov N. S. Filipsky E. A. Naryshkin V. A. Nesterenko A. M. Lila |
| author_sort | V. N. Khlaboshchina |
| collection | DOAJ |
| description | Arthroscopic interventions are widely used to treat the consequences of the meniscus and anterior cruciate ligament (ACL) injuries. However, the long-term consequences of these surgeries are not always favorable and not in all cases allow to avoid the development of chronic pain and posttraumatic osteoarthritis.Objective: to evaluate the incidence of persistent postoperative pain and the persistence of functional disorders in patients undergoing arthroscopic interventions on the menisci and ACL.Material and methods. The study group consisted of 147 patients (60 women and 87 men, mean age 38.8±12.5 years) who underwent arthroscopic surgery on the knee joint (KJ) in the traumatology and orthopedic department of V.A. Nasonova Research Institute of Rheumatology in 2018– 2021. The condition of patients was assessed by telephone survey and/or online questionnaire. The pain and fatigue levels were assessed on numerical rating scale (NRS, 0–10), as well as the severity of functional disorders on the Lysholm scale (LS).Results and discussion. Moderate or intense knee pain and increased fatigue (≥4 according to NRS) were noted in 11.3% and 14.7% of respondents, respectively. The state of the KJ according to LS in 35.3% of patients was assessed as excellent (95–100 points), in 29.3% – as good (84–94 points), in 21.3% – as satisfactory (65–83 points) and 14.0% – as unsatisfactory (≤64 points).Conclusion. More than 10% of patients after arthroscopic operations on the knee joint experience moderate or severe pain and fatigue, satisfactory and unsatisfactory functional results are observed in 35.4% of cases. |
| format | Article |
| id | doaj-art-a87f4b1d7ad34813b933c8ee73037423 |
| institution | Kabale University |
| issn | 1996-7012 2310-158X |
| language | Russian |
| publishDate | 2023-02-01 |
| publisher | IMA-PRESS LLC |
| record_format | Article |
| series | Современная ревматология |
| spelling | doaj-art-a87f4b1d7ad34813b933c8ee730374232025-08-20T03:38:13ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2023-02-0117110.14412/1996-7012-2023-1-64-692552Chronic pain and functional impairment after arthroscopic surgery for a knee injuryV. N. Khlaboshchina0A. E. Karateev1M. A. Makarov2N. S. Filipsky3E. A. Naryshkin4V. A. Nesterenko5A. M. Lila6V.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of Rheumatology; Russian Medical Academy of Continuing Professional EducationArthroscopic interventions are widely used to treat the consequences of the meniscus and anterior cruciate ligament (ACL) injuries. However, the long-term consequences of these surgeries are not always favorable and not in all cases allow to avoid the development of chronic pain and posttraumatic osteoarthritis.Objective: to evaluate the incidence of persistent postoperative pain and the persistence of functional disorders in patients undergoing arthroscopic interventions on the menisci and ACL.Material and methods. The study group consisted of 147 patients (60 women and 87 men, mean age 38.8±12.5 years) who underwent arthroscopic surgery on the knee joint (KJ) in the traumatology and orthopedic department of V.A. Nasonova Research Institute of Rheumatology in 2018– 2021. The condition of patients was assessed by telephone survey and/or online questionnaire. The pain and fatigue levels were assessed on numerical rating scale (NRS, 0–10), as well as the severity of functional disorders on the Lysholm scale (LS).Results and discussion. Moderate or intense knee pain and increased fatigue (≥4 according to NRS) were noted in 11.3% and 14.7% of respondents, respectively. The state of the KJ according to LS in 35.3% of patients was assessed as excellent (95–100 points), in 29.3% – as good (84–94 points), in 21.3% – as satisfactory (65–83 points) and 14.0% – as unsatisfactory (≤64 points).Conclusion. More than 10% of patients after arthroscopic operations on the knee joint experience moderate or severe pain and fatigue, satisfactory and unsatisfactory functional results are observed in 35.4% of cases.https://mrj.ima-press.net/mrj/article/view/1390arthroscopymeniscus resectionanterior cruciate ligament reconstructionlong-term resultspainfatiguedysfunction |
| spellingShingle | V. N. Khlaboshchina A. E. Karateev M. A. Makarov N. S. Filipsky E. A. Naryshkin V. A. Nesterenko A. M. Lila Chronic pain and functional impairment after arthroscopic surgery for a knee injury Современная ревматология arthroscopy meniscus resection anterior cruciate ligament reconstruction long-term results pain fatigue dysfunction |
| title | Chronic pain and functional impairment after arthroscopic surgery for a knee injury |
| title_full | Chronic pain and functional impairment after arthroscopic surgery for a knee injury |
| title_fullStr | Chronic pain and functional impairment after arthroscopic surgery for a knee injury |
| title_full_unstemmed | Chronic pain and functional impairment after arthroscopic surgery for a knee injury |
| title_short | Chronic pain and functional impairment after arthroscopic surgery for a knee injury |
| title_sort | chronic pain and functional impairment after arthroscopic surgery for a knee injury |
| topic | arthroscopy meniscus resection anterior cruciate ligament reconstruction long-term results pain fatigue dysfunction |
| url | https://mrj.ima-press.net/mrj/article/view/1390 |
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