Features of diagnosis of osteo-articular pathology in total hip and knee arthroplasty in patients with end stage renal disease
The objective was the objective assessment of the main osteo-specific laboratory and instrumental diagnostic indicators and their prognostic effect on the outcome of surgical treatment.Material and methods. The study included 72 patients who were divided into 2 groups: 35 (48.6 %) patients with a sa...
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Academician I.P. Pavlov First St. Petersburg State Medical University
2019-11-01
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| Series: | Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова |
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| Online Access: | https://www.sci-notes.ru/jour/article/view/614 |
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| author | A. N. Tsed A. K. Dulaev N. E. Mushtin A. V. Tishkov |
| author_facet | A. N. Tsed A. K. Dulaev N. E. Mushtin A. V. Tishkov |
| author_sort | A. N. Tsed |
| collection | DOAJ |
| description | The objective was the objective assessment of the main osteo-specific laboratory and instrumental diagnostic indicators and their prognostic effect on the outcome of surgical treatment.Material and methods. The study included 72 patients who were divided into 2 groups: 35 (48.6 %) patients with a satisfactory outcome after surgery for year, and 37 (51.4 %) patients with various postoperative complications.Results. The highest statistical significance was indicated by the level of serum vitamin D (p<0.001) and the level of fibrinogen (p<0.001). The average value of the Hounsfield index in the group of patients without complications was 164.5 (Me 51.2), in the group of patients with complications – 71.5 (Me 85.0). The statistical significance (p<0.001) of the Hounsfield index between the two groups of patients was noted. The highest statistical significance was indicated by the level of serum vitamin D (p<0.001) and the level of fibrinogen (p<0.001). A discriminant analysis was performed with the construction of canonical correlation based on the results of laboratory and instrumental indices in order to determine the relationship between the obtained parameters and infectious and common complications.Conclusion. The discriminant prediction formula for infectious complications among patients planned for hip / knee arthroplasty obtained during the study had a high sensitivity (90 %) and specificity (87.1 %). |
| format | Article |
| id | doaj-art-d9b050ec0cf741028eb27d90a6939d1b |
| institution | DOAJ |
| issn | 1607-4181 2541-8807 |
| language | Russian |
| publishDate | 2019-11-01 |
| publisher | Academician I.P. Pavlov First St. Petersburg State Medical University |
| record_format | Article |
| series | Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова |
| spelling | doaj-art-d9b050ec0cf741028eb27d90a6939d1b2025-08-20T03:00:35ZrusAcademician I.P. Pavlov First St. Petersburg State Medical UniversityУчёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова1607-41812541-88072019-11-01262283610.24884/1607-4181-2019-26-2-28-36443Features of diagnosis of osteo-articular pathology in total hip and knee arthroplasty in patients with end stage renal diseaseA. N. Tsed0A. K. Dulaev1N. E. Mushtin2A. V. Tishkov3Pavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityThe objective was the objective assessment of the main osteo-specific laboratory and instrumental diagnostic indicators and their prognostic effect on the outcome of surgical treatment.Material and methods. The study included 72 patients who were divided into 2 groups: 35 (48.6 %) patients with a satisfactory outcome after surgery for year, and 37 (51.4 %) patients with various postoperative complications.Results. The highest statistical significance was indicated by the level of serum vitamin D (p<0.001) and the level of fibrinogen (p<0.001). The average value of the Hounsfield index in the group of patients without complications was 164.5 (Me 51.2), in the group of patients with complications – 71.5 (Me 85.0). The statistical significance (p<0.001) of the Hounsfield index between the two groups of patients was noted. The highest statistical significance was indicated by the level of serum vitamin D (p<0.001) and the level of fibrinogen (p<0.001). A discriminant analysis was performed with the construction of canonical correlation based on the results of laboratory and instrumental indices in order to determine the relationship between the obtained parameters and infectious and common complications.Conclusion. The discriminant prediction formula for infectious complications among patients planned for hip / knee arthroplasty obtained during the study had a high sensitivity (90 %) and specificity (87.1 %).https://www.sci-notes.ru/jour/article/view/614total hip and knee arthroplastyhemodialysisend-stage renal diseasevitamin ddiagnosis |
| spellingShingle | A. N. Tsed A. K. Dulaev N. E. Mushtin A. V. Tishkov Features of diagnosis of osteo-articular pathology in total hip and knee arthroplasty in patients with end stage renal disease Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова total hip and knee arthroplasty hemodialysis end-stage renal disease vitamin d diagnosis |
| title | Features of diagnosis of osteo-articular pathology in total hip and knee arthroplasty in patients with end stage renal disease |
| title_full | Features of diagnosis of osteo-articular pathology in total hip and knee arthroplasty in patients with end stage renal disease |
| title_fullStr | Features of diagnosis of osteo-articular pathology in total hip and knee arthroplasty in patients with end stage renal disease |
| title_full_unstemmed | Features of diagnosis of osteo-articular pathology in total hip and knee arthroplasty in patients with end stage renal disease |
| title_short | Features of diagnosis of osteo-articular pathology in total hip and knee arthroplasty in patients with end stage renal disease |
| title_sort | features of diagnosis of osteo articular pathology in total hip and knee arthroplasty in patients with end stage renal disease |
| topic | total hip and knee arthroplasty hemodialysis end-stage renal disease vitamin d diagnosis |
| url | https://www.sci-notes.ru/jour/article/view/614 |
| work_keys_str_mv | AT antsed featuresofdiagnosisofosteoarticularpathologyintotalhipandkneearthroplastyinpatientswithendstagerenaldisease AT akdulaev featuresofdiagnosisofosteoarticularpathologyintotalhipandkneearthroplastyinpatientswithendstagerenaldisease AT nemushtin featuresofdiagnosisofosteoarticularpathologyintotalhipandkneearthroplastyinpatientswithendstagerenaldisease AT avtishkov featuresofdiagnosisofosteoarticularpathologyintotalhipandkneearthroplastyinpatientswithendstagerenaldisease |