[Radiodiagnosis and knee joint replacement in XXXX in Kazakhstan residents].

@entity1 @entity447 @entity170 @entity2331 @entity460 @entity2720 @entity5631
AIM: To assess complex radiodiagnosis and highly specialized medical care as knee joint replacement (KJR) to @entity1 with @entity2720 ( @entity2720 ) who live in the Republic of Kazakhstan. SUBJECTS AND METHODS: The results of examination and treatment were analyzed in 40 @entity1 with knee @entity2720 who were treated at the specialized Polytrauma Unit, Republican Research Center for Emergency Health Care. All @entity1 with @entity447 underwent joint X-ray study, computed tomography and magnetic resonance imaging (MRI), X-ray densitometry and ultrasound osteometry on admission and after KJR. RESULTS: Joint X-ray studies and computed tomography revealed that all the @entity1 had Grades II-III arthroses with severe @entity2720 , their multiple involvements of different grades, which depended on the rate of recurrent @entity5631 . Ultrasound study (USS) is the only mini-invasive method to control surgical hemostasis in hemophiliac @entity1 after KJR. Osteodensitometry revealed @entity2331 and @entity170 in all the @entity1 with @entity447 , which was a basis for prescribing @entity460 preparations in the early postoperative period for the prevention of instability of endoprosthetic components. We elaborated an algorithm for combination treatment in @entity2720 @entity1 , which involved knee joint replacement. CONCLUSION: Highly specialized medical care to hemophilic @entity1 and active introduction of the early surgical rehabilitation of the affected joint in their combination treatment contributed to the increased number of positive results, by restoring the quality of life in the @entity1 : excellent, good, and satisfactory anatomic and functional results were obtained in 26.7, 51.1, and 22.2%, respectively. USS and MRI could evaluate joint changes in @entity2720 in detail, which plays an important role in the estimation of the course time of the disease, in the planning of endoprosthetic replacement, and in the timely prevention of severe complications of @entity2720 . Osteodensitometry makes it possible to monitor bone mineral density around the prosthesis and to postoperatively prevent endoprosthetic instability.
