Comparative analysis of the power indices of the lower extremity muscles in the patients after total endoprosthesis of the hip joint, depending on surgical access

G. I.  Gertsen; I. A.  Lazarev; D. A.  Gorban

doi:10.26779/2522-1396.2019.10.57

G. I. Gertsen Shupyk Medical Academy of Postgraduate Education, Kyiv https://orcid.org/0000-0002-9204-1015
I. A. Lazarev Institute of Traumatology and Orthopedics, Kyiv https://orcid.org/0000-0002-4725-664X
D. A. Gorban Shupyk Medical Academy of Postgraduate Education, Kyiv https://orcid.org/0000-0003-1273-3095

DOI: https://doi.org/10.26779/2522-1396.2019.10.57

Keywords: the hip joint; endoprosthesis; surgical access; electrotensodynamometry; muscular balance

Abstract

Objective. To compare the power characteristics of the lower extremity muscles after endoprosthesis of a hip joint in application of anterior-lateral and posterior-lateral surgical accesses.

Materials and methods. Biomechanical investigation in accordance to electrotensodynamometry in 120 patients preoperatively, in early (in 3 weeks) and late (in 4 mo) period after endoprosthesis of a hip joint. Operative intervention was performed, using anterior-lateral operative access in 60 patients, and applying posterior-lateral - in 60 patients as well.

Conclusion. There was established, that restoration of necessary muscular balance after endoprosthesis of a hip joint is guaranteed by application of anterior-lateral and posterior-lateral access, but the terms of restoration of muscles of various groups are differed.

Author Biographies

G. I. Gertsen, Shupyk Medical Academy of Postgraduate Education, Kyiv

Gertsen G. - MD, DSci(Med), Professor,
Head of the department of Orthopedics and Traumatology No1.
Shupyk National Medical Academy of Postgraduate Education, Kyiv
8 Kondratiuka Str., Kyiv, Ukraine
067 4494462
https://orcid.org/0000-0002-9204-1015

I. A. Lazarev, Institute of Traumatology and Orthopedics, Kyiv

Lazarev I - MD, PhD (Med)
Chief of Laboratory of biomechanics
Istitute of Traumatology and Ortopedics, Kyiv
7 Bulvarno-Kudriavska Street, Kyiv, Ukraine
067 7895929
https://orcid.org/0000-0002-4725-664X

D. A. Gorban, Shupyk Medical Academy of Postgraduate Education, Kyiv

Gorban D - MD, Postgraduate student
Department of Orthopedics and Traumatology No1
Shupyk National Medical Academy of Postgraduate Education, Kyiv
Cosmonaut Komarov Ave, 3, building 4, Kyiv,
m. 050 5460211
https://orcid.org/0000-0003-1273-3095

References

Briggs KK, Bolia IK. Hip arthroscopy: an evidence-based approach. Lancet. 2018;391(10136):2189-90. doi: 10.1016/S0140-6736(18)31218-2.

Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet. 2007;370(9597):1508-19. doi: 10.1016/s0140-6736(07)60457-7.

Oleinyk AE. Landmarks of evolution of hip joint endoprosthesing. Medychni perspektyvy. 2015;20(2):137-44. doi: 10.26641/2307-0404.2015.2.45683. [In Russian].

Azarkane M, Boussakri H, Shimi M, Elibrahimi A, Elmrini A. Late complications of total hip prosthesis: apropos of 42 cases. Pan Afr Med J. 2013;14:17. doi: 10.11604/pamj.2013.14.17.2265. [In French].

Kamiński P, Zawojski A, Jaworski JM, Wilk-Frańczuk M. Treatment of primary hip arthroplasty complications. case study. Ortop Traumatol Rehabil. 2018;20(5):421-30. doi: 10.5604/01.3001.0012.8278.

Gertsen HI, Povorozniuk VV, Shtonda DV. The influence of hip replacement on quality of the femoral bone. Litopys travmatolohii ta ortopedii. 2016;(1):22-5. [In Ukrainian].

Galia CR, Diesel CV, Guimarães MR, Ribeiro TA. Total hip arthroplasty: a still evolving technique. Rev Bras Ortop. 2017;52(5):521-527. doi: 10.1016/j.rboe.2016.09.011.

Lazarev IA, Zviriaka OM, Maksymishyn OM, Rudenko AM, vynakhidnyky; DU «Instytut travmatolohii ta ortopedii NAMN Ukrainy», patentovlasnyk. A device for evaluating the functional state of the limb in contracture conditions. Patent Ukraine. No 113138, 2017 Sich 10. [In Ukrainian].

Abramchenko NV, Meshcheriakov EA, Meshcheriakova NA, Ultan AE. Implementation of mathematical methods and models in MS Excel. Computer workshop. Omsk: Publ. center KAN; 2018. 86 s. [In Russian].

Novykova NM. Statistical methods in medicine: workshop. Minsk: IVC Minfina; 2017. 94 s. [In Russian].

Agten CA, Sutter R, Dora C, Pfirrmann CW. MR imaging of soft tissue alterations after total hip arthroplasty: comparison of classic surgical approaches. Eur Radiol. 2017;27(3):1312-21. doi: 10.1007/s00330-016-4455-7.

Krukemeyer MG, Möllenhoff G, editors. Endoprosthetics: an introduction for the practitioner. Berlin; Boston: De Gruyter, cop; 2014. 215 p.

Bremer AK, Kalberer F, Pfirrmann CW, Dora C. Soft-tissue changes in hip abductor muscles and tendons after total hip replacement: comparison between the direct anterior and the transgluteal approaches. J Bone Joint Surg Br. 2011;93(7):886-9. doi: 10.1302/0301-620X.93B7.25058.

Amanatullah DF, Masini MA, Roger DJ, Pagnano MW. Greater inadvertent muscle damage in direct anterior approach when compared with the direct superior approach for total hip arthroplasty. Bone Joint J. 2016;98-B(8):1036-42. doi: 10.1302/0301-620X.98B8.37178.