Original scientific paper
https://doi.org/10.20471/acc.2024.63.03-04.28
The Effects of Intraarticular and Periarticular Knee Pain Management on the Rehabilitation of Patients with Knee Osteoarthritis after Cephalomedullary Fixation of Pertrochanteric Fractures
Maki Grle
orcid.org/0000-0003-3816-4521
; Department of Orthopedics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
*
Stefan Moro
; Department of Orthopedics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
Damir Franjić
; Department of Orthopedics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
Dajana Vladić
; Department of Anesthesiology and Intensive Care, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
Robert Karlović
; Department of Orthopedics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
Ivana Grle
; Department of Physical Medicine and Rehabilitation, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
Jerko Prlić
; Department of Orthopedics, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
* Corresponding author.
Abstract
The gold standard for pertrochanteric fractures is closed reduction with traction
and intramedullary osteosynthesis. A significant number of patients report knee pain after surgery,
which could be associated with gonarthrosis and traction. In this research we wanted to determine
if managing knee pain affects the rehabilitation of patients. There were three groups: the first group
received a post-operative intra-articular (IA) injection containing methylprednisolone with lidocaine;
the second group received the same combination periarticularly (PA); and the control group did not
receive any form of injection. We measured the Visual Analogue Scale (VAS) score on the 3rd and 12th
postoperative days, as well as six weeks after surgery. We measured knee range of motion (ROM) on the
12th postoperative day and six weeks after surgery. We calculated the Harris Hip Score (HHS) on the
3rd day and six weeks postoperatively. There were 27 patients. Preoperative Kellgren-Lawrence and VAS
pain scores were similar. The IA group demonstrated the lowest VAS pain score after six weeks. ROM
did not improve between groups on the 12th day and six weeks postoperatively. HHS was best in the IA
group after 6 weeks. Injection of methylprednisolone with lidocaine into the knee improved postoperative
rehabilitation in patients with knee osteoarthritis undergoing ipsilateral cephalomedullary fixation
for a pertrochanteric fracture.
Keywords
Pertrochanteric fracture; Knee osteoarthritis; Knee pain; Skeletal traction; Knee injection
Hrčak ID:
333285
URI
Publication date:
31.12.2024.
Visits: 774 *