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DOI: https://doi.org/10.22263/2312-4156.2019.2.16

Khadzkou Y.K., Balaboshka K.B., Khadzkova Y.V.
Complex approach to perioperative management of total knee replacement. Literature review
Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus

Vestnik VGMU. 2019;18(2):16-27.

Abstract.
Knee replacement, known as an effective method of surgical treatment that decreases pain, restores the function and improves the over-all quality of life in people with osteoarthritis of the knee. Today it is one of the most popular and dynamically developing methods in modern orthopedics. The present review is devoted to the definition and generalization of current trends of ensuring proper perioperative management, the most important aspects of which being: careful preoperative planning, comprehensive preparation and informing the patient, technological improvement in different facets of the surgery itself, ensuring proper anesthesiological protocols, the development and optimization of methods of decreasing the over-all blood loss and optimal analgesia during the procedure. The systematic study of literature sources has convincingly shown that, according to the majority of researchers, the improvement in methods of perioperative management enables the improvement of the treatment result, reduction in economic costs and the increase of patient’s satisfaction with the outcome of the operation. Nevertheless, the lack of unified protocols of preventing blood loss and utilizing proper analgesia techniques causes the need for further study and clinical trial of both new and traditional techniques.
Key words: knee joint replacement, perioperative management, blood loss, analgesia, rehabilitation.

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Information about authors:
Khadzkou Y.K. – lecturer of the Chair of Traumatology, Orthopedics & Military Surgery, Vitebsk State Order of Peoples’ Friendship Medical University,
ORCID: https://orcid.org/0000-0002-9216-7929;
Balaboshka K.B. – Candidate of Medical Sciences, associate professor, head of the Chair of Traumatology, Orthopedics & Military Surgery, Vitebsk State Order of Peoples’ Friendship Medical University;
Khadzkova Y.V. – lecturer-trainee of the Chair of Anesthesiology & Resuscitation, Vitebsk State Order of Peoples’ Friendship Medical University.

Correspondence address: Republic of Belarus, 210009, Vitebsk, 27 Frunze ave., Vitebsk State Order of Peoples’ Friendship Medical University, Chair of Traumatology, Orthopedics & Military Surgery. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Yauheni K. Khadzkou.

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