Dr. Zagorodny, you are one of the organizers of the Knee Joint Arthroplasty section of the EOF. How important is the section within the framework of the forum?
The knee joint is one of the main joints of the human body, and its disorder disables the patient, so treatment and restoration of the joint are the top priority tasks in orthopedics.
For example, in case of osteoarthritis, the knee joint is affected worse the other joints, e.g. hip, ankle joints, and joints of the upper limb. The number of knee surgeries is now exceeding the number of hip surgeries, which is also a very important factor. Another interesting thing about the knee joint is that organ-preserving surgeries provide very good results with a rather long-lasting effect.
Local treatment of the knee joint – intraarticular injection of drugs – is very efficient too, especially at early stages of the disease. New types of examination and treatment, such as arthroscopic surgery, are mostly performed on the knee joint, with positive results. Summarizing all these factors, we can say that the problem of the knee joint is one of the main problems of orthopedics.
What topics will be covered at the section?
We will discuss surgery effects, minimally invasive surgry in the knee joint in order to slow down the development of pathological processes or even eliminate such development altogether. We will talk about osteotomies, that is, correcting the axis of the lower limb in order to preserve the cartilage of the knee joint and the ligamentous apparatus.
Also, we will discuss data on the use of platelet-rich plasma (PRP-therapy), a modern method of local treatment. We will analyze the specifics of using various types of hyaluronic acid, synthetic endoprostheses of the synovial fluid. We certainly cannot ignore knee arthroplasty, ranging from partial, closed, to revision arthroplasty, as well as the use of various systems offered commercially, up to oncologic endoprostheses.
Issues related to complications of arthroplasty will be tackled too. According to statistics, 27% of patients complain of pain after knee arthroplasty, while their endoprostheses are good. The problem is very important, it is of international nature, so we will study the experience of our colleagues both from Russia and abroad.
Another important issue is allergy to metals and arthroplasty. Today, 8-10% of the population is allergic to metals including metals that constitute knee joint endoprostheses.
And, of course, we will discuss treatment of infectious complications because orthopedics and traumatology in general deals with this topic. Participants in the section will discuss, among other things, issues of rehabilitation, that is rapid restoration of the knee joint in the elderly and young people, athletes after surgery.
Speakers from what countries do you plan to invite?
Leading experts from the EAEU countries – Kazakhstan, Uzbekistan, Kyrgyzstan – will surely take part in the event. Now we are trying to contact speakers from China and India. Indian specialists have developed a surgery that proved extremely interesting and successful, so we want to invite or Indian colleagues to share the results. Colleagues from Eastern Europe will participate, too. In December, the European Federation of National Associations of Orthopedics and Traumatology will hold the next EFORT congress. I'm going to attend the congress and announce the upcoming Eurasian Orthopedic Forum.
What experts, besides traumatologists and orthopedists, will be interested in the Knee Joint Arthroplastysection?
I am sure that it will be very interesting to rheumatologists and rehabilitation therapists, I strongly recommend them to visit our section.