| Abstract [eng] |
SUMMARY Purpose of the work: to evaluate the long-term results of tibial osteotomies Research methods: Theoretical analysis method. Scientific literature, scientific publications, scientific studies that will help to review the long-term results of supramalleolar osteotomy in the world were analyzed and described. Empirical research method. The quantitative research method chosen for the study was a questionnaire survey method, which was completed by respondents during a live call. Most of the questions were rated on a scale from 1 to 10. Research results: Comparing the results obtained, in the first survey group, patients who underwent SMOT surgery scored an average of 9.9 points, while patients who underwent endoprosthesis scored 21.7 points. This shows that patients' assessment of pain is better after SMOT operations. In the second survey group, patients who underwent SMOT surgery scored an average of 8.17 points, while patients who underwent endoprosthesis scored 22.4 points. This indicates that patients after SMOT surgeries feel better when walking at home, outdoors, or climbing stairs than patients after arthroplasty surgeries. In the third survey group, patients who underwent SMOT surgery scored an average of 3.9 points, while patients who underwent endoprosthesis scored 7.2 points. This shows that patients after SMOT surgery are less likely to limit their physical activity and use walking aids than patients after endoprosthesis surgery. In the fourth survey group, out of 30 patients who underwent SMOT surgery, 23.3% use medications to relieve leg pain. Meanwhile, out of 10 patients who underwent endoprosthesis, 50% use medications to relieve leg pain. Postoperative complications among SMOT patients were only 3.3%. Among patients who underwent endoprosthesis, this number was 20%. 86.7% of SMOT patients were satisfied with the results of the surgery, while this number was 80% among patients who underwent endoprosthesis. On the VAS pain scale, the respondents indicated an average of 1.1 points after SMOT surgery. Before the surgery, this figure reached 6.8 points. A difference of 5.7 points was obtained. Endoprosthetic patients assessed pain after surgery as 1.9 points, before the surgery this indicator reached 8 points. A difference of 6.1 points was obtained. Conclusions: 1. The most important SMOT postoperative criteria are pain after surgery, a person’s ability to perform daily activities, the number of complications, and patient satisfaction with the surgery. Both the literature review and the study show that the patient’s quality of life improves significantly after SMOT surgery. 2. When comparing SMOT and endoprosthetic surgery, the confirmed hypothesis proves that the postoperative complication rate is higher among endoprosthetic patients than among SMOT operated patients. Another confirmed hypothesis is that the postoperative pain assessment is lower among SMOT operated patients than among endoprosthetic patients. |
