The role of classical risk factors for knee osteoarthritis in unilateral transtibial amputation

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Abstract

The study aimed to review the literature on the classical risk factors for knee osteoarthritis and their possible role in the development of this pathology in patients with unilateral transtibial amputation in terms of potential rehabilitation prospects. A search of publications was carried out using PubMed databases of the US National Center for Biotechnology Information and the website of the Elsevier publishing house. Well-established increased risk factors for knee osteoarthritis are old age, female gender, lower limb muscle weakness, low or excessive physical activity, overweight, a history of knee joint injury or surgery, chronic knee pain. These factors are common for disabled persons with unilateral transtibial amputation, which, combined with specific mechanical factors, makes these persons more vulnerable to the development and progression of osteoarthritis. Programs aimed at eliminating modifiable risk factors for the development of knee osteoarthritis can contribute to the preservation of knee joint function in the long term and improve the quality of life of persons with unilateral transtibial amputation. This requires the well-coordinated efforts of a multidisciplinary team, as well as the participation of the disabled persons themselves. Identification and management of the potentially modifiable classical risk factors for the development of knee osteoarthritis are one of the promising pathways of rehabilitation of persons with unilateral transtibial amputation.

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About the authors

O I Khokhlova

Novokuznetsk Scientific and Practical Centre for Medical and Social Expertise and Rehabilitation of Disabled Persons

Author for correspondence.
Email: hohlovaoliv@rambler.ru
ORCID iD: 0000-0003-3069-5686
SPIN-code: 2386-7820
Scopus Author ID: 2458875
Russian Federation, Novokuznetsk, Russia

E M. Vasilchenko

Novokuznetsk Scientific and Practical Centre for Medical and Social Expertise and Rehabilitation of Disabled Persons

Email: root@reabil-nk.ru
ORCID iD: 0000-0001-9025-4060
SPIN-code: 8910-2615
Russian Federation, Novokuznetsk, Russia

A M. Berman

Novokuznetsk Scientific and Practical Centre for Medical and Social Expertise and Rehabilitation of Disabled Persons

Email: root@reabil-nk.ru
Russian Federation, Novokuznetsk, Russia

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