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DOI: 10.18413/2313-8955-2019-5-1-0-10

Complex geriatric assessment of osteoarthrosis of knee joints in the senior age

Background: The diseases of the musculoskeletal system are a serious problem among patients of older age groups, as they can lead to disability, dependence in everyday life and reduce the quality of life. Therefore, it is important to conduct geriatric evaluation in patients with gonarthrosis. The aim of the study:To study the peculiarities of the course of osteoarthrosis of knee joints in patients of senile age on the basis of complex geriatric evaluation. Materials and methods:We have studied clinical features of osteoarthritis of the knee joints in 249 patients of older age groups, including 123 patients of senior age and 126 elderly patients. Clinical features were studied with the help of a computer program to assess the geriatric status. The data was processed statistically. Results:We have shown that in people of senior age with osteoarthritis of the knee joints, in contrast to the elderly, there are more pronounced violations of stability and gait. In senior age, the risk of developing a syndrome of malnutrition is formed, cognitive abilities are reduced, lower indicators are characterized by a moral state, there is a significantly higher dependence on other people in daily activities, the quality of life is reduced. Conclusion:Osteoarthritis of knee joints in senior age is accompanied by systemic age-caused conditions, namely a more pronounced decrease in the quality of life as a whole by 24.5%. Age-related conditions in people over 75 can be identified through the use of a comprehensive geriatric assessment, which allows to timely identify a number of deviations and prescribe a set of therapeutic and preventive measures.

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