METHOD OF EARLY REHABILITATION AND DYNAMICS OF THE CONTENT OF C-REACTIVE PROTEIN IN THE SERUM OF PATIENTS AFTER TOTAL KNEE ARTHROPLASTY

The purpose of this study is to study the effect of the implementation of the method of early surgical rehabilitation on the dynamics of the content of C-reactive protein in the serum of patients after knee arthroplasty. Material and methods. The study included: patients' questioning, analysis of inpatient medical records, postoperative treatment. Fifty patients with stage 3 gonarthrosis were examined according to N.S. Kosinskaya. Patients were subjected to a study that included an examination of an orthopedic traumatologist with a clinical assessment of the patient's condition on the KOOS (The Knee injury and Osteoarthritis Outcome Score) scale. The control of the content of C-reactive protein in serum was performed by immunoturbidimetric analysis at 5 stages of the study. Results. At stage 1, the content of C-reactive protein in the serum of patients in the groups was 1.54 (0.61; 3.65), 14.9 (8.17; 26.3) mg /l, respectively (p> 0.05). At stage 2 of the study, the content of C-reactive protein in groups was 39.58 (19.8; 64.5), 34.55 (23.1; 69.47) mg/l, respectively (p <0.05). At the 3rd stage of the study, the content of C-reactive protein in the groups was 48.06 (27.05, 75.78), 46.2 (21.5; 70.6) mg/l, respectively (p <0.05). At the 4th stage, the C-reactive protein content in the groups was 14.38 (12.8; 19.09), 18.9 (16.5; 34.25) mg/l, respectively (p<0.05). At stage 5, the content of C-reactive protein in the groups was 11.12 (8.05; 21.6), 12.6 (9.6; 19.87) mg/l,respectively (p <0.05). Conclusions. The content of C-reactive protein in the blood serum of patients after total knee arthroplasty reflects the invasiveness of the surgical intervention and the degree of inflammation reduction in the first 10 days after surgery. A decrease in the C-reactive content of up to 40 mg / l 2 days after the operation is the basis for initiating active early rehabilitation activities in the Department of Traumatology and Orthopedics. A prerequisite for the start and implementation of the program of early rehabilitation of patients is the relief of pain; quantification of pain perception can be effectively carried out using the KOOS scale.