FIELD: medicine.
SUBSTANCE: clinical, laboratory and instrumental patient examination is conducted. A comorbid diagnosis is stated; the Charlson comorbidity index is calculated. The ASA severity level is detected. If observing the ASA severity level of 4 with the comorbidity index of more than 7 points, the knee replacement is not required. If the comorbidity index is 5-7 points, and the ASA severity level is 3, the patient is admitted to a specialised hospital for preparation to arthroplasty. If the Charlson index is up to 4 points, and the ASA severity level is 1 or 2, the total knee replacement is conducted.
EFFECT: method enables providing more accurate assessment of a risk of the surgical intervention, reducing mortality in arthroplasty, improving the patients' quality of life by the complete examination.
3 ex
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