Comparative analysis of the effectiveness of osteoperforative techniques in the treatment of local damage to the articular cartilage of the knee joint in military personnel

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Abstract

Osteoperforative methods for treating local defects of the articular cartilage of the knee joint remain the most common today. According to clinical protocols, 73 patients aged 20 to 40 years with local and deep defects of the cartilage of the femoral condyles, a comparative assessment of the effectiveness of methods of osteoperforative stimulation of chondrogenesis – tunneling and microfracture of the area of local articular cartilage defect was carried out according to the standardized VASH, KOOS, LKSS scales before surgery and after treatment. Tunnelization and microfracturing operations improved the patients’ condition on all scales (between-group differences are not significant). There was a trend toward higher levels of functional status in the group of patients using tunnelization. Despite the positive effect, patients are not completely satisfied with the results of treatment. Arthroscopy in both groups revealed partial replacement of the area of articular cartilage defects with scar tissue. The use of osteoperforative techniques in the treatment of local defects of the articular cartilage of the knee joint of III – IV degrees according to Outerbridge gives a limited effect, and tunneling and microfracture techniques have similar effectiveness.

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About the authors

V. V. Khominets

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: sergeichebotarev90@gmail.com

заслуженный врач РФ, профессор, полковник медицинской службы

Russian Federation, St. Petersburg

A. L. Kudyashev

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: sergeichebotarev90@gmail.com

доктор медицинских наук, доцент, полковник медицинской службы

Russian Federation, St. Petersburg

S. V. Chebotarev

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Author for correspondence.
Email: sergeichebotarev90@gmail.com

майор медицинской службы

Russian Federation, St. Petersburg

A. S. Grankin

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: sergeichebotarev90@gmail.com

кандидат медицинских наук, подполковник медицинской службы

Russian Federation, St. Petersburg

R. A. Fedorov

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: sergeichebotarev90@gmail.com

кандидат медицинских наук, подполковник медицинской службы

Russian Federation, St. Petersburg

A. A. Sabaev

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: sergeichebotarev90@gmail.com

лейтенант медицинской службы

Russian Federation, St. Petersburg

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Supplementary files

Supplementary Files
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2. Fig. 1. Dynamics of pain intensity indices on the VAS scale in group 1 (A) and group 2 (B) before and after surgical treatment

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3. Fig. 2. Dynamics of knee joint condition indices according to KOOS scale in groups 1 (A) and 2 (B) before and after surgical treatment

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4. Fig. 3. Dynamics of knee joint function assessment according to the LKSS scale in groups 1 (A) and 2 (B) before and after surgical treatment

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Copyright (c) 2024 Khominets V.V., Kudyashev A.L., Chebotarev S.V., Grankin A.S., Fedorov R.A., Sabaev A.A.


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: № 01975 от 30.12.1992.

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