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
- 作者: Khominets V.V.1, Kudyashev A.L.1, Chebotarev S.V.1, Grankin A.S.1, Fedorov R.A.1, Sabaev A.A.1
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隶属关系:
- The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
- 期: 卷 345, 编号 2 (2024)
- 页面: 35-44
- 栏目: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/627349
- DOI: https://doi.org/10.52424/00269050_2024_345_2_35
- ID: 627349
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详细
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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作者简介
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
俄罗斯联邦, St. PetersburgA. 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
俄罗斯联邦, St. PetersburgS. Chebotarev
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
编辑信件的主要联系方式.
Email: sergeichebotarev90@gmail.com
майор медицинской службы
俄罗斯联邦, St. PetersburgA. 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
俄罗斯联邦, St. PetersburgR. 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
俄罗斯联邦, St. PetersburgA. Sabaev
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: sergeichebotarev90@gmail.com
лейтенант медицинской службы
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