Registration Number
0215U002493,
0113U001124
, R & D reports
Title
Develop of the system of staged rehabilitation of patients with injuries of the articular structures of the knee after arthroscopic surgery
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Head
Roy Irina Volodimirivna,
Registration Date
25-12-2015
Organization
Ukrainian scientific-research institute for traumatology and orthopaedics
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Developed first and reasonable criterion - oriented program of rehabilitation of patients after arthroscopic surgery on the injury of the articular structures inside the knee joint - anterior cruciate ligament, meniscus resection, with articular cartilage injuries, auditing plastic anterior cruciate ligament and their combination with the introduction periods regulated and tasks for each of them. Duration of the program depends on a differentiated approach that takes into account the nature of the injury, type of surgery, the type of braces used during surgery, the professional requirements of the individual patient and the patient's rate of recovery. The established priorities and consistency in the restoration of the functions of the operated limb - range of motion - muscle strength - coordination - proprioception. The amount of movement in patients after anterior cruciate ligament plastic optimally recover to 8 weeks in patients with cartilage injuries - at the same time, but with mandatory intensive devices continuous development movements in passive mode. Restoring power rates lower leg extensors - up to 20 weeks, because of the late start to the duration of treatment increases 40-67%. It is proved that in the absence of control over the process of rehabilitation restoration of power parameters found only 39-44%. Developed alhorytmizovana system technology and rehabilitation of patients after anterior cruciate ligament reconstruction, which consists of successive blocks - diagnostic, surgical, conservative treatment and its correction based on reaching certain criteria, making it possible to accelerate the rehabilitation treatment for 10 weeks. The criteria proposed clinical data and instrumental studies and functional tests. The efficiency of the proposed program after anterior cruciate ligament reconstruction. In the group that received treatment under the program 2.6 times more results "excellent" and 2 times less guest "satisfactory" on a scale Lysholm-Gillquist than in patients who did not undergo rehabilitation treatment (p <0.05). After arthroscopic debrydmenta more lasting effect was observed in patients with articular cartilage injuries I-II degree for Outerbridge compared with patients III-IV degree. It is proved that after arthroscopic mikrofrakturuvannya better results were patients with articular cartilage defects <2 cm 2. Rehabilitation cycle for patients after arthroscopic surgery: stationary phase - up to 20% of the time of rehabilitation, ambulatory - 80%. Complete rehabilitation cycle - hospital, clinic - sanatorium treatment - requiring only 8% - patients with complications after surgery. Preoperative rehabilitation to create the necessary conditions for arthroscopic surgery by restoring range of motion and reduce inflammation in the joints and affects the postoperative rehabilitation and increases the number of positive results by 15%. On a scale Lisholm and Tehner excellent and good results of treatment were 74% of patients after anterior cruciate ligament reconstruction; 85% of meniscus after resection and 60% of patients with cartilage injuries.
Product Description
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Біла І.І.
Батанова Н.Ю.
Баяндіна О.І.
Богдан С.В.
Зінченко В.В.
Катюкова Л.Д.
Костогриз О.А.
Костогриз Ю.О.
Котюк В.
Лазарев І.А.
Нечипоренко Р.В.
Перфілова Л.
Пилипенко О.В.
Половинка Л.О.
Рой І.В.
Русанова Т.Є.
Смірнов Д.О.
Страфун С.С.
Фіщенко Я.В.
Ячник С.П.
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2020-04-02
