The effect of femoral subchondral wire tunnelization on the results of treatment measures in patients with initial stages of posttraumatic gonarthrosis

Мальчевский В.А., Козел Н.П., Прокопьев Н.Я., Семёнов А.В.

Abstract


Purpose. To study the effect of using femoral subchondral wire tunnelization on the results of treatment measures in patients with initial stages of posttraumatic gonarthrosis.
Materials and Methods. The results of treatment of 228 patients with X-ray stage I-II posttraumatic gonarthrosis and predominantly degree I-II chondromalacia (ChM) of articular cartilage previously treated using arthroscopic technologies without femoral subchondral wire tunnelization have been analyzed. The patients were divided into two groups. 76 patients with X-ray stage I gonarthrosis and predominantly degree I ChM of articular cartilage were included in Group 1, and 152 patients with X-ray stage II gonarthrosis and predominantly degree II ChM – in Group 2. A repeat treatment-and-diagnostic arthroscopy with subchondral wire tunnelization performed in 49 patients from clinical Group 1, and in 37 ones from Group 2.
Results. Significant (р less 0.01) difference in the pain syndrome manifestation according to Visual Analogue Scale (VAS) revealed between the patients undergone subchondral wire tunnelization and those not subjected to tunnelization.
Conclusion. The use of femoral subchondral wire tunnelization in patients has been proved to improve the results of treatment measures.

Keywords


the knee (joint), osteoarthrosis, gonarthrosis, arthroscopy

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