Лечение горизонтального расслоения менисков коленного сустава обогащенной тромбоцитами плазмой (PRP). Обзор литературы и анализ собственных данных
- Авторы: Лисицын М.П.1, Атлуханов Р.Я.2, Заремук А.М.1, Лисицына Е.М.3
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Учреждения:
- Московский государственный медико-стоматологический университет им. А.И. Евдокимова
- Больница Центросоюза Российской Федерации
- Гута Клиник
- Выпуск: Том 28, № 3 (2021)
- Страницы: 21-36
- Раздел: Оригинальные исследования
- URL: https://bakhtiniada.ru/0869-8678/article/view/89566
- DOI: https://doi.org/10.17816/vto89566
- ID: 89566
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Аннотация
Обоснование. Вопрос лечения повреждений внутреннего слоя менисков коленного сустава, не выходящих на суставную поверхность, остается открытым. В отдаленной перспективе эти повреждения могут вызвать полный разрыв мениска и обусловливать необходимость оперативного лечения. Существующие методы лечения горизонтального расслоения мениска неэффективны.
Цель. Изучение влияния обогащенной тромбоцитами плазмы (PRP) на регенерацию менисков.
Материалы и методы. Проведен анализ результатов лечения 15 пациентов методом инъекций PRP, эффективно стимулирующей регенеративные процессы. Оценена эффективность метода по шкалам оценки: визуальная аналоговая шкала (ВАШ), шкала Lequesne, индекс WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index), шкала Lysholm, шкала KSS (Knee Society Score).
Результаты. По результатам магнитно-резонансной томографии (МРТ), проведенной через 6 мес, отмечено отсутствие прогрессирования повреждения менисков после терапии PRP.
Заключение. В исследовании получено улучшение показателей по всем оценочным шкалам. Кроме того, по данным МРТ, через 6 мес прогрессирование дегенеративного процесса в менисках отсутствовало. Представленный метод может быть первым шагом в лечении этой патологии.
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Михаил Петрович Лисицын
Московский государственный медико-стоматологический университет им. А.И. Евдокимова
Email: lissitsyn@rambler.ru
SPIN-код: 7162-0145
д-р мед. наук, профессор, врач – травматолог-ортопед
Россия, МоскваРуслан Яверович Атлуханов
Больница Центросоюза Российской Федерации
Автор, ответственный за переписку.
Email: ruslan.atl@mail.ru
ORCID iD: 0000-0003-3417-6744
SPIN-код: 6845-8768
врач – травматолог-ортопед
Россия, МоскваАдам Муратчериевич Заремук
Московский государственный медико-стоматологический университет им. А.И. Евдокимова
Email: adamzaremuk@mail.ru
ORCID iD: 0000-0002-6630-9735
SPIN-код: 4169-3882
канд. мед. наук, врач – травматолог-ортопед
Россия, МоскваЕкатерина Михайловна Лисицына
Гута Клиник
Email: lis10@yandex.ru
ORCID iD: 0000-0002-5184-2561
SPIN-код: 7268-0320
врач – травматолог-ортопед
Россия, МоскваСписок литературы
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