Post-traumatic arthrosis of the knee joint

Post-traumatic arthrosis

Posttraumatic arthrosis

Post-traumatic arthrosis is a degenerative-dystrophic joint injury that occurs after traumatic injury. It develops more often after intra-articular fractures, but it can also occur after injuries of soft-tissue elements of the joint( ligaments, meniscuses, etc.).Is manifested by pain, restriction of movements and deformation of the joint. The diagnosis is made on the basis of anamnesis, clinical data, radiography, CT, MRI, ultrasound, arthroscopy and other studies. Treatment is often conservative, with significant destruction of the joint is endoprosthetics.

Post-traumatic arthrosis

Post-traumatic arthrosis is one of the varieties of secondary arthrosis, that is, arthrosis, which has arisen against the background of previous changes in the joint. In orthopedics and traumatology is a fairly common pathology, can develop at any age. More often other forms of arthrosis are detected in young, physically active patients. According to various data, the probability of arthrosis after a joint injury is from 15 to 60%.It can affect any joints, however, the post-traumatic arthroses of large joints of the lower extremities have the greatest clinical significance, both due to the widespread prevalence and due to the influence on the activity and performance of patients.

Causes of development of post-traumatic arthrosis

The main reasons for the development of posttraumatic arthrosis are violation of congruence of articular surfaces, deterioration of blood supply to various joint structures and prolonged immobilization. This form of arthrosis very often occurs after intra-articular fractures with displacement. So, arthrosis of the knee joint often develops after fractures of the condyles of the hip and condyles of the tibia, arthrosis of the elbow joint - after overconscious fractures and fractures of the ray head, etc.

Another fairly common cause of posttraumatic arthrosis is the rupture of the capsular-ligament apparatus. For example, arthrosis of the ankle joint may occur after rupture of the intercostal syndesmosis, arthrosis of the knee joint - after the damage of the cruciate ligaments, etc. Often in the history of patients suffering from post-traumatic arthrosis, a combination of the listed lesions is revealed, for example, a three-ligament fracture with a rupture of intercleral syndesmosis.

The likelihood of developing this form of arthrosis increases dramatically with improper or untimely treatment, which results in even minor anatomical defects that are not corrected. For example, if the joints of the ankle joint change its location only by 1 mm, the load begins to be distributed not over the entire surface of the articular cartilage, but only 30-40% of their total area. This leads to a constant significant overload of certain areas of the joint and causes a rapid destruction of the cartilage.

Continuous immobilization can provoke the development of posttraumatic arthrosis, both with intraarticular and extraarticular injuries. In conditions of prolonged immobility, blood circulation deteriorates and venous-lymphatic outflow in the joint region is disturbed. The muscles are shortened, the elasticity of the soft tissue structures is reduced, and sometimes the changes become irreversible.

A variety of posttraumatic arthrosis is arthrosis after surgical interventions. Despite the fact that surgery is often the best or the only way to restore the configuration and function of the joint, surgical intervention alone always entails additional traumatization of the tissues. In the future, scar tissue forms in the area of ​​incised tissues, which negatively affects the work and blood supply of the joint. In addition, in some cases, during the operation, it is necessary to remove the damaged or severely damaged elements of the joint due to trauma, and this entails a violation of congruence of the joint surfaces.

Symptoms of post-traumatic arthrosis

In the initial stages, there is a crunch and minor or moderate pain, worse with movements. In rest, pain syndrome, as a rule, is absent. A characteristic sign of arthrosis is the "starting pain" - the onset of pain and the transient stiffness of the joint during the first movements after a period of rest. In the following, the pain becomes more intense, it occurs not only during exercise, but also at rest - "on the weather" or at night. The amount of movement in the joint is limited.

Usually there is an alternation of exacerbations and remissions. During an exacerbation the joint becomes edematous, synovitis is possible. Because of constant pain, chronic reflex spasm of limb muscles is formed, sometimes muscle contractures develop. At rest patients are concerned about discomfort, pain and muscle cramps. The joint is gradually deformed. Because of the pain and limitation of movements, lameness occurs. At later stages the joint is bent, roughly deformed, subluxations and contractures are noted.

At visual inspection at early stages of change are not revealed. The shape and configuration of the joint is not violated( if there is no previous deformation due to traumatic injury).The volume of movements depends on the nature of the trauma and the quality of rehabilitation measures. In the following there is a worsening of deformation and an increasing limitation of movements. Palpation is painful, with palpation in a number of cases, thickenings and irregularities along the edge of the joint space are determined. There may be curvature of the limb axis and joint instability. With synovitis in the joint, fluctuation is determined.

Diagnosis of post-traumatic arthrosis

The diagnosis is based on anamnesis( previous trauma), clinical manifestations and radiographic findings of the joint. On the radiographs, dystrophic changes are revealed: flattening and deformation of the articular site, narrowing of the joint gap, osteophytes, subchondral osteosclerosis and cyst formations. With subluxation, there is a violation of the limb axis and irregularity of the joint space.

If necessary, more accurately assess the condition of dense structures designate CT of the joint. If it is required to detect pathological changes from the soft tissue side, the patient is referred to the MRI of the joint. In a number of cases, it is advisable to perform arthroscopy - a modern therapeutic and diagnostic technique that allows you to visually assess the state of cartilage, ligaments, meniscuses, etc. This procedure is especially often used in the diagnosis of posttraumatic arthrosis of the knee joint.

Treatment of post-traumatic arthrosis

Treatment is performed by orthopedists and traumatologists. The main goals of the treatment are to eliminate or reduce the pain syndrome, restore function and prevent further destruction of the joint. Complex therapy is carried out, including NSAIDs of local and general action, chondroprotectors, exercise therapy, massage, thermal procedures( ozocerite, paraffin), electrophoresis with novocaine, shock wave therapy, laser therapy, phonophoresis of corticosteroids, UHF, etc. In intensivepains and pronounced inflammation perform therapeutic blockade with glucocorticosteroids( diprospan, hydrocortisone).When spasms of muscles are prescribed antispasmodics.

Surgical interventions can be performed to restore the configuration and stability of the joint, as well as in cases where the articular surfaces are substantially destroyed and must be replaced by an endoprosthesis. During the operation, osteotomy, osteosynthesis with the use of various metal structures( nails, screws, plates, spokes, etc.), plastic ligaments using the patient's own tissues and artificial materials can be performed.

Operative interventions are performed in the orthopedic or trauma departments, in a planned manner, after an appropriate examination. In most cases, a general anesthesia is used. Both open access operations and the use of sparing arthroscopic techniques are possible. In the postoperative period, prescribe antibiotic therapy, exercise therapy, physiotherapy and massage. After the removal of the joints patients are discharged to outpatient care and carry out rehabilitation measures.

The effect of surgical intervention depends on the nature, severity and duration of the injury, as well as on the severity of secondary arthrosis changes. It should be borne in mind that in a number of cases the full restoration of joint function is impossible. With severe advanced arthrosis, the only way to return the patient to work capacity is endoprosthetics. If the endoprosthesis is not indicated for some reason, in some cases, arthrodesis is performed - fixing the joint in a functionally advantageous position.

krasotaimedicina.ru

Posttraumatic arthrosis can be cured

Posttraumatic arthrosis One of the most common reasons why people develop such an unpleasant illness as posttraumatic arthrosis is the common injuries of .The highest percentage of injuries in men aged 20 to 50 years and in women aged 35 to 60 years. Injuries can be obtained in various ways: on the street, at home, at work, during an accident or while playing sports. It is worth remembering that in no case can not delay the treatment.
Post-traumatic osteoarthritis is in the group of secondary arthrosis, due to the fact that injuries are factors contributing to its development. For example, if a joint is injured, a tissue rupture occurs, resulting in inflammation in the joint. Sprains, fractures, dislocations and meniscus ruptures also belong to the risk factors for developing arthrosis and, naturally, a person immediately needs treatment.
Unfortunately, no injury goes without a trace. Even the slightest damage greatly affects the state of nerves and blood vessels. Damaged nerves do not transmit impulses from the brain to the muscles, and the blood around the joint deteriorates blood supply. This is the factor of the development of degenerative processes in the joints of man.
It should be noted that posttraumatic arthrosis is a prerogative not only for the elderly, it is increasingly diagnosed in people of a young age. Most of them, of course, after fractures or sprains. Most often, this disease begins with the ankle or knee joint, less often - from the shoulder and elbow.

The main symptoms of arthrosis

For the clarity of the picture, one can examine the course of the disease by the example of a person who has osteoarthritis of the knee joint. At the first stage the disease is almost asymptomatic. The feeling that the joint after the treatment was carried out, became completely healthy and the person does not experience any difficulties and pains. But after a time, the person notices that the knee begins to whine, crunches when squatting, and sometimes even swells. At first the symptoms of arthrosis are invisible, the pain manifests itself only from time to time and after physical exertion, then become almost constant. As the disease progresses, posttraumatic arthrosis of the knee joint leads to a restriction of joint mobility and deformation of bone tissues.

What is the treatment?

Treatment of posttraumatic arthrosis Because post-traumatic arthrosis is a chronic disease, the goal of initial treatment is to slow the progress of the disease. Therapeutic treatment is prescribed according to the results of the X-ray diffraction data, which determines the stage of the disease and its shape.
As for the physical exercises themselves, it is recommended to combine a complex selected by a specialist, medical treatment with unloading of a sick joint. The most widely used therapy means massage, manual therapy and various physiotherapy procedures. Their main goal is to improve blood supply in the areas of the affected joint. It is worth remembering that these procedures are contraindicated in the acute stage of the disease course.
In order to unload the maximum, a specially selected diet and sanitary and spa rest are also recommended.
In order to relieve the patient of pain, usually prescribed painkillers and analgesics, and in order to relieve inflammation and speed up treatment - a small course of NSAIDs( non-steroidal anti-inflammatory drugs).They are not drugs for long-term use, because their continued use is fraught with serious problems.
If the inflammatory process affects the joints sufficiently, for example, if the patient has a deforming arthrosis, they use intraarticular blocking drugs, that is, a group of corticosteroids. The course of taking chondoprotectors is prescribed to protect the cartilage tissue from damage, as well as to stimulate its growth. It is these drugs that are designed for long-term use so that a positive effect is established.
In the event that the cartilage is almost completely destroyed and the movements in the joint are completely limited, the patient is prescribed a scheduled operation. There are several types of surgical intervention in post-traumatic arthrosis. Artrodesis is recommended for those patients who have contraindications for other operations and treatment in other ways is impossible. The essence of this technique is as follows: the joint is fixed in the desired position, completely depriving it of the ability to move, but at the same time, that it is stable.
But the most popular type of surgery is endoprosthetics. In this case, specialists simply replace the damaged joint with new articular artificial surfaces from a special durable material, and the lost motor functions are returned to the patient.

Osteoarthritis and disability

To determine disability in the diagnosis of "posttraumatic osteoarthritis", a medical and social examination is required. The special commission determines the dynamic and static function of the limb, the possibility of independent movement, the ability to work and self-service in the patient.
With arthrosis of 1 and 2 degrees, minor damage to one joint, slight restriction of joint functions and slow progression of the pathology, the patient is recognized as able-bodied.
3 group of disability is given to those patients who have a not very strong restriction for self-movement and when using auxiliary tools. Their self-service is quite possible, and the labor activity is quite productive. Usually, these are patients who are diagnosed with coxarthrosis, grade 2 gonarthrosis, deforming arthrosis of several joints.
2 group disability is given to those who have a pronounced disability, movement and self-service. Usually these people suffer from grade 3 arthrosis or have ankylosis( a disease in which the bone surfaces coalesce) of large joints in an uncomfortable position. This implies frequent and long periods of exacerbation of diseases, shortening of the sick limb by several centimeters, as well as rapid progress of the disease.
The first group of disability in joint diseases is determined in those people who have completely lost the ability to move independently, serve themselves and engage in some kind of work. Such patients usually require constant medical attention and assistance from outside. These are people who have arthrosis or coxarthrosis of 3-4 degrees, pronounced ankylosis of various joints: ankle, hip or knee.

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Posttraumatic arthrosis

Posttraumatic arthrosis

Posttraumatic arthrosis is a degenerative-dystrophic joint injury that has arisen after its traumatic injury. It often develops after intra-articular fractures, but it can also occur after injuries of soft-tissue elements of the joint( ligaments, meniscuses, etc.).Is manifested by pain, restriction of movements and deformation of the joint. The diagnosis is made on the basis of anamnesis, clinical data, radiography, CT, MRI, ultrasound, arthroscopy and other studies. Treatment is often conservative, with significant destruction of the joint is endoprosthetics.

Posttraumatic arthrosis

Posttraumatic arthrosis is one of the varieties of secondary arthrosis, that is, arthrosis, which has arisen against the background of previous changes in the joint. In orthopedics and traumatology is a fairly common pathology, can develop at any age. More often other forms of arthrosis are detected in young, physically active patients. According to various data, the probability of arthrosis after a joint injury is from 15 to 60%.It can affect any joints, however, the post-traumatic arthroses of large joints of the lower extremities have the greatest clinical significance, both due to the widespread prevalence and the effect on the activity and performance of patients.

Causes of development of post-traumatic arthrosis

The main reasons for the development of posttraumatic arthrosis are violation of congruence of articular surfaces, deterioration of blood supply to various joint structures and prolonged immobilization. This form of arthrosis very often occurs after intra-articular fractures with displacement. For example, arthrosis of the knee joint often develops after fractures of the condyles of the hip and condyles of the tibia, arthrosis of the elbow joint - after supracondylar fractures and fractures of the ray head, etc.

Another fairly common cause of posttraumatic arthrosis is the rupture of the capsular-ligament apparatus. For example, arthrosis of the ankle joint may occur after rupture of the intercostal syndesmosis, arthrosis of the knee joint - after the damage of the cruciate ligaments, etc. Often in the history of patients suffering from post-traumatic arthrosis, a combination of the listed lesions is revealed, for example, a three-ligament fracture with a rupture of intercleral syndesmosis.

The likelihood of developing this form of arthrosis increases dramatically with incorrect or untimely treatment, which results in even minor anatomical defects that have not been corrected. For example, if the joints of the ankle joint change its location only by 1 mm, the load begins to be distributed not over the entire surface of the articular cartilage, but only 30-40% of their total area. This leads to a constant significant overload of certain areas of the joint and causes a rapid destruction of the cartilage.

Continuous immobilization can provoke the development of posttraumatic arthrosis, both with intraarticular and extraarticular injuries. In conditions of prolonged immobility, blood circulation deteriorates and venous-lymphatic outflow in the joint region is disturbed. The muscles are shortened, the elasticity of the soft tissue structures is reduced, and sometimes the changes become irreversible.

A variety of posttraumatic arthrosis is arthrosis after surgical interventions. Despite the fact that surgery is often the best or the only way to restore the configuration and function of the joint, surgical intervention alone always entails additional traumatization of the tissues. In the future, scar tissue forms in the area of ​​incised tissues, which negatively affects the work and blood supply of the joint. In addition, in some cases, during the operation, it is necessary to remove the damaged or severely damaged elements of the joint due to trauma, and this entails a violation of congruence of the joint surfaces.

Symptoms of post-traumatic arthrosis

In the initial stages, there is a crunch and minor or moderate pain, aggravated by movement. In rest, pain syndrome, as a rule, is absent. A characteristic sign of arthrosis is the "starting pain" - the onset of pain and the transient stiffness of the joint during the first movements after a period of rest. In the following, the pain becomes more intense, it occurs not only during exercise, but also at rest - "on the weather" or at night. The amount of movement in the joint is limited.

Usually there is an alternation of exacerbations and remissions. During an exacerbation the joint becomes edematous, synovitis is possible. Because of constant pain, chronic reflex spasm of limb muscles is formed, sometimes muscle contractures develop. At rest patients are concerned about discomfort, pain and muscle cramps. The joint is gradually deformed. Because of the pain and limitation of movements, lameness occurs. At later stages the joint is bent, roughly deformed, subluxations and contractures are noted.

At visual inspection at early stages of change are not revealed. The shape and configuration of the joint is not violated( if there is no previous deformation due to traumatic injury).The volume of movements depends on the nature of the trauma and the quality of rehabilitation measures. In the following there is a worsening of deformation and an increasing limitation of movements. Palpation is painful, with palpation in a number of cases, thickenings and irregularities along the edge of the joint space are determined. There may be curvature of the limb axis and joint instability. With synovitis in the joint, fluctuation is determined.

Diagnosis of post-traumatic arthrosis

The diagnosis is based on anamnesis( previous trauma), clinical manifestations and radiographic findings of the joint. On the radiographs, dystrophic changes are revealed: flattening and deformation of the articular site, narrowing of the joint gap, osteophytes, subchondral osteosclerosis and cyst formations. With subluxation, there is a violation of the limb axis and irregularity of the joint space.

If necessary, more accurately assess the condition of dense structures appoint CT of the joint. If it is required to detect pathological changes from the soft tissue side, the patient is referred to the MRI of the joint. In a number of cases, it is advisable to perform arthroscopy - a modern therapeutic and diagnostic technique that allows you to visually assess the state of cartilage, ligaments, meniscuses, etc. This procedure is especially often used in the diagnosis of posttraumatic arthrosis of the knee joint.

Treatment of post-traumatic arthrosis

Treatment is provided by orthopedists and traumatologists. The main goals of the treatment are to eliminate or reduce the pain syndrome, restore function and prevent further destruction of the joint. Complex therapy is carried out, including NSAIDs of local and general action, chondroprotectors, exercise therapy, massage, thermal procedures( ozocerite, paraffin), electrophoresis with novocaine, shock wave therapy, laser therapy, phonophoresis of corticosteroids, UHF, etc. In intensivepains and pronounced inflammation perform therapeutic blockade with glucocorticosteroids( diprospan, hydrocortisone).When spasms of muscles are prescribed antispasmodics.

Surgical interventions can be carried out to restore the configuration and stability of the joint, as well as in cases where the articular surfaces are substantially destroyed and need to be replaced by an endoprosthesis. During the operation, osteotomy, osteosynthesis with the use of various metal structures( nails, screws, plates, spokes, etc.), plastic ligaments using the patient's own tissues and artificial materials can be performed.

Operative interventions are performed in the orthopedic or trauma departments, in a planned manner, after an appropriate examination. In most cases, a general anesthesia is used. Both open access operations and the use of sparing arthroscopic techniques are possible. In the postoperative period, prescribe antibiotic therapy, exercise therapy, physiotherapy and massage. After the removal of the joints patients are discharged to outpatient care and carry out rehabilitation measures.

The effect of surgical intervention depends on the nature, severity and duration of the injury, as well as on the severity of secondary arthrosis changes. It should be borne in mind that in a number of cases the full restoration of joint function is impossible. With severe advanced arthrosis, the only way to return the patient to work capacity is endoprosthetics. If the endoprosthesis is not indicated for some reason, in some cases, arthrodesis is performed - fixing the joint in a functionally advantageous position.

krasotaimedicina.ru

Posttraumatic arthrosis: knee, ankle and other joints, treatment with

One of the causes of arthrosis is mechanical damage to the joint. There is a metabolic disorder in the periarticular muscles and a decrease in the work of the synovial fluid. As a result of the acquired trauma, untimely treatment, the cartilage tissue of the joint deforms - posttraumatic arthrosis develops.

Post-traumatic arthrosis can affect all joints in the human body. More often these are large joints - hip, knee, ankle, shoulder. Less often fall under the development of the disease small joints - joints of the foot, fingers, wrist joints.

Stages of development of post-traumatic arthrosis

1 degree - mainly when moving( joint load), pain occurs, a slight crunch appears.

2 degree - there is a restriction in the movements, especially this manifests itself in the morning after sleep, the crunch becomes stronger and coarser, the pain is intense.

3 degree - almost complete loss of joint mobility, visual deformation, unceasing pain syndrome.

Causative factor of post-traumatic arthrosis

The destruction of articular cartilage occurs due to a change in the structure of the constituent parts of the whole joint mechanism, the violation of blood circulation.

The main causative factor in post-traumatic arthrosis will always be incorrect( untimely) treatment. When mistakes were made in the diagnosis, there are anatomical shortcomings after treatment in the form of bone displacement, the remains of fragments in the muscles, stretching of the ligaments - arthrosis will not take long.

International Classification of Diseases( IBD 10 revision)

Posttraumatic arthrosis is so widespread that it has been listed in the international classification of diseases with attribution to each species of a separate number. ICD 10 has statistical systematized data on all characteristics of diseases.

There are other classifications of all posttraumatic arthrosis of small and large joints. All these species combine one characteristic current. Post-traumatic arthrosis proceeds wavy, which allows talking about its possible periods of remission. In the period of remission, it is easiest to provide treatment, since some procedures do not interfere with pain and inflammation.

Treatment of post-traumatic arthrosis

Before the medical treatment of posttraumatic arthrosis, it is necessary to relieve the joint damaged by arthrosis, but at the same time to prevent its complete deformation and atrophy of the periarticular muscles.

For unloading appoint a course of therapeutic and prophylactic gymnastics. Special exercises should be performed by the prescribed course, but not to allow painful sensations when they are performed. On the site you can see the curative gymnastics performed with arthrosis of the joints.

For the treatment of posttraumatic arthrosis of small joints( foot and toes, hands, wrist and elbow joints), folk medicine is well suited. Anesthetic compresses from the leaves of burdock and cabbage, taking baths with minerals, sea salt and various herbs, as well as rubbing and tinctures will help with the initial stages of the disease. On the site you can see the methods of people's treatment.

Drug treatment can not be circumvented, since the withdrawal of the pain syndrome during the inflammatory process requires the administration of NSAIDs. And also long-term use of chondroprotectors, which help in the regeneration of bone tissue and reduce the development of the disease.

artritu.ru

Posttraumatic arthrosis

One of the most common causes of arthrosis is injury. Male 20-50 years of age and women aged 30-60 years are the most traumatized. Injury can be obtained on the street and at home, being a participant in the traffic and production. Especially this problem is relevant for athletes.

Causes of

Post-traumatic arthrosis belongs to the group of secondary arthrosis, that is, trauma is a factor contributing to its development. For example, when a joint is injured, a tissue rupture occurs, against which background inflammatory processes occur. Risk factors for the development of arthrosis are also sprains, fractures, a break in menisci, dislocations. Alas, any trauma does not pass without a trace. Even minor damage affects the blood vessels and nerves. The tissues of the joint are worse than the bloodstream, and it is impossible to transmit a signal from the brain to the muscles of the damaged nerves. This also provokes the development of the degenerative process in the joint.

Therefore, post-traumatic arthrosis is not considered the prerogative of only the elderly. Osteoarthritis after fracture or stretching occurs in people of young age. Most often this disease is affected by the ankle and knee joints, less often - shoulder and elbow.

Symptoms of post-traumatic arthrosis

Consider the clinical picture using the example of post-traumatic arthrosis of the ankle .At first, the disease can be completely asymptomatic. It seems that the joint after the injury is restored, and the patient does not make any complaints. After some time, the person notices that during walking he began to turn the foot. The ankle joint is not designed for lateral movements, which means that the ligaments and muscles become weak or damaged, since they can not hold the joint while resting on the leg.

During physical exertion, the patient begins to worry about pain in the ankle, which then becomes permanent. As the progresses, post-traumatic arthrosis of the ankle leads to deformation of the bone tissue and restriction of mobility.

"In my young patients, the trigger for the development of arthrosis is usually injury, any trauma - no matter whether it's heavy or not - causes inflammation." Mechanical damage to joint tissues is a factor that contributes to poor blood supply, resulting in metabolic disorders. "The state of the cartilage suffers frombut do not think that only the fact of injury can lead to arthrosis - regular microtrauma, which a person does not even notice, for example, while walking on the kabows, too, can cause. "

Treatment

Posttraumatic arthrosis is a chronic disease, so the goal of treatment is to slow the progression of the disease. The course of therapy is appointed based on the results of an X-ray study, which determines the stage and form of the disease.

If to speak about physical activity, it is recommended to combine a specially selected complex of exercises with unloading the affected joint. Massage, physiotherapy procedures, manual therapy are widely used non-medicamentous medications for post-traumatic arthrosis .Their goal is to improve blood supply in the place of injury. However, these procedures are possible only outside the exacerbation of the disease. To maximally relieve the joint, a diet for weight loss and sanatorium treatment are recommended.

For relief of joint pain, prescribe analgesics, and to relieve inflammation, which occurs periodically in the joint - a short course of non-steroidal anti-inflammatory drugs( NSAIDs).NSAIDs are not drugs for continuous use, as long-term use can lead to undesirable effects. With a pronounced inflammatory process, intra-articular blockade drugs from the group of corticosteroids are used. The course of chondroprotectors is prescribed to stimulate the growth of cartilaginous tissue and protect it from damage. This is just the drugs that require a long reception, so that the positive effect could develop.

In the case of complete destruction of the cartilage and persistent limited movements in the joint resort to routine surgery. To date, there are several ways of surgical correction for this disease. An arthrodesis is recommended to those patients who have contraindications to other operations. The essence of this technique is to fix the joint in the right position, depriving it of the possibility of movement, but at the same time to achieve its stability. However, the most common surgical procedure for post-traumatic arthrosis remains arthroplasty of the joints. This method of correction allows you to replace the damaged joint with new articular surfaces of an artificial, durable material, returning the lost motor function to the patient.

Disability for arthrosis

Determination of disability with post-traumatic arthrosis requires a medical and social examination. The Commission determines the static-dynamic function of the limb, the patient's ability to self-service, independent movement and work. The patient is recognized as able-bodied if he has arthrosis of I-II degrees and one joint is affected, if the pathological process progresses slowly and the violations of joint function are insignificant.

III group of disability is given to patients who have a small restriction in self-movement and use ancillary facilities. Their work is less productive, and self-service is quite possible. These are patients with coxarthrosis and grade II gonarthrosis, with deforming arthrosis of several joints.

II group of disability is established with the expressed restriction of abilities to work, self-service and movement. Such patients suffer from grade III arthrosis, have ankylosis( fusion of the articulating bone surfaces) of large joints in a functionally unprofitable position. They can be frequent and prolonged exacerbations of the disease, rapidly progressing, shortening of the affected limb by more than 7 cm

I group disability with arthrosis is determined by those patients who completely lost the opportunity to move independently, serve themselves, engage in professional activities. Such people require constant extraneous care. Usually these are patients with deforming coxarthrosis of III-IV degrees, expressed by ankylosis of the ankle, knee or hip joint in a functionally unfavorable position.

In order not to bring the matter to the stage of medical and social expertise about disability, you need to monitor your health. Our medical center GarantKlinik deals with the diagnosis and treatment of joint diseases. Timely access to specialists will allow to control the course of the disease and avoid serious complications.

We have experienced orthopedists, traumatologists, doctors of medical sciences, professors. The material and technical base of the clinic allows not only to perform complicated joint operations, such as arthroscopy and arthroplasty, but also there is the opportunity to provide quick rehabilitation of patients. Since our clinic is a clinical base of the PMGMU named after. Sechenov, then for many services we have state prices.

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