The method of treatment of the initial stages of deforming arthrosis

 

(57) Abstract:

The invention relates to medicine, namely to traumatology and orthopedics, and can be used in the conservative treatment of degenerative-dystrophic diseases of the large joints. The method is implemented as follows. In the dressing room, in the conditions of asepsis and antisepsis, the dotted line in the affected joint through a needle injected oxygen, which is irradiated with a laser beam at a temperature of t=31±0,5°C, irradiance = 120-150 MW/cm2, wavelength =0.63 µm, the excessive pressure in the exposure zone (P=0.05 TO 1.0 MPA, the volume V=40-60 cm3oxygen (up to 80 cm3depending on the volume of the joint), the exposure time of 7 minutes, the number of 4-5 sessions with an interval of 2 days, which causes the activation of metabolic processes and the slowdown beginning degenerative-dystrophic changes in the tissues of the joint.

The invention relates to medicine, namely to traumatology and orthopedics, and can be used in the conservative treatment of patients with degenerative-dystrophic diseases of the large joints.

In the complex treatment of patients with early manifestations of deforming arthrosis widely used intra-articular introduction Preah joints treated conservatively, using intra-articular injections of medications.

There is a method of treatment involving intra-articular introduction of gases: oxygen (O2) and nitrous oxide (N2O) - a method of treatment of deforming arthrosis of the knee joint.N. M.Leonova (1).

Closest to the claimed is a method of treatment of gonarthrosis deformans with oxygen (O2) and hyperbaric oxygen therapy (2). The clinical effect is obtained due to the impact on the joint tissues of active forms of oxygen contained in the oxygen mixture is injected into the joint, as well as the introduction of oxygen into the body under high pressure through hyperbaric oxygen therapy.

This method is used as a prototype, because it has common features with claimed: the activation of metabolic processes in the tissues of the joint affected degenerative-dystrophic process, by exposure to oxygen in its active state.

The disadvantage of this method is the low density of active molecules of oxygen in the input gas mixture, as well as complex indirect effects of hyperbaric oxygenation on the fabric, which increases the time of treatment and with whom Vesti treatment by increasing the concentration of active molecules of oxygen in the input gas mixture and the reduction of treatment time.

This goal is achieved by the fact that in the process of intraarticular injection of oxygen is irradiated with a laser beam at a temperature of t=31±0,5°C, irradiance = 120-150 MW/cm2, wavelength =0.63 µm, the excessive pressure in the exposure zone (P=0.05 to 1.0 MPa.

The method is implemented as follows.

In the dressing room, in the conditions of asepsis and antisepsis (the patient should be in supine position, the flexion in the affected knee joint 150 degrees), the dotted line in the affected joint through a needle injected oxygen, when exposed to the laser beam at a temperature of t=31±0,5°C, irradiance = 120-150 MW/cm2, wavelength =0.63, when the pressure in the exposure zone (P=0.05 to 1.0 MPa. Enter 40-60 cm3oxygen (up to 80 cm3depending on the volume of the joint), the exposure time of 7 minutes, the number of 4-5 sessions with an interval of 2 days.

To justify the proposed method experimental research on the knee joints 16 rabbits breed "chinchilla" with experimental osteoarthritis. Animals were divided into groups. In the first analyzed group (9 animals) with experimental osteoarthritis was carried out by exposure to oxygen irradiated with a laser beam. Second GRU sessions of hyperbaric oxygenation and oxygen. Two animals with experimental osteoarthritis and two healthy animals was the control group. Euthanasia of animals was performed after 2 days, 15 days, 30 days and 45 days after completion of the course of oxygen therapy. All histological results confirmed more pronounced proliferation of cells in the tissues of cartilage in the first group of animals.

The inventive method reduces the time of treatment, inhibits the development of deforming arthrosis in the initial stages, improves the quality of life of patients with degenerative-dystrophic diseases of the large joints, is not complicated to implement, low-impact, eliminates the use of hyperbaric oxygenation, reduces the risk of infectious complications and can be recommended for application in medical practice.

Sources of information

1. The patent of Russian Federation №2033762, MCI And 61 In 17/56, 1995

2. USSR author's certificate No. 1438777, MCI And 61 G 10/04, 1988

The method of treatment of the initial stages of deforming arthritis by intraarticular injection of oxygen, characterized in that, to increase the effectiveness of treatment by increasing the concentration of active molecules of oxygen in the input gas mixtures is mperature t=(31±0,5)°With, irradiance = 120-150 MW/cm2, wavelength =0.63 µm, the excessive pressure in the exposure zone (P=0.05 to 1.0 MPa.



 

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FIELD: medicine, orthopedics, traumatology.

SUBSTANCE: one should isolate and dissect the tendons of anterior tibial and long fibular muscles to dissect the tendon of posterior tibial muscle against the site of fixation and direct it towards plantar rear area in front of internal ankle through the tunnel in subcutaneous fiber, then one should subcutaneously direct dissected tendons of anterior tibial and long fibular muscles onto plantar rear area to suture them so to leave free the tendinous end of posterior tibial muscle which should be intraosseously fixed to median wedge bone that keeps the process of foot repulsion during walking.

EFFECT: higher efficiency of therapy.

5 dwg, 1 ex

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