Differentiated pathogenetic approach to the selection of rehabilitation facilities for the patients with the posttraumatic knee and ankle osteoarthrosis

The authors examined two groups of patients with the total number of 417. In the first group (215 people) they applied a methodological approach based on the discrimination of the main clinical syndromes on every stage of osteoarthrosis and in the process of rehabilitation such means and methods that influence the pathogenesis disturbances diagnosed were used. In the second group of patients rehabilitation was conducted with regards of inflammatory process activity in the joint, irrespective of the stage of osteoarthrosis and peculiarities of clinical disease course. The advantages of new practice of rehabilitation process planning of the patients from the first group are shown with the help of special methods of. Therewith the more definite them an second group patients regression of the inflammation changes of the joints is revealed: reduction of thermal skewness, reduction of exudates amount and thickness of synovial membrane, normalization of synovial epithelium analysis, growth of anti-inflammatory cytokines amount. At the same time the decrease of the destruction processes activity in the joint cavity is marked (the decrease of tissue cellular elements in the synovial membrane liquid, the growth of the sickness of the joint cartilage) and, improvement of the synovial homeostasis and regional blood circulation. As a result of these positive changes the decrease of the pain syndrome intensity was revealed and also the improvement of the functional state of the joints, and the increase of the amount of movement within them.

posttraumatic osteoarthrosis, knee and ankle joints, rehabilitation