Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics149610.21823/2311-2905-2020-26-4-163-174ReviewsОбзорыReviewsManagement of Chronic Pain Syndrome in Knee Osteoarthritis with Selective Embolization of Popliteal Artery Branches: ReviewЛечение стойкого болевого синдрома при остеоартрите коленного сустава методом селективной эмболизации ветвей подколенной артерии: обзор литературыhttps://orcid.org/0000-0001-6235-7193KozadaevM. N.КозадаевМ. Н.
Russian Federation

Maksim N. Kozadaev — Cand. Sci. (Med.), Researcher, Department of Fundamental, Clinical and Experimental Research

Saratov

Козадаев Максим Николаевич — канд. мед. наук, младший научный сотрудник отдела фундаментальных и клинико-экспериментальных исследований

г. Саратов

m_kozadaev_ortoped@mail.ruhttps://orcid.org/0000-0003-0565-5172ShchanitsynI. N.ЩаницынИ. Н.
Russian Federation

Ivan N. Shchanitsyn — Cand. Sci. (Med.), Senior Researcher, Department of Innovative Projects for Neurosurgery and Vertebrology

Saratov

Щаницын Иван Николаевич — канд. мед. наук, старший научный сотрудник отдела инновационных проектов в нейрохирургии и вертебрологии

г. Саратов

dr.green@list.ruhttps://orcid.org/0000-0001-5847-1153GirkaloM. V.ГиркалоМ. В.
Russian Federation

Mikhail V. Girkalo — Cand. Sci. (Med.), Deputy Director

Saratov

Гиркало Михаил Владимирович — канд. мед. наук, заместитель директора по лечебной работе

г. Саратов

girkalo@mail.ruhttps://orcid.org/0000-0001-9474-9095BazhanovS. P.БажановС. П.
Russian Federation

Sergey P. Bazhanov — Cand. Sci. (Med.), Leading Researcher, Department of Innovative Projects for Neurosurgery and Vertebrology

Saratov

Бажанов Сергей Петрович — канд. мед. наук, ведущий научный сотрудник отдела инновационных проектов в нейрохирургии и вертебрологии

г. Саратов

baj.s@mail.ruhttps://orcid.org/0000-0002-9466-8348UlyanovV. Yu.УльяновВ. Ю.
Russian Federation

Vladimir Yu. Ulyanov — Dr. Sci. (Med.), Deputy Director

Saratov

Ульянов Владимир Юрьевич — д-р мед. наук, заместитель директора по научной и инновационной деятельности

г. Саратов

v.u.ulyanov@gmail.comhttps://orcid.org/0000-0003-1822-1939KautsO. A.КауцО. А.
Russian Federation

Oleg A. Kauts — Cand. Sci. (Med.), Senior Researcher, Department of Innovative Projects for Traumatology and Orthopedics

Saratov

Кауц Олег Андреевич — канд. мед. наук, старший научный сотрудник отдела инновационных проектов в травматологии и ортопедии

г. Саратов

oandreevich2009@yandex.ruV.I. Razumovsky Saratov State Medical University, Scientific Research Institute of Traumatology, Orthopedics and NeurosurgeryФГБОУ ВО «Саратовский государственный медицинский университет им. В.И. Разумовского» Минздрава России, НИИ травматологии, ортопедии и нейрохирургии161220202641631741407202014092020https://journal.rniito.org/jour/article/view/1496

Background. Treatment of knee osteoarthritis (OA) in early stages as well as the pain syndrome associated with it usually suggests the combination of medicines and physical therapy means. However, no method has proven its absolute efficiency yet. Transcatheter arterial embolization of popliteal branches is a new minimally invasive treatment that is currently being studied and tested. The objective of our research was the analysis as well as generalization of the outcomes of the pain syndrome in knee OA treatment with the selective embolization of popliteal branches. Materials and Methods. The reviewed articles were retrieved from PubMed database and eLIBRARY digital library considering the criteria like the emboli material, size, and type; possible complications and their effect on the outcome; the patient enrolment criteria for this type of surgical management; the short and long-term outcomes. Results. Transcatheter arterial embolization of popliteal branches is a new minimally invasive method of knee OA treatment. All authors revealed the pathology growth of the vasculature and its complete embolization as a result of the intervention. The review articles present a significant abatement in patients resistant to conventional medical treatment, minimal possible complications, and good long-term outcomes. Conclusion. Since this method of knee OA management is new and understudied, and the number of the published findings does not exceed two hundred it required further thorough investigation and randomized clinical trials.

Актуальность. Лечение остеоартрита коленного сустава на ранних стадиях и сопровождающего его болевого синдрома чаще всего состоит из комбинации фармакологической терапии, лечебной физкультуры и физиотерапии, однако методики, демонстрирующей свою абсолютную эффективность, до сих пор нет. В числе новых малоинвазивных способов лечения в настоящее время исследуется и апробируется транскатетерная артериальная эмболизация (ТАЭ) ветвей подколенной артерии. Цель исследования — определить место транскатетерной артериальной эмболизации в структуре современных методов лечения гонартроза на основе анализа научных публикаций. Материал и методы. Поиск источников проводился в электронных базах PubMed и eLIBRARY с 2010 по 2020 г. Результаты. ТАЭ подколенных артерий является новым минимально инвазивным способом лечения остеоартрита коленного сустава. Авторы всех публикаций отмечают наличие патологически разросшейся сосудистой сети и 100% технический успех её эмболизации. Опубликованные результаты исследований демонстрируют снижение болевого синдрома у больных, резистентных к консервативному лечению, минимальные возможные осложнения и хорошие отдаленные исходы. Заключение. Учитывая, что способ лечения остеоартрита коленного сустава методом ТАЭ является новым, а количество всех опубликованных результатов не превышает двухсот, необходимо его дальнейшее разностороннее изучение и проведение рандомизированных клинических исследований.

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