Comprehensive conservative treatment as a possible alternative to surgery in difficult orthopedic situations

Autor: V. G. Samoday, D. I. Varfolomeev, V. P. Kuznetsova, M. I. Rylkov
Jazyk: ruština
Rok vydání: 2022
Předmět:
Zdroj: Klinicist, Vol 16, Iss 2, Pp 58-63 (2022)
Druh dokumentu: article
ISSN: 1818-8338
DOI: 10.17650/1818-8338-2022-16-2-K662
Popis: Osteoarthritis, both idiopathic and post-traumatic, is currently the most significant problem in orthopedics. It is particularly difficult to treat patient with comorbidities, when it is necessary to decide on surgery for a late-stage joint disease. An operation is associated with a great risk in such patients. Even if the patient does not have serious somatic disorders, the main task of doctors (and this is a multidisciplinary problem) is to prolong joint functioning and maintain the patient’s quality of life.In this article, we report difficult cases, when a complex of non-pharmacological (therapeutic exercise, physiotherapy, orthobiology – PRP therapy) and pharmacological (nonsteroidal anti-inflammatory drugs, chondroprotectors, vitamins, calcium, tissue repair stimulants) treatments ensured a good effect, thereby maintaining the joint function and adequate quality of life without surgery. We also found that the use of Ambene® Bio (a chondroprotector) increased treatment efficacy.
Databáze: Directory of Open Access Journals