Comprehensive conservative treatment as a possible alternative to surgery in difficult orthopedic situations
https://doi.org/10.17650/1818-8338-2022-16-2-K662
Abstract
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.
About the Authors
V. G. Samoday
N. N. Burdenko Voronezh State Medical University, Ministry of Health of Russia
Russian Federation
Russian Federation
Valeriy Grigoryevich Samoday
10 Studencheskaya St., Voronezh, 394036
D. I. Varfolomeev
N. N. Burdenko Voronezh State Medical University, Ministry of Health of Russia
Russian Federation
Russian Federation
10 Studencheskaya St., Voronezh, 394036
V. P. Kuznetsova
N. N. Burdenko Voronezh State Medical University, Ministry of Health of Russia
Russian Federation
Russian Federation
10 Studencheskaya St., Voronezh, 394036
M. I. Rylkov
N. N. Burdenko Voronezh State Medical University, Ministry of Health of Russia
Russian Federation
Russian Federation
10 Studencheskaya St., Voronezh, 394036
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13.
Review
For citations:
Samoday V.G., Varfolomeev D.I., Kuznetsova V.P., Rylkov M.I. Comprehensive conservative treatment as a possible alternative to surgery in difficult orthopedic situations. The Clinician. 2022;16(2):58-63. (In Russ.) https://doi.org/10.17650/1818-8338-2022-16-2-K662
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