rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.47360/1995-4484-2024-319-324rsp-3580Research ArticleРЕВМООРТОПЕДИЯ И РЕАБИЛИТАЦИЯORTHOPEDIC RHEUMATOLOGY AND REHABILITATIONОценка эффективности консервативного лечения больных остеоартритом коленного сустава III стадии с применением функциональных разгружающих ортезов с возможностью варус-вальгусной коррекцииEvaluation of the effectiveness of conservative treatment of patients with stage III osteoarthritis of the knee joint using functional unloading orthoses with the possibility of varus-valgus correctionhttps://orcid.org/0000-0002-5626-7404МакаровМ. А.MakarovM. A.

115522, Москва, Каширское шоссе, 34а

Maxim A. Makarov

115522, Moscow, Kashirskoye Highway, 34A

 

https://orcid.org/0000-0002-7179-8174НестеренкоВ. А.NesterenkoV. A.

Нестеренко Вадим Андреевич

115522, Москва, Каширское шоссе, 34а

Vadim A. Nesterenko

115522, Moscow, Kashirskoye Highway, 34A

swimguy91@mail.ruhttps://orcid.org/0000-0002-3745-0924БяликВ. Е.BialikV. E.

115522, Москва, Каширское шоссе, 34а

Valerii E. Bialik

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0002-4579-2836ЗоткинЕ. Г.ZotkinE. G.

115522, Москва, Каширское шоссе, 34а

Evgeniy G. Zotkin

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0001-7938-1536БяликЕ. И.BialikE. I.

115522, Москва, Каширское шоссе, 34а

Evgeny I. Bialik

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0001-8563-0631МакаровС. А.MakarovS. A.

115522, Москва, Каширское шоссе, 34а

Sergey A. Makarov

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0002-1391-0711КаратеевА. Е.KarateevA. E.

115522, Москва, Каширское шоссе, 34а

Andrey E. Karateev

115522, Moscow, Kashirskoye Highway, 34A

https://orcid.org/0000-0002-5256-7346БяликА. А.BialikA. A.

115522, Москва, Каширское шоссе, 34а

Anastasia A. Bialik

115522, Moscow, Kashirskoye Highway, 34A

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation202427062024623319324Copyright © Макаров М.А., Нестеренко В.А., Бялик В.Е., Зоткин Е.Г., Бялик Е.И., Макаров С.А., Каратеев А.Е., Бялик А.А., 20242024Макаров М.А., Нестеренко В.А., Бялик В.Е., Зоткин Е.Г., Бялик Е.И., Макаров С.А., Каратеев А.Е., Бялик А.А.Makarov M.A., Nesterenko V.A., Bialik V.E., Zotkin E.G., Bialik E.I., Makarov S.A., Karateev A.E., Bialik A.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/3580

Цель исследования – оценить эффективность и безопасность применения функционального разгружающего ортеза с возможностью варус-вальгусной коррекции (ФРОВВК) у пациентов с остеоартритом коленного сустава III стадии.

Материалы и методы

Материалы и методы. В исследовании приняли участие 10 пациентов с остеоартритом коленного сустава III стадии, которые проходили амбулаторное лечение в ФГБНУ НИИР им. В.А. Насоновой. Все больные в течение 3 месяцев использовали ФРОВВК. Для оценки результатов определяли интенсивность боли по визуальной аналоговой шкале (ВАШ) и функцию коленного сустава по опроснику травм коленного сустава и исходам остеоартрита KOOS (Knee injury and Osteoarthritis Outcome Score) до начала использования ортеза, через 1 и 3 месяца. Дополнительно оценка по ВАШ проводилась сразу после фиксации ортеза на коленном суставе.

Результаты

Результаты. Медиана возраста пациентов составила 63,5 [55,0; 74,0] года, индекса массы тела – 29,9 [27,9; 34,0] кг/м2, боли по ВАШ исходно – 40,0 [40,0; 60,0] мм, боли по ВАШ через 1 ч после начала использования ФРОВВК – 25,0 [10,0; 30,0] мм, боли по ВАШ через 1 мес. – 10,0 [0,0; 20,0] мм, боли по ВАШ через 3 мес. – 10,0 [0,0; 20,0] мм. Медиана счета по опроснику KOOS исходно составила 41,5 [38,0; 50,0], через 1 мес. – 61,0 [53,0; 63,0], через 3 мес. – 63,5 [58,0; 64,0]. Ни у кого из больных не отмечались нежелательные явления при ношении ФРОВВК.

The aim of the study – Is to evaluate the effectiveness and safety of the use of a functional unloading orthosis with the possibility of varus–valgus correction (FUOVVC) in patients with stage III osteoarthritis of the knee joint.

Materials and methods

Materials and methods. The study involved 10 patients with stage III osteoarthritis of the knee joint who underwent outpatient treatment at the V.A. Nasonova Federal State Medical University of the Russian Academy of Medical Sciences. All patients used the FUOVVC for 3 months. To evaluate the results, pain intensity was determined using a visual analog scale (VAS) and knee joint function according to the knee injury and osteoarthritis KOOS (Knee injury and Osteoarthritis Outcome Score) questionnaire before using the orthosis, after 1 and 3 months. Additionally, the assessment of VAS was carried out immediately after fixation of the orthosis on the knee joint.

Results

Results. The median age of the patients was 63.5 [55.0; 74.0] years, body mass index – 29.9 [27.9; 34.0] kg/m2, pain according to VAS baseline – 40.0 [40.0; 60.0] mm, pain according to VAS 1 hour after the start of the use of The median age of the patients was 63.5 [55.0; 74.0] years, body mass index – 29.9 [27.9; 34.0] kg/m2, pain according to VAS baseline – 40.0 [40.0; 60.0] mm, pain according to VAS 1 hour after the start of the use of FUOVVC – 25.0 [10.0; 30.0] mm, pain according to VAS after 1 month – 10.0 [0.0; 20.0] mm, VAS after 3 months – 10.0 [0.0; 20.0] mm. The median score according to the KOOS questionnaire was initially 41.5 [38.0; 50.0], after 1 month – 61.0 [53.0; 63.0], after 3 months – 63.5 [58.0; 64.0]. None of the patients had any adverse events when wearing the FUOVVC. – 25.0 [10.0; 30.0] mm, pain according to VAS after 1 month – 10.0 [0.0; 20.0] mm, VAS after 3 months – 10.0 [0.0; 20.0] mm. The median score according to the KOOS questionnaire was initially 41.5 [38.0; 50.0], after 1 month – 61.0 [53.0; 63.0], after 3 months – 63.5 [58.0; 64.0]. None of the patients had any adverse events when wearing the FUOVVC.

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The authors declare that there are no conflicts of interest present.