Abstract
A significant role in the pathogenesis of osteoarthritis (OA) belongs to the violation of the natural bioelectrogenesis of bone and cartilage tissue. External correction of bioelectric processes in joint structures by means of an electrostatic electret field is pathogenetically justified and has practical significance in the surgical treatment of degenerative diseases in orthopedics. The article presents an analysis of the results of surgical treatment in 45 patients with stage 2-3 gonarthrosis aged 30 to 70 years using electretes based on tantalum oxide. The results of treatment were evaluated based on the dynamics of the clinical and functional index WOMAC, data from clinical and radiological studies. The positive effect of the electrostatic field of electret in OA was manifested by a decrease in clinical symptoms of the disease, increased functional activity of patients, restraining degenerative changes in joint structures, and improving the quality of daily life during the follow-up period. The positive effect of the electrostatic field of electret is based on the activation of repair of bone-cartilage structures, which allowed to slow down the degradation of subchondral bone and articular cartilage in gonarthrosis.Clinical use of electret stimulators significantly effectively improves joint function which reduces the risk of progression of degenerative changes in the joint especially in patients with the second stage of the disease. The clinical use of electronic stimulators significantly effectively improves joint function which reduces the risk of progression of degenerative changes in the joint especially in patients with the second stage of the disease.The use of electretes in the treatment of patients with stage 3 gonarthrosis can improve the function of the joint for a long time more (2 years) and postpone the endoprosthesis operation.
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