Full cycle of medical rehabilitation of patients after traumatological and orthopedic operations using the example of a specialized federal center

Abstract

Diseases of the osteoarticular system are one of the leading causes of disability in the Russian population. In case of ineffective conservative treatment of patients with arthrosis and arthritis, surgical treatment is performed. An important problem remains complete rehabilitation after surgical interventions. The aim of the study was to present a model of a full cycle of three-stage medical rehabilitation after traumatological and orthopedic operations in a specialized federal center with an assessment of its effectiveness. Materials and methods. The described model includes approaches, methods and means of medical rehabilitation, stages and order of routing of patients after traumatological and orthopedic operations using the example of treatment of patients with gonarthrosis after knee replacement. Clinical and functional indicators were recorded in patients during the rehabilitation process using clinical, instrumental methods, questionnaires, scales, based on the gradations of the International Classification of Functioning, Disability and Health, from the standpoint of logistic efficiency. Results. The full cycle of three-stage medical rehabilitation of patients allowed us to achieve high rates of restoration of limb function and quality of life, ensuring the availability of rehabilitation care at the individual level. Conclusion. The model of a full cycle of medical rehabilitation in the conditions of one medical organization allows for the comprehensive implementation of rehabilitation methods and means, and the maximum use of resources in providing effective rehabilitation care to traumatology and orthopedic patients