Abstract
Aim - to improve the results of treatment of patients with complex regional pain syndrome (CRPS) in bone fractures of the lower extremities by applying a new integrated approach. Methods. A new approach to solving the problem of complex regional pain syndrome in fractures of lower limb bones is proposed, including the use of modern minimally invasive methods for surgical treatment of fractures of the lower limb bones, such as blocked osteosynthesis, Fixion technology, use of angular stability plates, metal structures for osteosynthesis of the proximal femur. All these measures help to minimize the negative effect that is produced on the bone by such factors as prolonged immobilization and absence of early movements of the joints, which will make it possible to perform CRPS prophylaxis in bone fractures of the lower limbs more effectively. If it is not possible to prevent the development of CRPS, then it is necessary to administer complex therapy, including psychoemotional correction, adherence to the regime, proper immobilization, rehabilitation exercises, physiotherapy, medical treatment, hyperbaric oxygenation, and gravitational therapy. Results. Clinical tests, radiography, densitometry, method of statistical analysis and mathematical modeling with elements of evidencebased medicine objectively confirmed the activation of the restorative processes in altered tissues of the lower limbs due to the use of the new complex. Conclusion. The analysis of the obtained data of clinical and functional methods of research has proved that the total value of positive results is 80%.
Highlights
Цель — улучшить результаты лечения больных с Комплексный регионарный болевой синдром (КРБС) при переломах костей нижних конечностей за счет применения нового комплексного подхода
Предложен новый подход к решению проблемы комплексного регионарного болевого синдрома при переломах костей нижних конечностей
A new approach to solving the problem of complex regional pain syndrome in fractures of lower limb bones is proposed, including the use of modern minimally invasive methods for surgical treatment of fractures of the lower limb bones, such as blocked osteosynthesis, Fixion technology, use of angular stability plates, metal structures for osteosynthesis of the proximal femur. All these measures help to minimize the negative effect that is produced on the bone by such factors as prolonged immobilization and absence of early movements of the joints, which will make it possible to perform CRPS prophylaxis in bone fractures of the lower limbs more effectively
Summary
Цель — улучшить результаты лечения больных с КРБС при переломах костей нижних конечностей за счет применения нового комплексного подхода. Предложен новый подход к решению проблемы комплексного регионарного болевого синдрома при переломах костей нижних конечностей. Он включает применение современных малоинвазивных методов хирургического лечения переломов костей нижних конечностей, таких как блокируемый остеосинтез, технологии Fixion, использование пластин с угловой стабильностью, а также применение новой металлоконструкции для остеосинтеза проксимального отдела бедра. Это позволяет свести к минимуму негативное воздействие на кость таких факторов, как длительная иммобилизация и отсутствие ранних движений в суставах, и более эффективно осуществлять профилактику КРБС при переломах костей нижних конечностей. Клинические тесты, рентгенография, денситометрия, метод статистического анализа и математического моделирования с элементами доказательной медицины объективно подтвердили активизацию восстановительных процессов в измененных тканях нижних конечностей при использовании нового комплекса. Aim – to improve the results of treatment of patients with complex regional pain syndrome (CRPS) in bone fractures of the lower extremities by applying a new integrated approach
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