International Medical Journal, Vol. 22., Iss. 2, 2016, P. 31−34.
DETERMINING CLINICAL EFFICACY OF DEEP TUNNELING IN TREATMENT OF CHONDROMALACIA OF THE KNEE ARTICULAR CARTILAGE
Kharkiv National Medical University, Ukraine
Modern surgery treatment of chondromalacia of the knee joint are aimed at creation of optimal conditions for repair of the cartilage, similar to hyaline cartilage. However, the scientific task of surgery for local cartilage defects of the knee joint is still far from being solved, as clinical and functional outcomes are not always satisfactory. The purpose of the work was to make a comparative analysis of the results of treatment of patients with chondromalacia of the articular cartilage of the knee joint using various reparative techniques. The surgical interventions were performed arthroscopically, microfracturization technique and subchondral tunneling were standard. The method of deep tunneling, the distinctive feature of which is to form the tunnel to the medullary canal is described in detail. The methods of physical rehabilitation in the postoperative period were similar in all patients. Clinical functional results of the treatment were assessed in dynamics according to Tegner−Lysholm procedure. The best treatment results were observed in the clinical group with reparative therapy technique (deep tunneling). The same results of treatment were in clinical groups, which underwent microfracturization and subchondral tunneling technique.
Key words: chondromalacia, articular cartilage, knee joint.