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Принципы хирургического лечения больных с остеоартритом I плюснефалангового сустава

https://doi.org/10.14412/1995-4484-2018-363-372

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Аннотация

В настоящее время не существует общего подхода к выбору хирургической тактики при hallux rigidus. Используется множество способов хирургического лечения остеоартрита (ОА) I плюснефалангового сустава (I ПФС), актуальных при разных стадиях заболевания. Тем не менее данный факт также свидетельствует о том, что все предложенные методы имеют те или иные недостатки. При этом «золотым стандартом» остается артродез I ПФС, избавляющий пациентов от боли, но в функциональном плане уступающий суставосберегающим операциям. Однако в связи с тем, что ОА I ПФС нередко страдают не только лица старше 50 лет, но и более молодые пациенты, наиболее щадящим вариантом суставосберегающих операций представляется хейлэктомия с хондропластикой I ПФС, позволяющая восстановить безболезненные движения в суставе, при этом не изменяя анатомию стопы. Хондропластика методом аутологичного матрикс-индуцированного хондрогенеза (Authologous Matrix Induced Chondrogenesis – AMIC®) описана при наличии дефектов хряща в коленном, тазобедренном и голеностопном суставах. Описание хондропластики I ПФС методом AMIC не встречается ни в отечественной, ни в зарубежной литературе.

Об авторе

М. Р. Нурмухаметов
ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»
Россия

аспирант первого года, травматолого-ортопедическое отделение (научный руководитель – к.м.н. М.А. Макаров, руководитель лаборатории ревмоортопедии и реабилитации)

115522, Москва, Каширское шоссе, 34А



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Для цитирования:


Нурмухаметов М.Р. Принципы хирургического лечения больных с остеоартритом I плюснефалангового сустава. Научно-практическая ревматология. 2018;56(3):363-372. https://doi.org/10.14412/1995-4484-2018-363-372

For citation:


Nurmukhametov M.R. PRINCIPLES OF SURGICAL TREATMENT IN PATIENTS WITH OSTEOARTHRITIS OF THE FIRST METATARSOPHALANGEAL JOINT. Rheumatology Science and Practice. 2018;56(3):363-372. (In Russ.) https://doi.org/10.14412/1995-4484-2018-363-372

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ISSN 1995-4484 (Print)
ISSN 1995-4492 (Online)