A.A. BOGOV, R.I. MULLIN, R.R. FASAKHOV

Republic Clinical Hospital of the MH of RT, Kazan

Contact details:

Bogov A.A. — MD, professor of the Department of Endoscopy, General and Endoscopic Surgery, Chief Researcher of the Research Department, Head of Traumatology Department № 2

Address: 138 Orenburgskiy Trakt, Kazan, 420064, tel. +7-987-290-99-55, е-mail: Bogov_a@mail.ru

Treatment of contractures caused by posttraumatic arthrosis is a serious problem due to its wide prevalence and difficulty of treatment. In this article we describe the method of contractures treatment. During the experiment, we selected 3 groups of patients with hand joints contractures, who repeatedly received inconclusive physiotherapy. Patients of the first group were injected platelet rich plasma, of the second group – hyaluronic acid, and of the third group – a combination of both. Subsequently, we studied the results with the upper limb inability scale and the visual analogous pain scale. The results suggest a good result of the combination of hyaluronic acid and plasma: pain is reduced, joints become more elastic, there is a possibility of deeper working out of the joints, which has a positive effect on the treatment results. 

Key words: joint contracture, hyaluronic acid, platelet-rich plasma.

(For citation: Bogov A.A, Mullin R.I., Fasakhov R.R. PRP therapy and hyaluronic acid in the treatment of patients with hand joints osteoarthritis accompanied with contractures. Practical Medicine. 2019). Vol. 17, № 6 (part 2), P. 17-19 )

REFERENCES

1. Fominykh A.A. Khirurgicheskaya taktika pri povrezhdeniyakh i zabolevaniyakh sustavov kisti: avtoref. dis. … kand. med. nauk [Surgical tactics for injuries and diseases of the joints of the hand. Synopsis of dis. PhD med. sciences]. Novosibirsk, 1998.
2. Skvortsova M.A. Operativnoe lechenie zakrytykh povrezhdeniy svyazok sustavov pal’tsev kisti: dis. … kand. med. nauk [Surgical treatment of closed injuries of the ligaments of the joints of the fingers. Dis. PhD med. sciences]. Moscow, 2003.
3. Mazurov V.I., Lila A.M. Revmatoidnyy artrit. Klinicheskaya revmatologiya [Rheumatoid arthritis. Clinical Rheumatology]. Saint Petersburg: Foliant, 2005. Pp. 87–140.
4. Culav E.M., Clark C.H., Merrilees M.J. Connective Tissues: Matrics Composition and its Relevance to Physical Therapy. Phys. Ther, 1999, vol. 79, pp. 308–319.
5. Akeson W.H., Amiel D., Woo S. Immobility effects on synovial joints: The patho-mechanics of joint contracture. Biorheology, 1980, vol. 17 (1/2), pp. 95–110.
6. De Deyne P.G. Application of Passive Stretch and its Implications for Muscle Fibres. Phys. Ther, 2001, vol. 81, pp. 821–822.
7. Volkov V.P., Zelenetskiy A.N., Akopova T.A., Zhorin V.A., Khabarov V.N., Selyanin M.A., Selyanina O.N. Sposob polucheniya sshitykh soley gialuronovoy kisloty. Patent RU 2366665. 3.12.2007 [A method of obtaining a crosslinked salt of hyaluronic acid. Patent RU 2366665. 3.12.2007].
8. Khabarov V.N., Selyanin M.A., Zelenetskiy A.N. Solid-phase modification of hyaluronic acid for the purposes of aesthetic medicine. Vestnik esteticheskoy meditsiny, 2008, no. 7 (3), pp. 2–7 (in Russ.).