Novosti
Khirurgii

 This journal is
indexed in Scopus
journal cover
android icon Android Applicaion

Year 2010 Vol. 18 No 6

GENERAL AND SPECIAL SURGERY

KATORKIN S.E., YAROVENKO G.V., MYSHENTSEV P.N., SIZONENKO YA.V.

FEATURES OF MUSCELOSKELETAL SYSTEM BIOMECHANICAL CHANGES IN CHRONIC LOWER LIMBS LYMPHATICOVENOUS INSUFFICIENCY

Objectives. Improvement of the functional diagnostics at chronic lymph-venous insufficiency of the lower limbs using the biochemical methods of investigation.
Methods. 116 patients with lymph-venous insufficiency of C4-C6 classes (according to CEAP) and 28 practically healthy people were examined. The clinical movement analysis was performed, applying apparatus-software complex «MBN-Biomechanika» including podometrics, plantography, electromyography and goniometry.
Results. Scoliosis was found out in 56% of the patients; in 28% osteochondrosis was observed; arthrosis-arthritis was diagnosed in 45%; various disturbances of the foot configuration were seen in 89% of all investigations. The most obvious pathology of the skeletal system was noted in the classes C5-C6. Functional insufficiency of the lower limbs with the locomotor function pathology of the talocrural joint was established to develop in the classes C4-C6.
Conclusions. Functional insufficiency and static-dynamic disturbances in patients with chronic lymph-venous insufficiency of C4-C6 testified to the failure of compensatory reactions of the skeletal system that should be taken into consideration while carrying out medical rehabilitation.

Keywords: biomechanics, chronic lymph-venous insufficiency, static-dynamic disturbances
p. 50 – 57 of the original issue
References
  1. Jeanneret-Gris-Iseli, C. 50 years of phlebology / C. Jeanneret-Gris-Iseli, K. Burnand // XVІ World Congress of the Union Internationale de Phlebologie: e-abstract book. – Monaco, 2009. – P. 2-3.
  2. Флебология: руководство для врачей / В. С. Савельев [и др.]; под ред. В. С. Савельева. – М.: Медицина, 2001. – 664 с.
  3. Косинец, А. Н. Варикозная болезнь / Н. А. Косинец, С. А. Сушков. – Витебск: ВГМУ, 2009. – 415 с.
  4. Bergan, J. J. Chronic venous disease / J. J. Bergan, G. W. Schmid-Schonbein, P. D. Coleridge-Smith // Minerva Cardioangiol. – 2007. – Vol. 55, N 4. – P. 459-476.
  5. Risk factor and underlying mechanisms for venous stasis syndrome: a population-based case-control study / A. A. Ashrani [et al.] // Vasc. Med. – 2009. – Vol. 14, N 4. – P. 339-349.
  6. Яровенко, Г. В. Роль биомеханических исследований при хронической лимфовенозной недостаточности нижних конечностей / Г. В. Яровенко, С. Е. Каторкин, П. Н. Мышенцев // Новости хирургии. – 2010. – № 2. – С. 56-63.
  7. Жуков, Б. Н. Инновационные технологии в диагностике, лечении и медицинской реабилитации больных хронической венозной недостаточностью нижних конечностей / Б. Н. Жуков, С. Е. Каторкин. – Самара: Сам. отд. Литфонда, 2010. – 383 с.
  8. Жуков, Б. Н. Медицинская реабилитация больных хронической венозной недостаточностью нижних конечностей: учебное пособие / Б. Н. Жуков, С. Е. Каторкин, Я. В. Сизоненко; ГОУ ВПО «Самар. Гос. Мед. Ун-т». – Самара: Самар. отд. Литфонда, 2009. – 164 с.
  9. Батышева, Т. Т. Современные технологии диагностики и реабилитации в неврологии и ортопедии / Т. Т. Батышева, Д. В. Скворцов, А. И. Труханов. – М.: Медика, 2005. – 256 с.
  10. Скворцов, Д. В. Диагностика двигательной патологии инструментальными методами: анализ походки, стабилометрия / Д. В. Скворцов, Т. М. Андреева. – М., 2007. – 640 с.
Contacts | ©Vitebsk State Medical University, 2007-2023