genortГений ортопедииGenij Ortopedii1028-44272542-131XЦЕНТР ИЛИЗАРОВА10.18019/1028-4427-2021-27-1-92-96genort-2607Research ArticleСлучай из практикиCase reportДистракционная артропластика голеностопного сустава с использованием аппарата Илизарова и артроскопической техники: первый клинический опытAnkle distraction arthroplasty using the Ilizarov external fixation and arthroscopy: first clinical experienceЛеончукС. С.LeonchukS. S.

Леончук Сергей Сергеевич, к. м. н.,

г. Курган

Sergei S. Leonchuk, M.D., Ph.D.,

Kurgan

leon4yk@mail.ruОстровскихЛ. А.OstrovskikhL. A.

Островских Лариса Анатольевна,

г. Курган

Larisa A. Ostrovskikh, M.D.,

Kurgan

leon4yk@mail.ruСазоноваН. В.SazonovaN. V.

Сазонова Наталья Владимировна, д. м. н.,

г. Курган

Natalia V. Sazonova, M.D., Ph.D.,

Kurgan

nv.sazonova@yandex.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр травматологии и ортопедии имени академика Г.А. Илизарова» Министерства здравоохранения Российской ФедерацииРоссияIlizarov National Medical Research Centre for Traumatology and OrthopedicsRussian Federation202128022021271№ 1 (2021)9296Copyright © Леончук С.С., Островских Л.А., Сазонова Н.В., 20212021Леончук С.С., Островских Л.А., Сазонова Н.В.Leonchuk S.S., Ostrovskikh L.A., Sazonova N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ilizarov-journal.com/jour/article/view/2607

В статье представлено клиническое наблюдение комбинированного лечения пациента 27 лет с выраженным болевым синдромом на фоне посттравматического крузартроза, развившегося вследствие спортивной травмы. Пациенту в РНЦ «ВТО» была выполнена дистракция аппаратом Илизарова и лечебно-диагностическая артроскопия голеностопного сустава с последующей разгрузкой и ЛФК в аппарате в течение 1,5 месяцев. В отдаленном периоде наблюдения после комплексного лечения, включающего оперативное пособие, курс физиопроцедур и лечебной физкультуры, отмечено нивелирование болевого синдрома и улучшение функциональных возможностей пациента. Применение данной комбинированной техники может быть использовано как новый альтернативный путь лечения пациентов с посттравматическими изменениями голеностопного сустава. 

We report a clinical case of a 27-year-old patient with posttraumatic painful ankle arthritis following sport injury treated with combined methods. The patient underwent ankle distraction arthroplasty with original Ilizarov apparatus and arthroscopic diagnosis and treatment of the ankle injury followed by the joint unloading and exercise therapy with frame on performed for 6 weeks at the Kurgan Ilizarov Center. The patient could improve pain relief and function at a long term following comprehensive treatment including surgical intervention, a course of physical procedures and exercise therapy. The combined technique can be used as an alternative treatment for patients with posttraumatic ankle arthritis.

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The authors declare that there are no conflicts of interest present.