medjournalМедицинский журналMedical Journal1818-426XБелорусский государственный медицинский университет10.51922/1818-426X.2022.2.21medjournal-26Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESМестная инфильтрационная анестезия при тотальном эндопротезировании коленного суставаLocal infiltration anesthesia in total knee endoproshesisАлькатаунеМохаммад АлиAlqatawnehMohammad Ali

Минск

ЖукЕ. В.ZhukE. V.

Минск

БеспальчукП. И.BespalchukP. I.

Минск

УО «Белорусский государственный медицинский университет»Belarus202217062025022125Copyright © Алькатауне М., Жук Е.В., Беспальчук П.И., 20252025Алькатауне М., Жук Е.В., Беспальчук П.И.Alqatawneh M., Zhuk E.V., Bespalchuk P.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medjournal.ejournal.by/jour/article/view/26

Гонартроз – хроническое прогрессирующее дегенеративно-дистрофическое заболевание коленного сустава, характеризующееся деструкцией суставного хряща, изменениями суставных поверхностей эпифизов костей и околосуставных мягких тканей. Тотальное эндопротезирование коленного сустава (ТЭКС) является эффективным и часто единственным способом восстановления утраченной функции конечности, когда консервативное лечение или сохраняющие сустав оперативные вмешательства не дают результата. ТЭКС – это реконструктивное хирургическое вмешательство, заключающееся в замещении патологически измененных сочленяющихся суставных поверхностей бедренной и большеберцовой костей (в некоторых случаях и надколенника) на искусственные для ликвидации или уменьшения интенсивности болевого синдрома, восстановления подвижности в коленном суставе и опороспособности нижней конечности. Неудовлетворенность качеством послеоперационного обезболивания при проведении (ТЭКС) требует поиска новых схем и методик лечения. В последние годы все более популярным становится использование местной инфильтрационной анестезии и блокады периферических нервов. Объект исследования – 138 пациентов (114 женщин и 24 мужчины) с эндопротезированием коленного сустава, находившихся на лечении в УЗ «6 ГКБ г. Минска» с 2019 по 2020 годы.

Gonarthrosis is a chronic progressive degenerative-dystrophic disease of the knee joint, characterized by destruction of the articular cartilage, changes in the articular surfaces of the epiphyses of the bones and periarticular soft tissues. Total knee arthroplasty (TKA) is an effective and often the only way to restore lost limb function when conservative treatment or joint-preserving surgery fails. TKA is a reconstructive surgical intervention that consists in replacing pathologically altered articular surfaces of the femur and tibia (in some cases, the patella) with artificial ones to eliminate or reduce the intensity of the pain syndrome, restore mobility in the knee joint and support ability of the lower limb. Dissatisfaction with the quality of postoperative pain relief (TKA) requires the search for new schemes and methods of treatment. In recent years, the use of local infiltration anesthesia and peripheral nerve blocks has become increasingly popular. The object of the study is 138 patients (114 women and 24 men) with knee arthroplasty who were treated at the 6th City Clinical Hospital of Minsk from 2019 to 2020.

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