Treatment of anklejoint injuries from position of biological medicine
Injuries of capsule-ligamentous tissues in the structure of ankle joint trauma are 70–75 %. The consistent symptom in case of ankle joint capsule injury is a posttraumatic edema, which is treated usually with conservative methods (drugs on the basis of aescinum, hand lymphatic drainage, elastic bandages or stocking, exercises for stimulation of «muscular pump»). Perspective is the applying for treatment of bioregulation drugs. Objective: to conduct the comparative analysis of dynamics of posttraumatic edema and pain regression in patients with ankle joint injuries with ITIRES medication («PEKANA Naturheilmittel GmbH», Germany) and reference drug of base therapy. Methods: we included 30 patients (middle age (39.4 ± 8.3) of years) with ruptures, tensions and overstrains of capsule-ligamentous tissues of ankle joint (S93.2, S93.4 on International Classification of Diseases 10th Revision). Patients were divided into two groups: Р (15 patients) — combination of ITIRES drug (drops, ointment) was used during 14 days, C (control, 15 patients) — standard antiedemic drugs on the basis of aescinum. We studied the changes of volume of the damaged extremity. Results: for the patients of group Р an antiedemic effect was marked already on the third day after trauma. On the 5th day the volume of the damaged extremity of relatively initial size was reduced on the average on 7 % against 1 % (р < 0.05) compare to control group. At the end of the first week of posttraumatic period the mean value of volume diminished on 11.9 % in a group Р compare to 1.7 % in a group C, on the 14th day — 18.3 % compare to 9.5 %. Decreasing of pain syndrome intensity for the patients of the group Р was observed on the end of the 3rd day period day with subsequent reducing to the 5th day; in the control group — on the 7th day period. Conclusions: efficiency of ITIRES application is shown in complex therapy of posttraumatic edema for patients with the ankle joint injuries.
Full Text:PDF (Українська)
Witjes, S., Gresnigt, F., Van den Bekerom, M. P., Olsman, J. G., & Van Dijk, N. C. (2012). The ANKLE TRIAL (ANKLE treatment after injuries of the ankle ligaments): what is the benefit of external support devices in the functional treatment of acute ankle sprain? : a randomised controlled trial. BMC Musculoskeletal Disorders, 13 (1), 21. doi: 10.1186/1471-2474-13-21
McCarthy J. J., & Drennan, J. C. (2009). Drennan's The Child's Foot and Ankle. Lippincott Williams & Wilkins.
Maffulli, N., & Ferran, N. A. (2008). Management of Acute and Chronic Ankle Instability. Journal of the American Academy of Orthopaedic Surgeons, 16 (10), 608–615. doi: 10.5435/00124635-200810000-00006
Savinykh, T. O. (2015). Damage to the capsule-ligamentous apparatus of the ankle joint in children and adolescents: abstract of a candidate of medical sciences. Moscow. [in Russian]
Tarshinova, L. O., Yelchits, T. V., & Zaitsev, D. V. (2015). The method of volume pneumatic pressure in the treatment of limb lymphedema. Collection of Scientific Papers of PL Shupyk NMAPE Employees, 24 (3), 142–146. [in Ukrainian]
Ko, D. S., Lerner, R., Klose, G., & Cosimi, A. B. (1998). Effective Treatment of Lymphedema of the Extremities. Archives of Surgery, 133 (4), 452. doi:10.1001/archsurg.133.4.452
Chikly, B. (2002). Silent Waves. Theory and practice of Lymph Drainage Therapy. An Osteopathic Lymphatic technique. I.H.H Publishing, Scottsdale, Arizona.
Klimenko, V. G. (2013). The main provisions of the pathogenetic bioregulatory approach in general therapeutic practice. Biological Therapy, 1, 8–11. [in Russian]
Popovich, S. V., & Ivanushko, O. V. (2016). Traumeel C: a bioregulatory approach to pain therapy for diseases of the spine and joints. Pain. Joints. Spine, 3 (23), 51–56. [in Russian]
Hirhe, K., & Kaim, W. (2015). Lymphatic System: A Practical Guide. Kiev. (in Russian)
Kavalersky, G. M., & Silin, L. L. (2014). Application of Target T in orthopedics for the treatment of degenerative diseases (analytical review). Breast cancer, 8, 1377–1383. [in Russian]
Shuba, V. J. (2016). Osteoarthrosis: early diagnosis and treatment. Ukrainian Medical Journal, 1, 59–66. (in Ukrainian)
Kuznetsova, L. V., & Litus, V. I. (2018). Clinical and immunological features of the course of chronic obstructive pulmonary disease and new approaches to treatment in complex therapy. Ukrainian Homeopathic Schorichnik, XV, 70–74. (in Russian)
Konechna, R. T., Petrina, R. O., & Novikov, V. P. (2015). Retention of extracts of calusa masa and roslinny syrovini Arnica montana L. Pharmaceutical technology and biopharmacy, 1–2, 100–104. [in Ukrainian]
Hirhe, K., & Kaim, W. (2015). Lymphatic System: A Practical Guide. Kiev. [in Russian]
Konechna, R. T., Petrina, R. O., Novikov, V. P. & [et al.] (2015). Preparation of callus mass extracts and plant raw materials Arnica montana L. Pharmaceutical Technology and Biopharmacy, 1–2, 100–104. [in Ukrainian]
Copyright (c) 2020 Volodymyr Shuba
This work is licensed under a Creative Commons Attribution 4.0 International License.