Krainukov P. (Federal State Institution «Central Military Clinical Hospital named after P.V. Mandryka», Moscow; Federal State Autonomous Educational Institution of Higher Education «Peoples’ Friendship University of Russia named after Patrice Lumumba», Moscow)
Еvtushenko A. (Federal State Institution «Central Military Clinical Hospital named after P.V. Mandryka», Moscow)
Kokorin V. (Federal State Institution «Central Military Clinical Hospital named after P.V. Mandryka», Moscow)
Goncharov N. (Federal State Institution «Central Military Clinical Hospital named after P.V. Mandryka», Moscow)
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The article presents a long-term result of surgical treatment of a patient with epicondylitis. The issues of the clinic, diagnosis, choice of treatment tactics for this pathology, and the positive aspects of the use of regenerative therapy are considered. The analysis of the obtained results was carried out and the terms of the patient's rehabilitation were determined.
The peculiarity of the presented clinical case lies in a long-term treatment that does not respond to treatment, a systematically recurrent chronic process that is immune to conservative and surgical treatment.
Surgical treatment – revision, excision of foci of chronic inflammation, reinsertion of tendons, tunneling of the lateral epicardium - did not give the expected effect, did not lead to relief of the process. The postoperative period was accompanied by relapses of pain syndrome, contracture of the elbow joint, impaired function of the upper limb, and a persistent decrease in physical activity, which forced the patient to change his habitual lifestyle and professional activities.
The ineffectiveness of the treatment methods used forced us to pay attention to the problem of enthesopathies in general, summarize modern approaches to treatment and focus on the use of cellular engineering technologies in the treatment of this pathology.
The orthobiological approach we developed in the treatment of periarticular tissue pathology, using multipotent mesenchymal stem cells, allowed us to obtain a stable anti-inflammatory and regenerative effect, relieve pain, shorten rehabilitation time, restore the quality and lifestyle of the patient, and return him to his usual professional activity.
Keywords:enthesis, enthesopathy, lateral epicondylitis, regenerative therapy, orthobiology, periarticular tissue, rehabilitation
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Citation link:
Krainukov P. , Еvtushenko A. , Kokorin V. , Goncharov N. LONG-TERM CONSEQUENCES OF SURGICAL TREATMENT OF CHRONIC LATERAL EPICONDYLITIS: CLINICAL OBSERVATION // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2025. -№04. -С. 225-229 DOI 10.37882/2223-2966.2025.04.24 |
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