Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical Surgery2070-478X2409-143XVoronezh State Medical University3810.18499/2070-478X-2015-8-4-364-368UnknownMethod of Treatment Posttraumatic Synovitis Using Aqueous Anolyte and Catholytesurgery-v@yandex.ruadmin@vestnik-surgery.comsurgery-v@yandex.ruantonostroushko@yandex.ruVoronezh State Medical University named after N. Burdenko, Studencheskaya str. 10, Voronezh, 394036,
Russian FederationCity clinical hospital number 2 named after K. Fedyaevsky, Revolucii av. 12, Voronezh, 394009, Russian
Federation24122015843643682504201625042016Copyright © 2015, ., ., ., .2015<div style="left: 109.495px; top: 868.659px; font-size: 15px; font-family: serif; transform: scaleX(1.01358);" data-canvas-width="67.065">Relevance</div><div style="left: 176.02px; top: 868.659px; font-size: 15px; font-family: serif; transform: scaleX(0.985692);" data-canvas-width="724.5494999999997">Of the management of patients with synovitis posttromboticeski currently ranks particularly relevant. About 15% of acute</div><div style="left: 109.495px; top: 886.659px; font-size: 15px; font-family: serif; transform: scaleX(1.01235);" data-canvas-width="707.8695000000001">post-traumatic synovitis becomes chronic, suppurative arthritis, contractures and post-traumatic deforming arthrosis.</div><div style="left: 109.495px; top: 904.659px; font-size: 15px; font-family: serif; transform: scaleX(1.02478);" data-canvas-width="152.8125">The purpose of the study</div><div style="left: 262.307px; top: 904.659px; font-size: 15px; font-family: serif; transform: scaleX(0.998677);" data-canvas-width="638.2545">To study the effectiveness of application of electroactivated aqueous solutions of anolyte and catholyte in</div><div style="left: 109.495px; top: 922.659px; font-size: 15px; font-family: serif; transform: scaleX(0.99457);" data-canvas-width="376.09649999999993">the complex treatment of patients with posttraumatic synovitis.</div><div style="left: 109.495px; top: 940.659px; font-size: 15px; font-family: serif; transform: scaleX(1.05626);" data-canvas-width="138.10649999999998">Material and methods</div><div style="left: 247.601px; top: 940.659px; font-size: 15px; font-family: serif; transform: scaleX(1.02483);" data-canvas-width="652.9680000000001">The Article is based on experience of treatment of 88 patients with post-traumatic synovitis. The patients</div><div style="left: 109.495px; top: 958.659px; font-size: 15px; font-family: serif; transform: scaleX(1.0369);" data-canvas-width="791.0669999999999">were divided into 2 groups: 23 patients of the 1st group received treatment in the traditional way: intra-articular injectiona was</div><div style="left: 109.495px; top: 976.659px; font-size: 15px; font-family: serif; transform: scaleX(0.983979);" data-canvas-width="791.0699999999999">introduced dioxidin solution 1% in the amount of 10 ml suspension of hydrocortisone 2.5% of 1 every 3 days for 12 days. 65 patients</div><div style="left: 109.495px; top: 994.659px; font-size: 15px; font-family: serif; transform: scaleX(1.00126);" data-canvas-width="791.0655000000002">of the 2nd group intra-articular injectiona was introduced standardized anolyte 0.3% solution of sodium chloride (neutral pH of 7.3</div><div style="left: 109.495px; top: 1012.66px; font-size: 15px; font-family: serif; transform: scaleX(1.00959);" data-canvas-width="791.0625000000003">to 7.7 AFP +700-1100 mV) in the amount of 10 ml in 3 days for 9-10 days, while orally was administered daily catholyte of 0.3%</div><div style="left: 109.495px; top: 1030.66px; font-size: 15px; font-family: serif; transform: scaleX(1.01909);" data-canvas-width="791.0654999999997">solution of sodium chloride (AFP minus 450-600 mV, pH 7.7-7.9) 3 times a day before meals in 100 ml throughout the period of</div><div style="left: 109.495px; top: 1048.66px; font-size: 15px; font-family: serif; transform: scaleX(0.99031);" data-canvas-width="383.2005">illness up to a maximum reduction of inflammation in the joints.</div><div style="left: 109.495px; top: 1066.66px; font-size: 15px; font-family: serif; transform: scaleX(1.02358);" data-canvas-width="142.82399999999998">Results and discussion</div><div style="left: 251.845px; top: 1066.66px; font-size: 15px; font-family: serif; transform: scaleX(1.0077);" data-canvas-width="648.7229999999997">The use of intra-articular and para-articular method of introducing the anolyte, together with the parenteral</div><div style="left: 109.495px; top: 1084.66px; font-size: 15px; font-family: serif; transform: scaleX(0.993137);" data-canvas-width="791.0669999999999">use of catholyte, allows for faster cleaning of the joint cavity, reduce swelling, inflammation and intoxication. The proposed method</div><div style="left: 109.495px; top: 1102.66px; font-size: 15px; font-family: serif; transform: scaleX(1.04234);" data-canvas-width="791.067">for the treatment of post-traumatic synovitis allows to obtain additional effects of treatment: to improve the metabolism of the</div><div style="left: 109.495px; top: 1120.66px; font-size: 15px; font-family: serif; transform: scaleX(1.01555);" data-canvas-width="397.0799999999998">synovial fluid and cartilage, in the earlier stages faster pain syndr</div><div style="left: 505.99px; top: 1120.66px; font-size: 15px; font-family: serif; transform: scaleX(0.972041);" data-canvas-width="28.74">ome.</div><div style="left: 109.495px; top: 1138.66px; font-size: 15px; font-family: serif; transform: scaleX(1.02486);" data-canvas-width="70.425">Conducted</div><div style="left: 181.36px; top: 1138.66px; font-size: 15px; font-family: serif; transform: scaleX(1.03648);" data-canvas-width="719.1929999999999">Treatment allowed reducing the treatment time in hospital on average 4-5 bed/day and refuse physical therapy. The</div><div style="left: 109.495px; top: 1156.66px; font-size: 15px; font-family: serif; transform: scaleX(1.01118);" data-canvas-width="267.7605">course of treatment lasted at least nine days.</div><div style="left: 109.495px; top: 1174.66px; font-size: 15px; font-family: serif; transform: scaleX(0.974771);" data-canvas-width="63.74999999999999">Key words</div><div style="left: 173.245px; top: 1174.66px; font-size: 15px; font-family: serif; transform: scaleX(0.994252);" data-canvas-width="380.2349999999998">posttraumatic synovitis, solutions anolyte, catholyte, efficiency</div>posttraumatic synovitissolutions anolytecatholyteefficiencyпосттраматический синовит, растворы анолитакатолитаэффективность.[1. Leybovich B.E. Sistemnyy analiz i upravlenie v biomekhanicheskikh sistemakh[Systems analysis and control in biomechanical systems: practical and theoretical. Journal of biology and medicine]. Zhurnal prakticheskoy i teoreticheskoy biologii i meditsiny. Moscow, 2011; 10: 1: 134-141 (in Russ).][2. Koshelev P.I. Primenenie elekroaktivirovannykh vodnykh rastvorov v lechenii gnoinykh artritov [Use of electroactivated aqueous solutions in the treatment of purulent arthritis]. Koshelev P.I., Raschepeev D.A. Medical Vestnik eksperimental'noi i klinicheskoi khirurgii. 2011; 4, : 2: 351-354 (in Russ).][3. Patent No2010102730/14. from 27.01.10. Sposob lecheniya gnoinogo artrita s primeneniem elektroaktivirovannykh vodnykh rastvorov: anolita i katolita[Method of treatment of purulent arthritis with using electroactivated aqueous solutions; anolyte and catholyte]. Koshelev P.I., Raschepeev D.A. The decision to grant from 13.12.10 (in Russ).][4. Nasonov E.L. Revmatologiya. Natsional'noe rukovodstvo [National handbook]. GEOTAR-Media. Moscow. 2008.][5. Semenova O.P. Reabilitatsiya posttravmaticheskikh bol'nykh. [Post-traumatic patients rehabilitation]. 2006. 356-357. (in Russ).][6. Yusupova Y.N. Programmirovannoe oroshenie i drenirovanie v lechenii bol'nykh s gnoinym artritom i intromedulyarnymi flegmonami. [Programmed irrigation and drainage in the treatment of patients with purulent arthritics and intramedullary phlegmons]. Vestnik khirurgii im. N.N. Grekova. 2000; 159: 3: 55-58. (in Russ)]