Year 2010 Vol. 18 No 6

GENERAL AND SPECIAL SURGERY

KATORKIN S.E., YAROVENKO G.V., MYSHENTSEV P.N., SIZONENKO YA.V.

FEATURES OF MUSCELOSKELETAL SYSTEM BIOMECHANICAL CHANGES IN CHRONIC LOWER LIMBS LYMPHATICOVENOUS INSUFFICIENCY

Objectives. Improvement of the functional diagnostics at chronic lymph-venous insufficiency of the lower limbs using the biochemical methods of investigation.
Methods. 116 patients with lymph-venous insufficiency of C4-C6 classes (according to CEAP) and 28 practically healthy people were examined. The clinical movement analysis was performed, applying apparatus-software complex «MBN-Biomechanika» including podometrics, plantography, electromyography and goniometry.
Results. Scoliosis was found out in 56% of the patients; in 28% osteochondrosis was observed; arthrosis-arthritis was diagnosed in 45%; various disturbances of the foot configuration were seen in 89% of all investigations. The most obvious pathology of the skeletal system was noted in the classes C5-C6. Functional insufficiency of the lower limbs with the locomotor function pathology of the talocrural joint was established to develop in the classes C4-C6.
Conclusions. Functional insufficiency and static-dynamic disturbances in patients with chronic lymph-venous insufficiency of C4-C6 testified to the failure of compensatory reactions of the skeletal system that should be taken into consideration while carrying out medical rehabilitation.

Keywords: biomechanics, chronic lymph-venous insufficiency, static-dynamic disturbances
p. 50 – 57 of the original issue
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