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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mrj</journal-id><journal-title-group><journal-title xml:lang="ru">Современная ревматология</journal-title><trans-title-group xml:lang="en"><trans-title>Modern Rheumatology Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1996-7012</issn><issn pub-type="epub">2310-158X</issn><publisher><publisher-name>IMA-PRESS, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/1996-7012-2023-1-64-69</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-1390</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL INVESTIGATIONS</subject></subj-group></article-categories><title-group><article-title>Хроническая боль и функциональные нарушения после артроскопических операций по поводу травмы коленного сустава</article-title><trans-title-group xml:lang="en"><trans-title>Chronic pain and functional impairment after arthroscopic surgery for a knee injury</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6334-2903</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хлабощина</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Khlaboshchina</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Виктория Николаевна Хлабощина</p><p> Россия, 115522, Москва, Каширское шоссе, 34А </p></bio><bio xml:lang="en"><p> Victoria Nikolaevna Khlaboschina </p><p> 34A, Kashirskoe Shosse, Moscow 115522, Russia </p></bio><email xlink:type="simple">coral2008@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1391-0711</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каратеев</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Karateev</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Россия, 115522, Москва, Каширское шоссе, 34А </p></bio><bio xml:lang="en"><p> 34A, Kashirskoe Shosse, Moscow 115522, Russia </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5626-7404</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Макаров</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Makarov</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Россия, 115522, Москва, Каширское шоссе, 34А </p></bio><bio xml:lang="en"><p> 34A, Kashirskoe Shosse, Moscow 115522, Russia </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0891-6120</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Филипский</surname><given-names>Н. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Filipsky</surname><given-names>N. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Россия, 115522, Москва, Каширское шоссе, 34А </p></bio><bio xml:lang="en"><p> 34A, Kashirskoe Shosse, Moscow 115522, Russia </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7622-9678</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нарышкин</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Naryshkin</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Россия, 115522, Москва, Каширское шоссе, 34А </p></bio><bio xml:lang="en"><p> 34A, Kashirskoe Shosse, Moscow 115522, Russia </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7179-8174</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нестеренко</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Nesterenko</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Россия, 115522, Москва, Каширское шоссе, 34А </p></bio><bio xml:lang="en"><p> 34A, Kashirskoe Shosse, Moscow 115522, Russia </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6068-3080</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лила</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Lila</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кафедра ревматологии  </p><p>Россия, 115522, Москва, Каширское шоссе, 34А </p><p> Россия, 125993, Москва, ул. Баррикадная, 2/1, стр. 1 </p></bio><bio xml:lang="en"><p>Department of Rheumatology </p><p> 34A, Kashirskoe Shosse, Moscow 115522, Russia </p><p> 2/1, Barrikadnaya Street, Build. 1, Moscow 125993, Russia </p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»;&#13;
ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology;&#13;
Russian Medical Academy of Continuing Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>16</day><month>02</month><year>2023</year></pub-date><volume>17</volume><issue>1</issue><elocation-id>64–69</elocation-id><permissions><copyright-statement>Copyright &amp;#x00A9; Хлабощина В.Н., Каратеев А.Е., Макаров М.А., Филипский Н.С., Нарышкин Е.А., Нестеренко В.А., Лила А.М., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Хлабощина В.Н., Каратеев А.Е., Макаров М.А., Филипский Н.С., Нарышкин Е.А., Нестеренко В.А., Лила А.М.</copyright-holder><copyright-holder xml:lang="en">Khlaboshchina V.N., Karateev A.E., Makarov M.A., Filipsky N.S., Naryshkin E.A., Nesterenko V.A., Lila A.M.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://mrj.ima-press.net/mrj/article/view/1390">https://mrj.ima-press.net/mrj/article/view/1390</self-uri><abstract><p>Артроскопические вмешательства широко используются для лечения последствий травм мениска и передней крестообразной связки (ПКС). Однако отдаленные последствия этих операций не всегда благоприятны и не во всех случаях позволяют избежать развития хронической боли и посттравматического остеоартрита.Цель исследования – оценить частоту развития стойкой послеоперационной боли и сохранения функциональных нарушений у пациентов, перенесших артроскопические вмешательства на менисках и ПКС.Материал и методы. Исследуемую группу составили 147 пациентов (60 женщин и 87 мужчин, средний возраст – 38,8±12,5 года), которым была проведена артроскопическая операция на коленном суставе (КС) в травматолого-ортопедическом отделении ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой» в 2018–2021 гг. Состояние больных оценивалось путем телефонного опроса и/или онлайн-анкетирования. Учитывались степень боли и утомляемости по числовой рейтинговой шкале (ЧРШ, 0–10), а также выраженность функциональных нарушений по шкале Лисхольма (ШЛ).Результаты и обсуждение. Умеренная или интенсивная боль в КС и повышенная утомляемость (≥4 по ЧРШ) были отмечены у 11,3% и 14,7% респондентов соответственно. Состояние КС по ШЛ у 35,3% больных оценивалось как отличное (95–100 баллов), у 29,3% – как хорошее (84–94 балла), у 21,3% – как удовлетворительное (65–83 балла) и у 14,0% – как неудовлетворительное (≤64 балла).Заключение. Более 10% пациентов после артроскопических операций на КС испытывают умеренную или выраженную боль и утомляемость, удовлетворительные и неудовлетворительные функциональные результаты отмечаются в 35,4% случаев.</p></abstract><trans-abstract xml:lang="en"><p>Arthroscopic interventions are widely used to treat the consequences of the meniscus and anterior cruciate ligament (ACL) injuries. However, the long-term consequences of these surgeries are not always favorable and not in all cases allow to avoid the development of chronic pain and posttraumatic osteoarthritis.Objective: to evaluate the incidence of persistent postoperative pain and the persistence of functional disorders in patients undergoing arthroscopic interventions on the menisci and ACL.Material and methods. The study group consisted of 147 patients (60 women and 87 men, mean age 38.8±12.5 years) who underwent arthroscopic surgery on the knee joint (KJ) in the traumatology and orthopedic department of V.A. Nasonova Research Institute of Rheumatology in 2018– 2021. The condition of patients was assessed by telephone survey and/or online questionnaire. The pain and fatigue levels were assessed on numerical rating scale (NRS, 0–10), as well as the severity of functional disorders on the Lysholm scale (LS).Results and discussion. Moderate or intense knee pain and increased fatigue (≥4 according to NRS) were noted in 11.3% and 14.7% of respondents, respectively. The state of the KJ according to LS in 35.3% of patients was assessed as excellent (95–100 points), in 29.3% – as good (84–94 points), in 21.3% – as satisfactory (65–83 points) and 14.0% – as unsatisfactory (≤64 points).Conclusion. More than 10% of patients after arthroscopic operations on the knee joint experience moderate or severe pain and fatigue, satisfactory and unsatisfactory functional results are observed in 35.4% of cases.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>артроскопия</kwd><kwd>резекция мениска</kwd><kwd>пластика передней крестообразной связки</kwd><kwd>отдаленный результат</kwd><kwd>боль</kwd><kwd>утомляемость</kwd><kwd>нарушение функции</kwd></kwd-group><kwd-group xml:lang="en"><kwd>arthroscopy</kwd><kwd>meniscus resection</kwd><kwd>anterior cruciate ligament reconstruction</kwd><kwd>long-term results</kwd><kwd>pain</kwd><kwd>fatigue</kwd><kwd>dysfunction</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено в рамках научной темы «Создание прогностической модели хронической боли путем выявления генетических, биохимических и биофизических предикторов нарушения естественных репаративных процессов, развития воспаления и ноцицептивного ответа, разработка методологии ее предупреждения на основе персонифицированной фармакотерапии и применения клеточных терапевтических технологий. Персонифицированный подход к психофармакотерапии и психотерапии психических расстройств у больных иммуновоспалительными ревматическими заболеваниями» (№ FURS-2020-0009).</funding-statement><funding-statement xml:lang="en">The investigation has been conducted within scientific “Creation of a predictive model of chronic pain by identifying genetic, biochemical and biophysical predictors of disruption of natural reparative processes, development of inflammation and nociceptive response, development of a methodology for its prevention based on personalized pharmacotherapy and the use of cellular therapeutic technologies. Personalized approach to psychopharmacotherapy and psychotherapy of mental disorders in patients with immunoinflammatory rheumatic diseases” (№ FURS-2020-0009).</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Сапрыкин АС, Гвоздев МА, Рябинин МВ, Корнилов НН. Причины ревизионных вмешательств после пластики передней крестообразной связки: систематический обзор. Сибирский научный медицинский журнал. 2021;41(3):4-11. doi: 10.18699/SSMJ20210301.</mixed-citation><mixed-citation xml:lang="en">Saprykin AS, Gvozdev MA, Ryabinin MV, Kornilov NN. The reasons for revision surgery after reconstruction of the anterior cruciate ligament: a systematic review. Sibirskiy nauchnyy meditsinskiy zhurnal. 2021;41(3): 4-11. 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