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Issue: 2025, Vol. 30, No. 3

N. A. Burmatov, G. K. Sergeev, A. D. Frolov, M. E. Kupitman, I. A. Atmanskiy, S. A. Kopylov, N. A. Spiridonova

INTRA-TISSUE ELECTROSTIMULATION TO TREAT CHRONIC PAIN SYNDROME IN PATIENTS WITH TIBIAL PLATEAU INJURIES

Keywords
chronic pain syndrome, intra-tissue electrical stimulation, tibial plateau
Abstarct
One of the significant problems in the treatment of intra-articular fractures of the tibia is the development of chronic pain syndrome (CPS) that negatively affects the outcome of treatment. Objective – to improve the results of rehabilitation treatment in patients with chronic knee osteoarthritis (ChKO) undergone knee joint (KJ) surgery. Material and Methods. The study involved a group of patients of both sexes (n = 23) aged 45–60 years old undergoing the second stage of medical rehabilitation after tibial plateau osteosynthesis. In the main group (n = 11), physiotherapy included the method of intra-tissue electrical stimulation (ITES). Moreover, a number of objective numerical indicators characterising the patient’s condition, his pain and rehabilita- tion status were examined and compared. Results and Discussion. The examination revealed identical pain intensity and quality of life in both groups. Higher effectiveness of analgesic therapy and shorter treatment length were recorded at the end of the treatment in the main group of patients. The latter can be explained by the two factors: a personalised approach to the rehabilitation process and the use of ITES that eliminates one of the significant links in the chronic pain pathogenesis. Conclusion. The effectiveness of ITES depended on the shorter periods of pain relief, microcirculation dysfunction at the level of the damaged spinal-motor segment, and trophic innervation deficiency in the limb.

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