INFLUENCE OF GONARTHROSIS ON THE COURSE AND EFFECTIVENESS OF TREATMENT OF VARICOSE VEINS

<strong>Summary.</strong> Relevance. Gonarthrosis (GA) in patients with varicose veins of the lower extremities (VVNK) is more common than in the general population, and degenerative changes in the knee joints worsen the course of this vascular pathology. <strong>Objective:</strong> to evaluate the effect of HA on the course and effectiveness of surgical methods for the treatment of CVLE, to identify prognostic criteria. <strong>Materials and methods.</strong> There were 310 patients under observation (73 men and 237 women aged 29–72 years), 16% of whom had previously suffered phlebothrombosis, and the frequency of II, III, IV, V and VI classes of venous insufficiency was 10, 14, 37, 16 and 23 %. Endovenous laser coagulation was performed in 263 patients, 39 - traditional phlebectomy or perforator ligation. <strong>Results.</strong> HA was diagnosed in 18% of patients with SMV of the legs, more often in men of older age groups with involvement of the great saphenous vein with its near-mouth expansion and a combination with arteriosclerosis of the vessels of the lower extremities, which is accompanied by more pronounced classes of venous insufficiency, while clinical laboratory manifestations of varicose veins are influenced by the stage of the disease, changes in the horns of the menisci, the presence and severity of subchondral sclerosis, osteocystosis, synovitis, Baker's cysts, intra-articular bodies of Steidi and Goff, and the effectiveness of the results of therapeutic surgical measures in patients with GA is worse, with complete occlusion of the vein a month after endovenous laser ablation is observed 2.5 times less often, and the number of complications is 7 times more often, which is determined by subchondral sclerosis, osteousurs, Baker's cysts and Hoff's intraarticular bodies. <strong>Conclusions.</strong> The presence of HA is a risk factor for a more severe course of varicose veins of the legs, a negative prognostic factor in relation to the effectiveness of surgical treatment of this disease and the number of complications.

Перевод пока недоступен