Препарати, які модифікують структуру остеоартрозу: огляд наукової літератури

В. М. Левенець, В. В. Манжалій

Анотація


Проведен анализ препаратов гиалуроновой кислоты, которые могут модифицировать течение остеоартроза у спортсменов. Высказано предположение, что препарат, в частности Синокром, влияет на патологические процессы, связанные с симптомами остеоартроза. Вискосапплементация завоевывает все большую популярность в качестве консервативного лечения у спортсменов. В случае остеоартроза у спортсменов выявлено уменьшение концентрации молекул гиалуроновой кислоты и снижение вязкости синовиальной жидкости. Вискосапплементация может стимулировать производство эндогенной гиалуроновой кислоты, которая положительно влияет на суставной хрящ путем эндопротекторного механизма. Это особенно важно для спортсменов на фоне постоянных больших нагрузок и возможности ежегодных повторений без побочных действий.


Ключові слова


остеоартроз; вискосапплементация; футбол

Повний текст:

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Посилання


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Пристатейна бібліографія ГОСТ


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Bulstra S. K. The effecting vitro of irrigating solutions on intact rat articular cartilage /S. K. Bulstra. R Kuijer, P. Eerdmans et al. // I. Bone Ioint Surg. Br. – 1994. – Vol. 76(3). – P. 468–470.

Clark S. Intraarticular hylan G-F 20 (Synvisc) in the management of patellofemoral osteoarthritis of the knee / S. Clark, V. Lock, I. Dunddy et al. // POAK-Knee. – 2005. – Vol. 12(1). – P. 57–62.

Dahlberg L. Intraarticular injections of hyaluronan in patients with cartilage abnormalities and knee pain: one year double-blind, placebo-controlled study / L. Dahlberg, L. S. Lohmander, L. Ryd // Arthrits Rheumat. – 1994. – Vol. 37(4).– P. 521–528.

Diaz-Gallego L. Apopto-sisand nitric oxide in an experimental in odel of osteoarthritis in rabbit after hyaluronic acid treatment / L. Diaz-Gallego et al. // I. Orthop. Res. – 2006. – Vol. 23(6). – P. 1370–1376.

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Miyakoshi N. Effects of intra-articular administration of basic fibroblast growth factor with hialuronic acid on osteochondral defects of the knee in rabbits / N. Miyakoshi et al. //Arch. Orthop. Trauma Surg. – 2005. – Vol. 125(10). – P. 683–692.

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Pourbagher M. A. Accuracy and outcome of sonographically guided intra-articular sodium hyaluronate injection in patients with osteoarthritis of the hip / M. A. Pourbagher et al.// I. Ultra Sound Med. – 2005. – Vol. 24 (10). – P. 1391–1395.

Punzi L. The influence of intra-articular hyaluronic acid on P6E2 and c AMP of synovial fluid / L. Punzi et al. // I. Rheumatol. – 1995. – Vol. 22(7). – P. 1311–1314.

Santangelo K. S. Effects of hyaluronan treatment on lopopobysaccharide-challenged fibroblast-like synovial cells / K. S. Santangelo, L. Amanda Johnson, A. S. Ruppert et al.// Arthritis Research Therapy. – 2007. – Vol. 9, N1.

Stewart W. F. Lost productive time and cost due to common pain conditions in the US workforee / Stewart W. F., J. A. Ricci, E. Chee et al. // JAMA. – 2003. – Vol. 290(18). – P. 2443–2454.

Strauss E. I. Hyaluronic Acid Viscosupplementation and osteoarthritis. Current Uses and Future Direction / E. I. Strauss, I. A. Hart, M. D. Miller et al.// Am. I. Sport Med. – 2009. – P. 48–61.

Tikiz C. Comparison of the efficacy of lower and higher molecular weight viscosapplementation in the treatment of hip osteoarthritis / C.Tikiz, A. Sener et al. // Clin. Rheumat. – 2005. – Vol. 24(3). – P. 244–250.

Tytherleigh-Strong G. Intra-articular hyaluronan fallowing autogenous osteochondral grafting of the knee / G. Ty­ther­leigh-Strong, M. Hurtig, A. Miniau // Arthros-copy. – 2005. – Vol. 21(8). – P. 999–1005.

Vagishita K. The effect of hyaluronan on tendon healing in rabbits / K. Vagichita et al. // Arthroscopy. – 2005. – Vol. 21(11). – P. 1330–1336.

Watterson I. R. Viscosupplementation: therapeutic 35. mechanisms and clinical potential in osteoarthritis of the knee / I. R. Watterson, M. Esdail // J. Am. Acad Orhop. Surg. – 2000. – Vol. 8 (5). – P. 277–284.



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