DIAGNOSTIC SYSTEM FOR FUNCTIONAL ASSESSMENT OF PATIENTS WITH THE O’DONOGHUE TRIAD

Abstract

One of the most severe and slowly recovering injuries of the musculoskeletal system is the "O'Donoghue Triad" or the so-called "Unhappy Triad". It mainly affects athletes, excluding them for a long time from their sports activities. O’Donoghue’s triad includes rupture of the anterior cruciate ligament, rupture of the medial meniscus and rupture of the medial collateral ligament of the knee joint. Immediately after the injury there is static and dynamic instability of the knee joint, which hides a high risk of dislocation of the knee and damage to other tissues: rupture of the joint capsule, rupture of the chondral tissue, rupture of the lateral collateral ligament, damage to the lateral meniscus and others. The treatment is surgical and solves the problem of static instability immediately after surgery. Dynamic instability of the knee joint is restored over a long period of time by applying an analytically designed kinesitherapy program to patients after surgical treatment of the O’Donoghue Triad. For functional assessment and monitoring of the dynamics of recovery and correction of kinesitherapy, it is necessary to make an analytical selection of a test battery from functional indicators and tests corresponding to the dysfunctions of the operated knee. Purpose: The purpose of this study is to develop a diagnostic system for functional assessment of patients after surgical treatment of the O’Donoghue Triad. Research methodology: To realize the purpose of the research the following methods are applied: Analysis of literature sources (deductive method); Expert evaluation. Results: To establish the condition of various aspects of the knee recovery process, after analysis of literature sources and expert assessment in the diagnostic system for functional assessment include: for pain testing: quantitative measurement of pain on a visual-analog scale (VAS - from 0 to 10); goniometry, a method for measuring the range of motion in the knee joint, taking into account the results of the standard SFTR methodology; centimeter - a method for measuring the circumference of the lower limbs in centimeters; manual-muscular testing of the main muscles in the area of ​​the knee complex, examination for the establishment of hypertensive and shortened muscles; test to study changes in the stability of the support; test for static muscular endurance of the sciatic muscles; static muscle endurance test of m. quadriceps femoris; test for assessment of the dynamic strength of the lower limbs (author's test); test for diagnosis of the explosive force of the lower extremities; scale for functional assessment of the condition of the knee joint; study of the locomotor abilities of patients. Conclusion: For functional assessment of the condition of the knee joint, a selection of functional tests has been made, prepared as a diagnostic system for functional assessment and for monitoring the dynamics of recovery of the knee complex in patients with "O'Donoghue's Triad" treated surgically.