An integrated approach to the prevention of myofascial dysfunction and chronic compartment syndrome in the treatment of intermuscular femoral phlegmon, taking into account the quality of life on the SF-36 scale

Abstract

Introduction. The issues of postoperative rehabilitation of patients with intermuscular phlegmon of the thigh are of particular interest due to the prevalence of pathology, a high percentage of unsatisfactory treatment results.
Purpose of the study. To develop a set of measures aimed at the correction and rehabilitation of patients who have undergone surgical treatment for intermuscular phlegmon of the thigh and acute tissue hypotensive syndrome (compartment syndrome).
Materials and methods. The clinical section of the work was performed on 65 patients with intermuscular phlegmon of the thigh (IFT), purulent form. The set of diagnostic and treatment methods included, in addition to traditional methods, monitoring of tissue pressure (Stryker monitor). Quality of life was assessed using the SF-36 scale.
The severity of myofascial pain syndrome (MFPS) was studied using the method of A.F. Khabirov. The condition of the thigh muscles before and after surgery was determined by studying the muscle strength test (TMS) and electromyographic activity (EMG) on the Neuro-MEP-4 device.
Results and discussion. Based on the results of remote monitoring (6 months), the number of good results in patients of the main group was 1,7 times higher than in the control group, which used traditional methods (p < 0,05). The rate of satisfactory treatment results decreased by 3,5 times, unsatisfactory results were not recorded, while in group II their number was 16,2 %. At the same time, the overall quality of life in group I was higher by 33,9 %.
Conclusions. The developed complex of therapeutic and diagnostic measures made it possible to achieve high rates of rehabilitation effectiveness and quality of life.