Post-traumatic osteoarthritis
Following trauma or systemic overload, irreversible changes develop within the joints. This process leads to the formation of post-traumatic osteoarthritis—a chronic degenerative and dystrophic joint disease characterized by pain and restricted mobility.

The joints of the lower extremities are most commonly affected, primarily the knee and hip joints. Ankle involvement occurs less frequently. The elbow, shoulder, and small joints of the foot and hand are more commonly affected as a result of domestic injuries and motor vehicle accidents.
Initially, conservative management modalities are utilized, including intra-articular injections of hyaluronic acid, PRP therapy, and stromal vascular fraction therapy. If these interventions prove ineffective, surgical intervention becomes necessary.
Risk group
The high-risk cohort predominantly comprises males aged 20 to 50 who participate in sports.

Patients with post-traumatic osteoarthritis experience severe and persistent pain. The affected joints demonstrate a restricted range of motion. In cases of lower extremity involvement, patients experience significant ambulation difficulties and often require assistive devices.
Arthro-medullary shunting is the least invasive surgical treatment method for post-traumatic osteoarthritis of the knee and ankle joints.
It remains effective even in complex clinical cases, such as damage to degeneratively altered menisci or consolidated intra-articular and transchondral fractures.

The method is currently not utilized for the treatment of post-traumatic osteoarthritis of the hip joint.
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