On the basis of complex assessment of the results of supratrochanteric osteotomy of pelvis (30 operations) and osteotomy of pelvis with the subsequent intertrochanteric osteotomy (24 observations) in patients with dysplastic coxarthrosis at mean terms of observation, equalling to 90 months, have been determined efficiency and indications for these operations. Indications for pelvic osteotomy are formed on the basis of roentgeno-anatomic interrelations in hip joint, where the decisive part is played by the angle of vertical inclination of the cotyloid cavity and degree of coating of the head of the femur. Intertrochanteric osteotomy following the pelvic osteotomy is indicated at preserved pain syndrome, resulting from coxarthrosis, subsequent to the muscular system restoration.
The authors share their know-how of surgical treatment of severe forms of scoliosis by the method of Cartel Armstrong. Evaluation of the results within 2 years (the period of the greatest loss of correction) demonstrated greater efficiency of this method as compared with operation after Harrington with application of one fixing device or distractor with lateral traction.
On the basis of computer tomographic investigations of 28 patients with subcutaneous ruptures of the Achilles tendon in different terms after the injury and its restoration by means of open and transcutaneous suture there have been revealed possibilities of the method. Computer tomographic syndromes of the tendon damage (increase of diameter by 2-3 times, spherical form of the cross section, density decrease, presence of hematoma, deformation of the front outline of tendon) and the signs of its continuity restoration have been determined. Identity of the computer tomographic data of comparison of tendon centres by open and closed sutures has corroborated reliability of the obtained criteria. Computer tomographic investigations in dynamics testify to significant changes in damaged tendon and +para-tendon tissues as well as to the duration of the process of its healing.
There has been carried out an experiment with 6 craniovertebral blocks with contrasting of the vertebral arteries and studying of the influence of different damages of ligamentous apparatus on blood flow in vertebral arteries. In all cases there has been discovered significant vertebrogenic influence. Experimental data have been corroborated with clinical material. There have been examined 31 patient with different damages of ligamentous apparatus of craniovertebral segment, with 21 of them has been detected significant vertebrogenic influence at ultrasound dopplerography of vertebral arteries.
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