Ortopediia travmatologiia i protezirovanie最新文献

Comparative analysis of data of biomechanical examination of statics and walking of 26 patients with fresh and 20 with inveterate damages of bursal and ligamentous apparatus of the knee joint indicated that transformation of the fresh damages in the inveterate ones inevitably leads to formation of compensatory-adaptable mechanisms in locomotor apparatus directed to compensation of disturbed functions. Early operative treatment of fresh damages of bursal and ligamentous apparatus of the knee joint is a highly effective method that is confirmed by normalization of rhythm of movement at all parts of podographic relief bench in 92,5% patients. After plastic operations on ligamentous structures in case of inveterate damages the rhythm of walking is normalized only in 80,7% cases.

There are presented the results of complex treatment of 154 patients with chronic posttraumatic and hematogenic osteomyelitis. Complex treatment of 51 of them has been supplemented with biostimulation by extracorporal connection of xenospleen (26 patients) or administration of perfusate of xenospleen (25 patients). After application of extracorporal connection of xenospleen and administration of perfusate there have been detected statistically significant decrease of leucocytosis, erythrocyte sedimentation rate, normalization of lymphocyte and monocyte numbers in the laboratory indices as well as positive dynamics of immunologic indices. There have been obtains positive nearest results with 95,5% patients, observed shortening of hospital stay in average by 7 days as compared with the traditional methods of treatment.

Anatomo-functional disturbances of hip joint in case of its focal osteo-tuberculous affection in children develop already during the first 1-3 months of disease. Growth disturbance extent, orientation of the osteochondrous elements of hip joint, manifestation of degenerative symptoms correlate with the duration of the process. In case of tuberculous osteitis there are observed less favourable functional deviations of the joint end of femur, especially in children under school age.

There has been carried out histologic examination of vermicular and interosseal muscles in case of underdevelopment of fingers before and after the restoration of their length by method of distraction in 45 children aged 4-14 years. There has been stated that in case of congenital finger underdevelopment the hand muscles are subjected to hypoplasia. However they are endowed with high ability of regeneration and restore their structure in response to distraction after adequate regenerative changes.

In the article are presented the modern possibilities of surgical treatment of posttraumatic inveterate defects of articular ends of tibia on the basis of alloplasty and perosseous osteosynthesis application. There are described indications for operation, its, peculiarities due to accompanying injuries, methods of postoperative rehabilitation, complications. There has been stated that the application of perosseous apparatus, allowing for early joint functioning, ensures reduction of the patient treatment terms by 2 times under the conditions of unloading of the osteochondrous allotransplant. Favourable functional outcomes have been achieved with the predominant number of the operated patients and what's more, two-thirds of the results were assesses as good ones.

In the article are presented the results of examination of 98 patients (aged 6-16 years) with infantile cerebral paralysis. There were used X-ray and radioimmune investigations of bone age, enchondral ossification, state of foot bone structure and blood concentration of "osteotropic" hormones. Bone age corresponded mainly to the passport one; ossification rate overtake and deceleration have been revealed in a third of the examined children and concentric atrophy in 30% patients. Structural disturbances of osseous tissue as the different forms of osteoporosis have been detected in 89.5% cases. There have been stated direct correlation between the frequency of disturbances and the form of infantile cerebral paralysis. There have been noted reliable increase of hydrocortisone level and significant decrease of somatotropic hormone concentration (by 70% and 3.5-3.7 times as compared with the control) and sexual differences in concentrations of osteotropic hormones. The results are discussed from the point of view of neurohumoral relation disturbances and the presence of vegetative dystonia syndrome with predominance of sympathetic-adrenal system activity.