The aim of the research work is to improve the results of surgical treatment of chronic anterior-medial dislocations of the radial head in children based on the improvement of the method of surgical treatment.
The object of the study was 83 patients with chronic antero-medial dislocations of the head of the radius, treated in the department of the consequences of childhood injuries of the Samarkand branch of the RSSPMC of Traumatology and Orthopedics for the period 2017-2020. The scientific novelty of the research work is the following: it is proved by histological examination that, in case of injuries from up to 1 month ago, the anterior wall of the joint capsule is thin and elastic, which is easily stretched, and from 3 months ago, it thickens, scars and forms fibrous tissue; the possibility of using a fibrous-modified joint capsule for annular ligament plasty in the surgical treatment of chronic antero-medial dislocations of the radial head from 3 months ago was proved; the tactics of surgical treatment of chronic antero-medial dislocations of the head of the radius depending on the deformity of the bones of the forearm were determined; a direct relationship between the results of surgical treatment of chronic antero-medial dislocations of the head of the radius, depending on the duration of the injury, has been proven.
The introduction of research results. Based on the obtained scientific results on the optimization of surgical treatment of chronic antero-medial dislocations of the radial head in children:
based on the results of the development of a method for annular ligament plasty, a patent for an invention was obtained from the Intellectual Property Agency of the Russian Federation “A method for the surgical treatment of chronic anterior medial dislocation of the radial head in children by capsuloplasty according” (patent № 2749870 dated 06/17/2021). The results obtained made it possible to improve the results of surgical treatment, to reduce the period of penetration in the hospital and after the surgical rehabilitation period; based on the results of scientific research on the surgical treatment of chronic anterior medial dislocations of the radial head, the guidelines “Surgical treatment of chronic dislocations of the radial head in children” were approved (Conclusion of the Ministry of Health of the Republic of Uzbekistan 8 n-z / 81 dated February 21, 2022). The results obtained have improved the quality of early diagnosis and treatment of patients with chronic anterior medial dislocations of the radial head in children; based on the results of scientific research on the surgical treatment of chronic antero-medial dislocations of the head of the radius, the methodological recommendations “Conclusion of the Ministry of Health of the Republic of Uzbekistan 8 n-z / 289 of August 31, 2021” were approved. The results obtained have improved the quality of early diagnosis and treatment of patients with chronic anterior medial dislocations of the radial head in children;
Scientific results have been introduced into the practice of healthcare (Conclusion of the Ministry of Health 08-32955 of October 24, 2022), in particular, the Samarkand branch of the Republican Specialized Scientific and Practical Medical Center for Traumatology and Orthopedics, the Bukhara branch of the Republican Scientific Center for Emergency Medical Care, and the Samarkand Regional Children's Multidisciplinary Medical Center. The proposed method for the treatment of chronic anterior-medial dislocations of the radial head in children allowed to reduce the frequency of relapses, increase excellent and good results from 75.6% to 92.9%.
The structure and scope of the dissertation. The dissertation consists of an introduction, 5 chapters, conclusion, conclusions, practical recommendations, a list of references and applications. The volume of the dissertation is 109 pages.
Research purpose: to study the effectiveness of a complex treatment of patients with age-i macular degeneration (AMD). Material and methods: a complex therapy of 104 patients (206 eyes) with AMD has been cone Mean age of patients made up 68.8±6.2 years old. Along with a traditional medicinal treatment Citicoline and Ginkgo Biloba w ere included. Results and discussion: application of the proposed method leads to a persistent increase of functions, improvement of hemodynamic indicators, as well as multiplies the bio-potentials’ amj of retina reflecting the functional activity in the macular area, and improvement of the retina sta
Изучить лечение некротизирующего энтероколита в зависимости от стадии заболевания.
Steady growth of frequency of defeat stops at a diabetes causes a urgency of a problem. Death rate from complications of a diabetes takes the third place among the direct reasons of death, therefore this problem gets social value.
By the author it is analyzed results of inspection and treatment of 1895 patients which were divided into 4 groups. Control (first) group compose 125 patients; 728 patients with “diabetic foot” which received treatment in hospital formed 2 group; 723 patients by whom economical amputations foots and exarticulation fingers compose 3 group; 319 patients by whom complex treatment was included in long intraarterial catheter therapy formed 4 group.
The analysis of unsatisfactory results of control group has allowed the author to reveal, that a principal cause of progressing is purulent - necrotic defeats stops at a diabetes arc tendon-sinews formations. In view of anatomic features sparing operative interventions arc offered at various localizations of defeat stops which essence consist at a distance interested tendon-sinews environments of fingers stop in view of the developed factor proximo-distal a gradient microbic impurities.
The system of the integrated medical aid by the ill diabetes, consisting of 3 parts with concrete functional duties and including experts of a various structure (diabctologists, surgeons, cardiologists, chiropodists et al.) is developed and introduced.
The technique of realization long intraarterial catheter therapies is advanced at generalization purulently-nccrotic process. She consists in constant drop introduction of 50 % of daily volume and 3-4 times per day strcamly 50 % of daily volume of an antibiotic. The basic components were the preparations improving rcological properties of blood, antibiotics of a wide spectrum of action, spazmolitics. The volume daily solution did not exceed 1-1,4 litres. Thus duration catheter therapies have made 7-10 days.
Application of the developed ways of surgical treatment of a diabetic gangrene of the lower extremities at various localizations of defeat has allowed to reduce frequency of high amputations from 40,8 up to 8,4% and to lower mortality from 12,0 to 3,0%. In the remote period of supervision till 5 years frequency of preservation of basic function of the lower extremities has increased from 38,4 up to 75,2%. It has allowed to improve quality of life due to what mortality in terms till 5th years has decreased from 72,2 up to 24,5%.
Complex treatment of a diabetic gangrene of the lower extremities with use of the advanced technique of realization long intraarterial catheter therapies has allowed to raise in the nearest terms of supervision safety of basic function of the lower extremities from 59,2 up to 78,0%. Lethal outcomes thus has decreased from 12,0 up to 3,2%. In the remote term of supervision (5 years) the number of patients with safe basic function of the lower extremities has increased from 38,4 up to 54,5%. The survival rate of patients thus has increased from 28,8 up to 48,2%.