The materials of rendering aid to 78 patients with fractures of the scaphoid bone in different periods after the injury were analyzed. The patients underwent treatment in the Republican Specialized Scientific and Practical Medical Center of Traumatology and Orthopedics in the department "Hand and foot surgery" 2019-2021. In the process of diagnosis, 14 patients were diagnosed between the years 2019-2021 , with modern methods of clinical examination, early diagnostic weight loss and primary medical treatment, and in suspected cases, CSCT and MRT examinations have clarified the diagnosis.
This article presents an actual problem of our century-the causes and mechanisms of flatfoot development, as well as our experience and methods of its correction. Republican Specialized Scientific and Practical-Medical. Center of Traumatology and Orthopedics in the department of "Hand and foot surgery" a research was carried out in the patient treated with 29 flatfoot diagnoses from 2019 to 2021. In this patients were used methods of CT, radiography, podometry, MRI and clinical examination. The average age of the patients is from 10 to 22 years (12±4) 12 female 17 male, mainly adolescent patients
Сurrently comorbidity is relevant in the outcome of many diseases. In particular,we are talking about IHD,unstable angina and anemia of varying severity. In 30 patients with coronary artery disease in combination with anemia, 3 valence iron was changed, the drug Sufer (Yuria-Pharm Ukraine) at a dose of 5.0 ml iv for 5 days against the background of standard therapy.In examined patients,that an increase in hemoglobin levels contributes to the normalization of the vibros fraction reduce or disappear angina attacks,increased exercise tolerance
Injuries to the upper urinary tract occur in 63–84% of shoulder injuries. In terms of the incidence of rotator cuff injuries, it ranks third (16%) after diseases of the spine (23%) and knee joint (19%). In the Samarkand Branch of the Republican Specialized Scientific and Practical Medical Center of Traumatology and Orthopedics, 66 patients (41 men, 25 women) were operated openly (from 2014 to 2020) with a diagnosis of chronic damage to the tendons of the rotator cuff of the shoulder, combined contracture of the shoulder joint. The average age of the patients was 58 years. In 16 patients (24.2%), the causes of damage to the rotator cuff were injuries of various mechanisms, and in 50 patients (75.8%). Excellent results were obtained in 38 patients (57.5%). A good result was obtained in 25 patients (37.8%). An unsatisfactory result was obtained in 3 patients (4.7%)
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.
Subject of the inquiry: 116 patients with rheumatoid arthritis of the hand joints and 25 healthy subjects.
Aim of the inquiry: improvement of the diagnosis of rheumatoid arthritis of the hand joints using sonography and magnetic resonance imaging.
Methods of inquiry: X-ray, sonography, magnetic resonance imaging and magnetic resonance imaging with contrast enhancement.
The results achieved and their novelty: For the first time data were presented on the role of sonography, magnetic resonance imaging and magnetic resonance imaging with contrast enhancement in the diagnosis of rheumatoid arthritis of the hand joints. The findings have shown that sonography in hand joint rheumatoid arthritis allowed detection of changes in soft tissues, synovial capsule, joint surfaces and ligaments. Diagnostic value was given of sonography in revealing characteristic sonographic signs of rheumatoid arthritis. Magnetic resonance imaging was highly informative radiological method to detect synovitis, changes of synovial capsule and subchondral cysts. Magnetic resonance imaging with contrast enhancement reliably detected the degree of activity and severity of the rheumatoid process.
Practical value: consisted in revealing and describing characteristic sonographic and MRI signs of hand joint rheumatoid arthritis and in the developed radiological algorithm of the disease.
Degree of embed: the results of the investigation were introduced in the practice of rheumatology and radiology departments of the First Tashkent Medical Institute, in teaching process of the Radiology Chair of the First Tashkent Medical Institute.
Sphere of usage: radiology, rheumatology, traumatology and orthopedics.
Improving the efficiency of rehabilitation of children with congenital unilateral cleft lip and palate due to a reasonable approach to choosing a palate defect plasty method.
Subject of the inquiry: 148 patients with degenerative dystrophic diseases of the hip joint, of them 103 with osteoarthritis and 45 with avascular necrosis of the femoral head.
Aim of the inquiry: improvement of the diagnosis of degenerative-dystrophic diseases of the hip using possibilities of ultrasonography and magnetic resonance imaging.
Methods of research: X-ray, ultrasonography and magnetic resonance imaging.
The results achieved and their novelty: For the first time, the role of ultrasonog-aphy and magnetic resonance imaging in osteoarthritis and avascular necrosis of the hip was established in comparison with conventional X-ray. The result have shown that sensitivity of ultrasonography in osteoarthritis was low (57.7%) in the detection of femoral head deformation. In avascular necrosis of the hip detection of femoral head deformation was revealed better - 89.7%, which can be explained by differences in the mechanism and localization of deformation in these diseases. Ultrasonography was quite sensitive to changes of the joint capsule both in osteoarthritis and avascular necrosis, the sensitivity 86.0% and 84.6% respectively. MRI was superior to X-ray in the assessment of space orientation of the joint surfaces, necrosis zone, synovitis, subchondral cysts, structural changes and joint effusion. X-ray was more preferable for the detection of ostephytosis, subchondral sclerosis and changes of the joint space in osteoarthritis.
Practical value: of the work consisted in the concretization of sonographic and MRI signs of degenerative dystrophic diseases of the hip joint and in the suggested algorithm of using radiological methods for establishing the nature of hip joint pathology.
Degree of inculcate: the results of research were introduced in the Radiology Department of First Tashkent Medical Institute and the Department of Large Joint Pathology Department of the Traumatology and Orthopedy Research Institute.
Sphere of usage: radiology, traumatology and orthopedy, rheumatology.
Неотъемлемой частью здоровья человека является стоматологическое здоровье, которое определяется как состояние органов и тканей полости рта, влияющее на благополучие человека, предоставляя ему возможность есть и общаться с другими индивидами, не испытывая дискомфорта и озабоченности, что позволяет ему осуществлять неограниченное участие в избранной социальной роли.
Based on the analysis of scientific literature, it has been shown that the most common complications of orthognathic operations are inflammatory processes and recurrences of jaw deformities. To prevent and reduce the number of such complications, it is recommended to create an algorithm for diagnosing and treating pathological processes in the maxillofacial region before orthognathic operations with the participation of an oral surgeon, orthodontist, prosthodontist, ENT specialist, and other indicated specialists.
Restovrativ stomatologiyaning muhim muammolaridan biri bu tishlarni endodontik davolashdan keyin toj nuqsonlarini tiklash. Tish toj qismining o'z vaqtida tiklanmasligi,tish qattiq to’qimalari nuqsonning shakllanishiga,tish qatoridava antogonist tishlarda yirik nuqsonlarpaydo bo’lishiga olib keladi. Hammaaga ma’lumki, tish toj qismining milk ustida joylashishi tish toj qismini parodontni zararlamasdan qayta tiklash imkonini beradi. Shu nuqtai nazardan kelib chiqib, bu kabi klinik vaziyatlarda (depulpatsiya qilingan chaynov tishlarda)endokoronkalar to’liq qoplamalarni o’rnini bosuvchi ayni konstruksiya hisoblanadi.Ayniqsa, tish klinik toj qismi kalta bo’lganda yoki antogonist tishalveolyar o’siq o’sib protezlashga joy kam qolganda.