All articles - Rheumatology
Number of articles: 85
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Modern aspects of diagnostic and planning of surgical treatment of zygomati- corbital fracturesThis article provides a summary of the literature data on the diagnosis and planning of surgical treatment of patients with fractures of the zygomatic-orbital complex. Despite the large number of works devoted to this topic, the literature data on the choice of diagnostic methods and planning of surgical treatment are rather fragmentary and not systematized, which in turn allows us to focus our activities and research on the development and modernization of diagnostic methods and surgical treatment of fractures of the zygomatic-orbital complex.
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Surgical treatment of dysplastic instability of hip joint in children and adolescents by creating the long canopy over head of the femurSurgical treatment of congenital dislocation of the hip in the late period, especially in older children and adolescents, with high standing of the femoral head and secondary changes of elements of the hip joint, and also the muscles surrounding it is a difficult and not solved the problem. Objective: Based on the study results exist, methods of surgical interventions aimed at restoring the supporting ability of the limb in congenital dis-location of the hip in older children and adolescents, the most effective options work out operational interven-tions in this group of patients depending on the severity of hip dislocation and implement them in practical medicine. Material and Methods: The study is based on a survey and study of the results of surgical treatment of 70 patients’ older children and adolescents with unilateral congenital hip dislocation. To study the results of treatment have been used clinical, radiological and statistical methods. Results: The results of treatment were followed in the period from 1 to 6 years. Positive results were re-ceived in 82% of patients
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Complex functional treatment of congenital dislocation of the femur in childrenThe work is based on the analysis of the results of examination and treatment of 538658 patients (1,077,316 joints) for the period from 2006 to 2016. Children from the first month of life to 1 year were ob-served in the polyclinic department of pediatric orthopedics. The patients were divided into 3 age groups, tak-ing into account the timing of the diagnosis and taking them into account. Thus, the analysis of long-term re-sults after the closed repositioning of congenital dislocation of the hip in one year and 5 years in three age groups showed that in 89% of cases, good clinical and radiologic indices in children in the group from 1 to 3 months were observed
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Application of the halo-apparatus in the treatment of patients with injuries of ii cervical vertebraThe paper analyzed the treatment of 18 patients with ruptured-vision of the C2 vertebra. Men -15 (83,3%) women 3(16,7%). Age of patients varied from 18 to 47 years, an average of 31 years. The mechanism of injury was dominated by road traffic accidents -12 (66,6%) of cases, at least - drop – 4 (22.2%), and snor-kelling in shallow water–2 (11.2 %). In the neurological status was dominated by a syndrome of cervicalgia, limitation of motion of the cervical spine, paresis in the limbs. Application of Halo apparatus makes it possible to eliminate the displacement of bone fragments, to restore anatomical relationships in the craniovertebral re-gion with simultaneous fixation of the cervical vertebrae and allows you to start the RAS element the revitaliza-tion and rehabilitation of victims. The installation of the show-on all patients when there is significant bony deformity. If the reduction is achieved by the regression offset, the further treatment is carried out in a Halo machine. Indications for occipitospondilodesis are the inability to eliminate deformation using a Halo- apparatus and the absence of significant deformation at the level of С2 vertebra
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Evaluation of factors influencing the development of nonalcoholic steatohepatitis in patients with rheumatoid arthritisThe combination of rheumatoid arthritis and nonalcoholic steatohepatitis can have adverse prognostic significance for the patients’ quality of life of. Identify relationships between the rheumatoid arthritis course, treatment methods and liver morpho-functional state, skeletal system, lipid metabolism, intensity of lipid perox-idation under a combination of rheumatoid arthritis and nonalcoholic steatohepatitis. All patients were exam-ined with including of morphological study of the liver, skeletal system, blood lipid spectrum, syndrome peroxi-dation and endotoxemia. Correlation interaction between quantitative variables were calculated using the Pearson coefficient. Correlation analysis of the calculation coefficient Spearman's rank correlation was used to assess the relationship between signs
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Clinical and laboratory characteristics of osteoporosis in women with rheumatoid arthritisOverall, 113 female patients with rheumatoid arthritis (RA) had examined. From 16.9 to 48.7% of patient’s analyzes revealed clinical symptoms of osteoporosis (OP). According to the results of questionnaires, 87.6% of patients need to analyze parameters of calcium-phosphorus metabolism. The level of blood calcium was below than 2.2 mmol/l at 65.5% of patients, and the level higher than 2.8 mmol/l revealed at 15.9% of patients respec-tively. It found an increased activity of acid phosphotases (APs), parathyroid hormone (PTH) - markers of bone resorption and decreased alkaline phosphatase activity (ALPs), calcitonin (CT) - bone formation markers. The results of computed tomography (CT) and rentgendensitometry showed that, 40.0% of patients had signs of I de-gree, at 26,7% - II degree and 33,3% - III degree of osteoporosis (OP)
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Importance of functional indices in determining the severity of osteo-arthritis in patients with obesityThe Study have included 80 patients (28.8% -men, 71.2%-women, mean age 58.8± 0.8 years ) with os-teoarthritis (OA) of the knee. In 27.5% of patients body mass index (BMI) was consistent with the normal index, from 28.8% -overweight, at 25.0%- obesity I, at 12.2%- II degree. Increased body weight of patients increased the severity of OA. In patients with OA worsens the quality of life in all aspects of the question-naires EQ -5D (EuroQol), The study have included 80 patients (28.8% men, 71,2%-women, mean age 58.5±0,8 years) with osteoarthritis (OA) of the knee. In 27.5% of patients body mass index (BMI) was con- sistent with the normal index, from 28,8%-over weight, at 25,0%-obesity I, at 12,2% - II degree. Increased body weight of patients increased the severity of OA. In patients with OA worsens the quality of life in all aspects of the questionnaires EQ-5D (EuroQol), indeces WOMAC indices, Lequesne and and expert fea- tures
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The role of computer densitometry in detecting of osteoporosis in the patients with rheumatic goutFor the purpose of detecting osteoporosis clinical, laboratory and instrumental investigations have been studied in 70 patients (56 women, 80,0%, 14 men, 20, 0%) with rheumatic gout. By means of the questionnaire of the International fundosteoporosis 80 % patients answered to two or more questioned positively. Physical examination enabled to reveal clinical symptoms of osteoporosis in 17, 2 - 48, 7% patients. By using the computer tomography roentgen densitometry the patients with osteoporosis has been found in 40, 0 % of degree I, 26,7% of degree II and 33, 3% of degree III. Hypocalcaemia was distinctive in patients with Optical Density (OD)
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Minimally invasive method of surgical treatment of spinal compression fractures on background of osteoporosisThe article presents the analysis of results of treatment of 45 patients with compression fractures of the vertebral bodies on the background of osteoporosis, methods of puncture vertebroplasty and kyphoplasty. Obtained 97.8% of good results. In the study the authors came to the following conclusion: transcutaneous transpedicular vertebroplasty and kyphoplasty in strict compliance with indications and contraindications is one of the most effective maloinvazivnogo, safe, cost-effective methods for the treatment of spinal compression fractures on background of osteoporosis.
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Geography of distribution of a displaziya and congenital dislocation of a hip on the samarkand areaIn article the geography of distribution of dysplasia of hip joint and congenital dislocation of hip on the Samarkand area is described. At orthopedic survey of 7500 newborns and children, at 340 from them the hip joint dysplasia is defined, among them at 85 patients congenital dislocation of hip is revealed. At research are used methods: clinical, radiological (ultrasonography, X-ray). At early identification and initiation of treatment directly in maternity hospital, in 97-100% of cases it is possible to receive good and excellent results, as is prevention of complications of pathologies. Authors offer early identification and early treatment of pathology.
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The causes of violations of the shin bone fracture consolidation with the use Extrafocal compression distraction osteosynthesis and ways of their preventionThere results of osteosynthesis of tibia by Ilizarov in 540 patients are mentioned in the article. Patients were examined by dividing them into 2 groups. In 486 patients who were in the first group, it was tried to insert broken bones were at once, they were attached to the Ilizarov installation consisting of 4 rings. The part of bones that was impossible to insert at once, were inserteded gradually with the help of the installation. In 80% of patients the bones grew together in time. In 20% there was a slow fusion not fusion and false joints. In 54 patients who were in the second group, the bones were inserted at the same time with the help of IIT, and arc attached to the installation of the Ilizarov. In all Patients who were in the second group but one (he had concomitant diseases, obesity -III degree, diabetes) bones have grown together during. The reason of the fact that the bones were inserted at the same time and were strongly attached to the seam.
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Role of beam diagnostic methods at pathological changes of the hip joint before endoprosthesis replacementEndoprosthesis replacement - operational treatment of diseases and damages of hip joint. The problem of prevention of complications and their negative effects is extremely actual [1] today. However the role of different beam techniques in identification of adverse effects and complications of endoprosthesis replacement of joints is studied insufficiently. Results of clinic and diagnostic and beam researches of 40 patients with pathology of hip joint arc analyzed. The used beam methods of research - roentgenography, multispiral computer tomography. At presurgical stage the main objective was detection of pathology of joint, definition of indications and planning of operative measure. Situation and relationship of components of endoprosthesis, condition of bone tissue, and also bone cement round cup and leg of prosthesis were key parameters of radiological assessment of outcomes of endoprosthesis replacement. Complex use of radiological techniques (roentgenography and spiral computer tomography) allows to specify and add semiotics of changes of bone tissue at the level of acetabular hollow and proximal department of femur after endoprosthesis replacement.
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The question treatment of chronic nonspecific pain in the lower part of the backIt was carried out a comprehensive survey of 98 patients with chronic non-specific pain in the lower back. It is shown that the combined use of anti-inflammatory drugs together with B vitamins can reduce the dose of NSAIDs to reduce the time and the reduction of pain.
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Clinical and radiological studies of hip dysplasia have ventilated newborn infants and infants ageHas been made check up of 1432 newborn children. The positive sign of Marx-Ortolani is established in 5,1%, weakness (looseness) of a hip joint - in 2,9%, limited abduction – in 17,8%. a X-ray analysis of a hip joint carried out in 1142 children and have been established a normal find hy in 63,1% from them. Displaziya is found in 18,3%, under dislocation - in 7,3%, dislocation 10,6%. The radiological picture of a hip joint not always corresponds to an initial clinical find hys. The number of cases late patologik relatively are a lot of.
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The methods of radial diagnosis in assessing of variations in the hip jointIn modern traumatology and orthopedics, great importance is attached to the pathology of large joints, in particular, the hip joint. In recent years, a significant increase in the indicators of damage to the osteoarticular system has been determined from 10.9 up to 16.9 per 100 thousand of the adult population. The proportion of diseases and injuries of the hip joint is 8.1%. According to WHO forecasts, the number of patients with this pathology will grow, which is associated with an increase in the average life expectancy of the population. An analysis of the literature showed that the traditional X-ray examination has not lost its significance at the present time. According to X-ray data, more than 80.0% of pathological changes in bones and joints are established, and in almost 70.0% of cases a correct interpretation is possible obtained data [7,12,14].
Journal problems of biology and medicine -
Переломы таза имеют довольно высокую летальность, основной причиной которой является травматический шок. Шок встречается в 18,3 - 43,1% всех случаев повреждений таза. -
The surgical treatment of chronic receded hematogen osteomyelitis in childrenIt was analyzed the results of the surgical treatment of 60 children with chronic receded hematogen os-teomyelitis in the age from 6 to 18 years old. All patients were carried out the surgical interventions, the fea-tures of them was the following manipulations: cut the skin along the diathesis of bone, careful determination of tissue which laid on the upper pert of the bone, longitudinal osteothomy, secvestrectomy with full recon-struction of intraosseal channel on all length with using washing and ultrasound cavitations solution of the antisepsises. The applicable surgical tactics provides the most radical sanation osteomyelitic region and im-proves the results of the treatment this severe pathology
Journal problems of biology and medicine -
Age differences computed tomography sizes of the lumbar spine on the median sagittal cut in healthy young men of podoliaThis article describes the age differences computed tomography size of the lumbar spine in the median sagittal sections in healthy young men of Podolia. It is proved that the most pronounced differences study sizes set between 20- and 18-year-old boy (lower values in 20-year-olds); between the 20- and 21-year-old boy (lower values in 20-year-olds). Smaller number of age differences performance found between 20- and 17-year-old boy (lower values in 20-year-olds), between the 19- and 21-year-old boy (lower values in 19-year-olds), between 18 and 19-year-old boy (smaller values in 20-year-olds). Between 17-year and 18-, 19-, 21-year-old boy is not found statistically significant differences or trends differences indicators.
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Катта ёшдаги болаларда сурункали ювeнил артритни комплeкс даволашда ситостатикларни ахамиятиМавзуни долзарблиги. Замонаний болалалар ревматологиясининг энг долзарб муаммоларидан бири бўғимларни сурункали яллиғланиш касалликларини олдини олиш ва улами бартараф этишдир. Бундай касалликлардан бири ювенил сурункали артрит (ЮСА) бўлиб унга таянч-харакат аппаратининг узоқ муддатли яллиғланиш жараёни хосдир, бу жараён эса болаларни эрта ногиронликларига олиб келиши мумкин.
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Катта ёшдаги болаларда сурункали ювeнил артритни комплeкс даволашда глюкокортикостeроид прeпаратларини афзаллик даражасиМавзуни долизарблиги. Замонаний болалалар ревматологиясининг энг долзарб муаммоларидан бири бўғимлами сурункали яллиғланиш касалликларини олдини олиш ва улами бартараф этишдир. Бундай касалликлардан бири ювенил сурункали артрит (ЮСА) бўИиб унга таянч-харакат аппаратининг узоқ муддатли яллиғланиш жараёни хосдир, бу жараён эса болаларни эрта ногиронликларига олиб келиши мумкин.
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Артроскопическая характеристика синдрома хронического синовита коленного сустава различной этиологииАктуальность темы: При длительном течении синдрома хронического синовита (СХС) нарушается состояние костно-хрящевых структур, образующих коленный сустав. Поэтому рентгенологическое исследование проводится каждому пациенту с хронической патологией коленного сустава. Оно позволяет оценить форму и структуру костей, выявить некоторые косвенные признаки поражения суставного хряща [3,4].
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Тройная остеотомия таза в хирургическом лечении дисплазии тазобедренного сустава у детейАктуальность: Несмотря на достигнутые успехи в диагностике и лечении дисплазии тазобедренного сустава, проблема лечения остаточной дисплазии тазобедренного сустава остается одной из самых актуальных в детской ортопедии. 20-50% дегенеративно-дистрофических заболеваний тазобедренного сустава возникают в результате остаточной дисплазии тазобедренного сустава. Коксартроз диспла- стичсского генеза составляет 60-80% от всех случаев коксартроза [4].
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Comparative characteristics of the methods of treatment of patients with posttraumatic defects and deformations of the base of the orbitAmong the various deformities resulting from injuries of the middle zone of the face, one of the most severe in their consequences are defects and deformations of the edges and walls of the orbits, since in 90% of cases they cause functional disorders of the organs of vision and account for 6-28% of the total number of facial injurie skeleton (Ippolitov V.P. 1986, 1995; Belchenko V.A., 1988, 1996) [2, 3, 5]
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Местная инъекционная терапия при острых травмах, дегенеративно-дистрофических и ревматических поражениях опорно - двигательного аппаратаВ статье сообщается о проведенном анализе результатов лечения 216 больных с применением местной инъекционной терапии при острых травмах, воспалительных и дегенеративно - дистрофических поражениях суставов, периартикулярных тканей, некоторых болевых мышечных синдромах. Местная инъекционная терапия проводилась с применением глюкокортикостероидов, хондропротекгоров, нестероидных противовоспалительных средств, антибиотиков и препаратов расщепляющего действия.
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Опыт хирургической коррекции вальгустного отклонения первого пальца у пациентов с поперечным плоскостопием и деформирующим артрозом первого плюснофалангового суставаПо данным различных авторов, поперечное плоскостопие наблюдалось у 55 - 66% женщин и 15 -38% мужчин. При поперечном плоскостопии, характеризующимся распластанно- стыо переднего отдела стопы и развитием вальгусного отклонения первого пальца, нарушаются конгруэнтность суставных поверхностей первого пл юс нсфал антового сустава и плюснссссамовидных сочленений, вследствие чего происходит развитие деформирующего артроз. Учитывая, что первый плюсне - фаланговый сустав находится под постоянным и максимальным воздействием нагрузки массы тела, особенно при ношении тяжестей, длительной ходьбе, беге, деформирующий артроз прогрессирует достаточно быстро.
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