All articles - Orthopedics
Number of articles: 108
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THE USE OF POLYOXIDONIUM IN PATIENTS WITH COMBINED TRAUMA, DEPENDING ON THE TRAUMA OF THE FACIAL AREA.Anotation: The main attention in this review is paid to immunocorrection of patients with combined trauma with the use of the drug polyoxidonium, depending on the trauma of the facial area and its results.
Medicine and innovations -
Osteoarthritis of the knee joint: causal factors and methods of conservative treatmentSummarized scientific works devoted to the methods of conservative treatment of arthrosis of the knee joint describe generalized treatment of joint analgesics aimed at restoring the excretory and excretory function of the joint, the characteristic features of the action of homocysteine in the concentration of non-inflammatory prsparates against inflammation, and the periods of excitation of the knee joint. Cure mud-dat far from the effectiveness of kilib in kiska run and slow exposure to the landscape of the disease.attention was paid to the group of prsparats and their characteristics. Treatment is effective-maximizing the effectiveness of treatment with ointment Lori, creams, gels, which affect the gums, as well as physiotherapy-rapsvtik procedures, it is possible to obtain better results from the use of sleeping pills.
Doctor's Herald -
THE IMPORTANCE OF SARCOPENIA IN ASSESSMENT OF MUSCLE STATUS IN PATIENTS WITH RHEUMATOID ARTHRITISAssessment of sarcopenia (SP) and osteoporosis (OP) in patients with RA. In 117 patients (102 (87.2%) women and 15 (12.8%) men) who received RA, in whom RA was diagnosed, the functional state and strength of muscles were determined, and a special questionnaire was also conducted. The SARC-F study showed that 84 (71.7%) patients had sarcopenia. According to the results, sarcopenia was detected in 64 (54.7%) patients and in 95 (81.1%) patients with a dominant manual compression force of less than 16 kg. In our study, the frequency of SP was 44.7% with an increase in SP with the age of the patients and the duration of the disease. No correlation was found between SP and disease activity level (DAS28, ECT, SRO). When OP and SP were combined, the patients’ quality of life showed low HAQ scores. SP are common in RA and increase the risk of falls and fractures. When diagnosing SP and OP. the SARC-F questionnaire can be used in accordance with the EWGSOP2 criteria, the chair walking test and arm dynamometry. Among these methods, hand dynamometry has shown higher reliability than other methods.
Doctor's Herald -
Blood circulation in the vertebrobasilar region can often be impaired, and this is mainly due to the spondylogenic factor. The consequence of such changes can be from a slight decrease in cerebral circulation to ischemic complications in the vascular bed. The patients underwent complex radiation diagnostics of the craniovertebral region of patients with verified Kimmerle’s anomaly (N=62). All study participants underwent multispiral computed tomography (MSCT), Doppler ultrasound and transcranial Doppler (TCD) of the vertebral arteries (VA). Studies of the variantof the development of the first cervical vertebra with the presence of a bony bridge have shown that Kimmerle's anomaly can occur in all age groups. The frequency of detection of Ponticulus posticus was within 16.3% of cases, that is, it occurs in every 5-6 people and is common in all age groups with a prevalence in young and middle age. Most often, bilateral Kimmerle's anomaly was detected, which, according to TCD, affects the blood flow. In the unilateral variant, the anomaly was noted only on the left side. It was found that the main structural change in the cerebral vascular bed. according to ultrasound diagnostics, is a change in the straightness of the vertebral arteries in the transverse processes of the cervical spine, including the atlas. It should also be borne in mind that due to the complexity and mobility of the stnicture. patients with dysfunction of the craniovertebral zone receive therapy from doctors of various profiles, which requires a comprehensive diagnosis of this problem. -
Rheumatoid arthritis (RA) is a chronic joint disease with erosive and destructive lesions of the peripheral joints. The incidence of RA is 10% for rheumatic diseases and 0.5-1.0% in the general population. Women get sick 3-6 times more often than men -
FEATURES OF DAMAGE FORMATION TO PEDESTRIANS IN THEIR COLLISION WITH MOVING MODERN CARSThe article emphasizes the relevance of studying the features of the formation of damage by pedestrians in their collision with moving modem cars produced in Uzbekistan. The examples from practical observations on this type of motor vehicle injury show the distinctive features of injuries by their nature and localization on the body of the victims. Despite the fact that in the past cases there was a classic type of collision of cars with pedestrians, the dead bodies did not reveal the so-called “characteristic injuries" for this car accident.
Doctor's Herald -
According to literary research, vertebral pain syndromes (VPS) vary in a very wide range from 8 to 74%. The aim of our study was to determine the therapeutic tactics for children with VPS, which is different from adult practice. Evaluation of the effectiveness of therapy was monitored on scales. The complex treatment which is adapted to the age of children gives positive results in the form of reduction and relief of pain -
The undoubted and justified interest of researchers in comorbid conditions in rheumatic diseases has not faded away in the last decade, but the concept of multimorbidity has not yet been integrated either into clinical practice or into scientific research in the field of rheumatology. Renal comorbidity is common in patients with rheumatic disease on the basis of regular examination of serum and urine renal function tests. When patients have both arthritis and kidney disease, the following questions should be addressed. Is kidney disease a complication of rheumatic disease or its treatment, or arc they both manifestations of the same systemic autoimmune disease? This article is intended to clarify the above issues and to be used by rheumatologists and nephrologists in the treatment and monitoring of these diseases.
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Judicial and medical aspects of injuries of the lower limbs in the impact of carsThe article shows the characteristic features of injuries of the lower limbs in pedestrians during the im-pact of modern cars. It is revealed that when a moving car collides with a person by localization and the nature of revealed external injuries, it is possible to determine the victim's relative position and the direction of the impact of the moving car
Journal problems of biology and medicine -
Examination of 80 patients (28.8% of men. 71.2% of women, average age 58.5±0.8 years) with osteoarthritis (OA) of the knee joints. In 27,5% patients, body mass index (BMI) corresponded to a normal indicator, in 28.8% overweight, in 25.0% obesity I, in 12.2% II degrees. Increased body weight of patients contributed to the increase in the severity of OA. In patients with OA. the quality of life is deteriorating in all respects to the EQ-5D (Euro Qol) questionnaire, indicators of the WOMAC, Lckcna indices and expert evidence. -
Surgical treatment of non-consolidated fractures of the humeral condyle head in childrenThe experience of operative treatment in 116 children with incomplete fractures and pseudoarthrosis of the condyle of the humeral head is presented. The reasons for nonunion are errors of diagnosis and treatment of patients. Also important is the intraarticular nature of the fracture, the condition of the broken fragment from cartilage tissue and bone tissue, the contact of heterogeneous tissues in the presence of a lateral proximal small (4-5mm) displacement of the bone fragment, which is the cause of the extended period of bone-cartilage callus beyond the redistribution the accepted period of immobilization of the joint. A method for fixing a bone fragment, proposed by the authors, and a method of operation for treating pseudoarthrosis of the humeral condyle of the humerus by bone grafting, taken from the diaphysis of the fibula of the patient himself, is described. Excellent results were obtained in 43.3%. good results were observed in 46.2%, satisfactory - in 5.3%, and unsatisfactory - in 5.3% of patients.
Doctor's Herald -
Results of the comparative analysis of landscape of summarized formats in patients with osteomielitis of different ageThe aim was to give a comparative description of the landscape of pathogens sown in patients of differ-ent ages with osteomyelitis. It was found that the leading microorganisms in children as monoculture were S. aureus and P. aeruginosa, and in adults this sequence was somewhat different: S. aureus, S.epidermidis, E. coli, P. aeruginosa. In children, S. aureus and S. epidermidis were the leading associations, and in adults E. coli and P. aeruginosa. Identified 7 differences related to sowing pathogens depending on age and microbio-logical prognostic criteria are important for the formation and prognosis of the disease
Journal problems of biology and medicine -
The article is devoted to the problem of restoring bladder functions in disorders of its central and peripheral innervation, issues of the so-called neurogenic bladder in spinal cord injuries. Despite numerous modem studies, bladder function, bladder innervation and the mechanisms of its coordinated activity, as well as their correction in spinal disorders, remain important issues of modem medical science and require their solution in the context of neurorehabilitation. -
This article looks through the evaluation of patients life quality diagnosed with dorsopathia. 100 patients being treated in stationary conditions were involved to lead the investigation, and modifications in the quality of their life were examined as a result of taken reabilitative measures with the help of Oswestry's questionnaire and test on “The index of general psychological state”. -
The analysis of surgical treatment of 41 patients operated on with acute subdural hematomas was carried out. In group 1 (27 observations), hematomas were removed by traditional craniotomy. In group 2(14 observations), hematomas were removed using a new minimally invasive method. The results of surgical treatment depended on signs characterizing the severity of the patients’ condition: the degree of impaired consciousness, the volume of the hematoma, the degree of the brain median structures displacement. The use of open craniotomy is necessary in all cases when the level of the victims’ consciousness was lower than the sopor and the hematoma volume exceeded 60 cm3. In the case of violation of patients’ consciousness level not lower than deep torpor, the volume of the hematoma is not higher than 40-60 cm3 and the minimum severity of symptoms of lateral dislocation, when the displacement of the brain middle structures docs not exceed 5 mm, a minimally invasive method of removing the subdural hematoma can be used. -
Exercise of a small pelvis with one-dimensional plastic the base of the base of the base the nearest resultsThe study analyzed the immediate results after a front pelvic exenteration with a one-stage pelvic floor osteoplasty in 28 patients with locally advanced cervical cancer (MR cervical cancer) with a bladder germination with stage T2b-4N0-1M0. The age of patients ranged from 35 to 60 years, the average age was 47.5 years. The reasons that have a significant impact on the development of postoperative complications, the advantages of pelvic floor plastic, which reduces the incidence of postoperative complications, are analyzed
Journal problems of biology and medicine -
The article presents a conservative treatment based on planktonography and X-ray diffraction in 120 children with flat feet on various etiologies. Patients were divided into two groups, preventive and curative. They were treated with stage gypsum longots, later circular gypsum dressings with hypercorrection. As a result of early diagnosis and treatment, good and satisfactory results were obtained -
Efficiency of use in the fragmented fracture of the distal end of the humerus with the help of reconstructive plates and screwsThe article provides operational methods for treating patients with splinter fractured fractures of the dis-tal end of the humerus in 79 patients. Patients were divided into three groups, depending on the method of sur-gical treatment. The results of treatment of operative methods of all three groups are studied and the conclu-sion is made. As a result of the proposed method of treatment of authors, the effectiveness of treatment with reconstructive plates was proved
Journal problems of biology and medicine -
The results of the application of compressesive-distractive osteosynthesis at refract tibia diaphysisThere 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 are attached to the installation of the Ilizarov. In all Patients who were in the second group but one (he had con- comitant 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.
Journal problems of biology and medicine -
Clinical and laboratory evaluation of neonates with critical conditions of the cervical spine birth traumaThis article discusses the complications of cervical spine trauma critical position of the babies in the case of clinical laboratory evaluation criteria described below. The main group of people with a diagnosis of cervical spine Nathan Trauma 103 infant and under a term. The control group of 30 healthy babies. Based on the results the conclusion is that at the time of such children is not adequate medication treatment of neurologi-cal pathologies.
Journal problems of biology and medicine -
Our experience in recovery support at congenital dislocation of the hip in older children and adolescentsCreate a canopy above the head of the femur is distribute method of surgical treatment aimed at the res-toration of supporting ability and the dysplastic hip joint pathology. This article describes a method developed by the authors of surgery 11 older children and adolescents with congenital hip dislocation. This option of sur-gery is an effective treatment for children aged 7 to 18 years in violation of the relations hip dysplastic genesis
Journal problems of biology and medicine -
Surgery engrained anteromedial dislocation of the radial head in childrenPresented results of surgical treatment of old dislocations of caput of radii. Findings of searching were based on results of surgical treatment 37 patients with dislocations of caput radii on different reasons. Patients were done open reduction of caput of radii with repair of ligament annular. For modernization methods of re-pair of ligament annular we used its capsule of the joint and pats of ligament annular which has more anato-my-physiologically for elbow joint. By this method we have good and satisfactory functional results on 97,4% cases and anatomical on 95,7% cases
Journal problems of biology and medicine -
This article reflects of the material 49 observation children with. Starting in 2013, patients with this congenital pathology operated miniinvasive thoracoplasty way for D. Nuss. It is noted that the application for D. Nuss at thoracoplastythe correction of funnel chest in children and adolescents is the method of choice and gives good clinical results. -
An elongated lower extremities after pathological dislocation of the hipPatients surviving infancy hematogenous osteomyelitis of the hip bones, complicated by the destruction of the joint and the shortening of the lower limb, using the Ilizarov apparatus, without subperiosteal bone resection was produced lengthening limbs
Journal problems of biology and medicine -
Acute esophagogastroduodenopathy in traumatic disease. Morphogenesis and private pathology of erosive damagesIn the study of biopsies obtained during fibrogastroduodenoscopy (43 men, 268 biopsies) and autopsy (9 people) affected by severe concomitant injury that centralization of blood circulation at the level of the digestive system that leads to local circulatory hypoxia with morphological changes ranging from mild reversible ischemia to necrosis were detected. Polietiology and monopathogenesis of shock in general and traumatic disease in particular, mean flexibility of mechanisms of alterative components development. Morphologically stressful, immunopathological and circulatory changes are expressed in the development of acute esophagogastroduodenopathy in form of acute erosions and ulcers with severe hemorrhagic component. Clinically it is manifested in the form of dynamic ileus, dyskinesia of the stomach and duodenum, pyloric insufficiency of duodenal bile reflux
Journal problems of biology and medicine
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