RESUMO
Terms of consolidation of fractures and working ability were studied in 273 patients. Patients with multiple fractures of bones and with fractures associated with cranio-cerebral traumas were found to have slow consolidation (in 66.41%) or formation of a false joint (in 6.1%) due to severity of the trauma. It is just the cause of prolonged treatment and disability of the I or II group (in 66.6%). Active surgical treatment of such patients is necessary.
Assuntos
Regeneração Óssea , Lesões Encefálicas/complicações , Avaliação da Deficiência , Fraturas Ósseas/complicações , Traumatismo Múltiplo/complicações , Choque Traumático/etiologia , Adulto , Lesões Encefálicas/epidemiologia , Lesões Encefálicas/cirurgia , Ossos Faciais/lesões , Feminino , Seguimentos , Fixação Interna de Fraturas/estatística & dados numéricos , Fraturas Ósseas/epidemiologia , Fraturas Ósseas/cirurgia , Humanos , Masculino , Traumatismo Múltiplo/epidemiologia , Traumatismo Múltiplo/cirurgia , Federação Russa , Choque Traumático/epidemiologia , Choque Traumático/cirurgia , Fraturas Cranianas/complicações , Fraturas Cranianas/epidemiologia , Fraturas Cranianas/cirurgia , Fatores de TempoRESUMO
The authors have made a clinicoroentgenologic and pathomorphologic comparison of the materials of examination of 81 patients aged 60 to 75 years with exacerbations of chronic gunshot osteomyelitis of the long bones after 40-45 years. The clinicoroentgenologic characteristics of active and slow exacerbations is presented. Four types of changes in the roentgenologic picture have been revealed: destructive, necrotic, corticalitis type, fistulous and mixed. The peculiarity of the manifestations of osteonecrosis in the form of sequesters and two types of crumb-like inclusions and bone reconstruction (with linear separation of the compact bone layer on the inner surface and perifocal osteoporosis) has been pointed out. Besides, some problems of medical labour examination in chronic gunshot osteomyelitis after 40-45 years have been considered.
Assuntos
Avaliação da Deficiência , Prova Pericial/legislação & jurisprudência , Osteomielite/diagnóstico , Ajuda a Veteranos de Guerra com Deficiência/legislação & jurisprudência , Ferimentos por Arma de Fogo/complicações , Adulto , Idoso , Doença Crônica , Humanos , Pessoa de Meia-Idade , Osteomielite/etiologia , Osteomielite/reabilitação , Fatores de Tempo , U.R.S.S. , GuerraRESUMO
The authors describe three methods for making tendon transplants by using chemical sterilizing and preserving means having no unfavorable effect on their biological and plasty properties. The methods are simple, reliable and fairly suitable for a wide supply of clinical institutions with tendon transplants.
Assuntos
Esterilização/métodos , Tendões/transplante , Preservação de Tecido/métodos , Acetona/farmacologia , Animais , Bactérias/isolamento & purificação , Dimetil Sulfóxido/farmacologia , Cães , Etilsuccinato de Eritromicina/farmacologia , Óxido de Etileno/farmacologia , Formaldeído/farmacologia , Humanos , Prednisolona/farmacologia , Tendões/microbiologiaRESUMO
Experimental studies and clinical observations over allotendoplasty were carried out. A new method of the combined autoloplasty of old ruptures of the Achilles tendon was developed and carried out upon 13 patients. Allotendoplasty was applied upon 31 cases of injuries to the Achilles tendon. Late results were followed up in 30 patients; in 29 out of them a complete functional restoration of the injuried extremity was obtained. Clinical and experimental data allow to recommend banked allografts for the use in reconstructive surgery.
Assuntos
Tendão do Calcâneo/lesões , Tendões/transplante , Adolescente , Adulto , Idoso , Animais , Feminino , Humanos , Masculino , Métodos , Pessoa de Meia-Idade , Coelhos , Ruptura , Transplante Autólogo , Transplante HomólogoRESUMO
178 patients with various ligamental injuries were treated according to the technique elaborated at the Institute. To restore ligaments preserved tendon homografts from the long fibular tendon with a remained terminal bone fragment were employed. The techniques of Gay-Growth-Smith and Sitenko underlie the methods of tendinoplasty applied. Following the operation therapeutic exercises, using water basin, massage, mechanotherapy and different kinds of physical therapy were employed differentially. Good results were obtained in a vast majority of patients (91.6%).