[Methodological base of rehabilitation treatment of service men with consequences of limb injuries after mine wounds].

The article is devoted to solving questions of complex medical rehabilitation of military service men, became invalids owing to military trauma, participants of the armed local conflicts and controterror operations. Was formed a unitary organizational system of rehabilitation treatment and social adaptation of injured persons by optimization of prosthetic-orthopedic aid, as out-of-alternative method of rehabilitation of patients with amputating defects of limbs, caused by mine wounds. Were determined methods of explorations of patients, medical conditions to surgical and conservative preparation of stumps, criterions of preparedness of stumps and terms of beginnings of prosthesis, was introduced an algorithm of rehabilitation measures. All that has permitted to accelerate the process of rehabilitation, to raise quality of prosthetic-orthopedic aid, attain good functional results and, finally, to create conditions of promotion of health, rising of health quality of invalids and appropriation of psychological assurance and of independence.

[The methodological approaches to organizing the rehabilitation of servicemen with amputation defects of the extremities]. / Metodicheskie podkhody k organizatsii reabilitatsii voennosluzhashchikh s amputatsionnymi defektami konechnostei.

10-year experience in prosthetics of extremity stumps in conditions of the Central Military Clinical Hospital N 6 was analyzed. In the hospital during the period from 1989 to 1999 prosthetic appliance was made in 203 patients with amputating defects of extremities, 37 of them with pair stumps and 1 with lack of segments of all extremities. Most patients (80.5%) had stumps at the level of femur and crus. Basing on the analysis of modern scientific literature and experience gained in hospital the authors have formulated organizational and methodical states. Thanks to observance of the stated principles it was possible to optimize considerably the process of medico-psychological and social rehabilitation, to achieve good functional results in all patients treated in the hospital. Adequate use of experience in other military medical and prophylactic institutions will contribute to significant decrease in periods of return of servicemen to social useful labour and increase in efficiency of rehabilitation measures.