ABSTRACT
Features of supraosteal osteosynthesis of the distal metaepiphysis of radial bone in elderly patients, permitting stable fixation of bone fragments in conditions of osteoporosis, were highlighted. Results of treatment of 35 patients, aged 60-78 years were analyzed. The proper plate positioning and conduction of the distal screw line provides the stable fixation, eases early rehabilitation and facilitates good functional results.
Subject(s)
Bone Plates , Bone Screws , Fracture Fixation, Internal/methods , Osteoporotic Fractures/surgery , Radius Fractures/surgery , Age Factors , Aged , Epiphyses/injuries , Female , Fracture Healing , Humans , Male , Middle Aged , Osteoporotic Fractures/diagnostic imaging , Radiography , Radius Fractures/diagnostic imaging , Retrospective Studies , Treatment OutcomeABSTRACT
Results of mechanomyographic study of long radial hand extensor in 32 patients with radial nerve neuropathy were analyzed. The novel way of secure early diagnostics of reinnervation was presented. The method uses the quality characteristics of muscular contractility. The small sized device with the body mount were worked out. The main mechanomyographic changes of de- and reinnervation process were registered and explained. The contractility index, allowing assess the treatment efficacy, was defined.
Subject(s)
Electromyography/methods , Muscle Contraction/physiology , Muscle, Skeletal/innervation , Muscle, Skeletal/physiopathology , Radial Nerve/physiopathology , Radial Neuropathy/diagnosis , Humans , Radial Neuropathy/physiopathologyABSTRACT
The diagnostic and treatment algorithm of the comminuted intraarticular fractures of the long tubular bones was worked out. It included laser Doppler flowmetry, thermography, artroscopy, osteoreplacing and external fixation methods. Bench tests of the innovated external fixation apparate proved the possibility of early postoperative rehabilitation of patients.
Subject(s)
Arm Injuries , Femoral Fractures , Fracture Fixation, Internal/instrumentation , Fractures, Comminuted , Adolescent , Adult , Aged , Aged, 80 and over , Arm Injuries/classification , Arm Injuries/diagnosis , Arm Injuries/physiopathology , Arm Injuries/therapy , Equipment Design , Femoral Fractures/classification , Femoral Fractures/diagnosis , Femoral Fractures/physiopathology , Femoral Fractures/therapy , Fracture Fixation, Internal/methods , Fractures, Comminuted/classification , Fractures, Comminuted/diagnosis , Fractures, Comminuted/physiopathology , Fractures, Comminuted/therapy , Humans , Intra-Articular Fractures/classification , Intra-Articular Fractures/diagnosis , Intra-Articular Fractures/physiopathology , Intra-Articular Fractures/therapy , Middle Aged , Physical Therapy Modalities , Postoperative Care , Trauma Severity Indices , Treatment OutcomeABSTRACT
The algorithm of diagnostics, miniinvasive ostheosynthesis and postoperative rehabilitation of patients with the splittered fractures of caput femori was worked out. Treatment results of 24 patients were analyzed. All patients were treated with the use of the original apparatus of the external osteal fixation. The method allows early functional treatment and limb function restoration in cases, when classic immersinal ostheosynthesis is contraindicated.
Subject(s)
Equipment Design/methods , External Fixators , Fracture Fixation , Shoulder Fractures , Shoulder , Aged , Aged, 80 and over , Algorithms , Female , Fracture Fixation/adverse effects , Fracture Fixation/instrumentation , Fracture Fixation/methods , Fractures, Comminuted/surgery , Fractures, Open/surgery , Humans , Intra-Articular Fractures/surgery , Male , Middle Aged , Minimally Invasive Surgical Procedures/adverse effects , Minimally Invasive Surgical Procedures/instrumentation , Minimally Invasive Surgical Procedures/methods , Shoulder/surgery , Shoulder Fractures/diagnosis , Shoulder Fractures/surgery , Shoulder Injuries , Treatment OutcomeABSTRACT
The results of rehabilitation of 52 patients with radial nerve injuries were comparatively analyzed: the traditional rehabilitation complex (massage, training, etc.) was compared with the method of functional biomanagement. The technical characteristics of the designed functional cast were thoroughly described. The study demonstrated that reinnervation and functional recovery of the denervated muscles without segmental influence were significantly slower.
Subject(s)
Biomedical Technology/methods , Hand/innervation , Muscle Weakness/rehabilitation , Musculoskeletal Manipulations/methods , Peripheral Nerve Injuries/rehabilitation , Radial Nerve/injuries , Adult , Female , Hand/physiopathology , Humans , Male , Muscle Weakness/etiology , Muscle Weakness/physiopathology , Muscle, Skeletal/innervation , Muscle, Skeletal/physiopathology , Peripheral Nerve Injuries/complications , Peripheral Nerve Injuries/physiopathology , Physical Therapy Modalities , Recovery of Function , Treatment OutcomeABSTRACT
The use of ultrasound (US) scanning to assess the muscular function during the reinnervation is a new concept in medicine. The US signs of muscle denervation were thoroughly described in the article. The US muscle monitoring was performed by the complete and partial radial nerve injury in various follow-up periods. Absolute and relative indications for surgery were determined. The comparative characteristics of structural muscular changes, together with the US test for the assessment of the treatment efficacy and nerval and muscular recovery were suggested.
Subject(s)
Monitoring, Intraoperative/methods , Muscle, Skeletal/diagnostic imaging , Nerve Compression Syndromes/diagnosis , Nerve Compression Syndromes/surgery , Radial Nerve/diagnostic imaging , Ultrasonography/methods , Female , Humans , Male , Muscle, Skeletal/injuries , Muscle, Skeletal/physiopathology , Muscular Atrophy/etiology , Muscular Atrophy/prevention & control , Nerve Compression Syndromes/complications , Nerve Compression Syndromes/physiopathology , Neurosurgical Procedures/methods , Radial Nerve/injuries , Radial Nerve/physiopathology , Radial Nerve/surgery , Trauma Severity Indices , Treatment Outcome , Upper Extremity/injuries , Upper Extremity/innervation , Upper Extremity/pathologyABSTRACT
Basic difficulties of the adequate and precise electrophysiological examination of radial nerve injuries are traditionally conditioned by the impossibility to separate the muscle, isolated from the muscles, innervated by the ulnar or medial nerves. The phenomenon of flexor motor units potentials propagation by the stimulating electroneuromyography and M-flow registration from extensor muscles has been described in literature. To prevent the false interpretation of the examination results, 98 patients with radial nerve injuries were examined using the original program of separate assessment of motor and sensor fibers.