[Complex rehabilitation of patients suffering of degenerative dystrophic joint disease with the application of minimally invasive keyhole surgery].

During the period of 2004-2009 in the 6th Central Military Clinical Hospital 343 arthroscopy were performed. Control set consisted of 128 patients who refused operative treatment or operative treatment couldn't be preformed because of contraindications. During the arthroscopy in 74% of cases old laceration of meniscus was diagnosed, in 18% infra-articular osteochondral fragments were eliminated, in 32% of cases arthroscopic synovectomy was preformed, in 10% of cases forage and mikrofrakturing of subchondral bone were performed, chondroplasty and sanitation of joint were done for every patient. Together with it, during the arthroscopy signs of synovitis were diagnosed. The results of treatment were estimated by the scale of Lysholm (1982) and by the scale IKDS (1995) in 1, 3, 6 and 12 months. In 75% the results were good and excellent.

[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.