ABSTRACT
A complex clinico-functional examination of 103 patients and invalids operated for obliterating atherosclerosis of the lower extremity vessels was carried out. Clinico-functional criteria for the assessment of the degree of chronic arterial insufficiency are proposed. The leading criterion of rehabilitation is found to be the degree of compensation of circulation. Complex application of the above methods in combination with clinical findings helps to make an objective assessment of the peripheral circulation state and of efficiency of the operation in remote periods of time.
Subject(s)
Arteriosclerosis Obliterans/rehabilitation , Leg/blood supply , Work Capacity Evaluation , Adult , Arteriosclerosis Obliterans/surgery , Blood Flow Velocity , Humans , Male , Middle Aged , Plethysmography, ImpedanceSubject(s)
Hip Joint/physiopathology , Osteoarthritis/physiopathology , Female , Humans , Locomotion , Male , PostureABSTRACT
The article presents criteria of the medical and socio-occupational rehabilitation in postthrombophlebitic disease which allow to change the initial identification of the degree of working ability in 22% of 135 patients.
Subject(s)
Thrombophlebitis/rehabilitation , Adult , Follow-Up Studies , Humans , Methods , Middle Aged , Prognosis , Rehabilitation, Vocational , Social Adjustment , Thrombophlebitis/surgery , Work Capacity EvaluationABSTRACT
Trophic disorders in the tissues of diseased extremities were studied in 530 patients with thrombophlebitis. Four clinical degrees of such disorders were found. The authors have shown that in the first and second degrees of trophic disorders changes in the tissues were of the compensated, subcompensated and practically reversible character, while in the third and fourth degrees they resulted in decompensation of the extremity functions and were found to be irreversible. The conclusion is made that results of the surgical treatment are directly dependent on the degree of the regional trophic disorders.
Subject(s)
Leg Ulcer/diagnosis , Thrombophlebitis/complications , Adult , Aged , Chronic Disease , Electromyography , Humans , Leg/blood supply , Leg Ulcer/etiology , Leg Ulcer/physiopathology , Middle Aged , Thrombophlebitis/diagnosis , Thrombophlebitis/physiopathologySubject(s)
Blood Coagulation , Duodenal Ulcer/complications , Peptic Ulcer Hemorrhage/blood , Stomach Ulcer/complications , Adult , Aged , Duodenal Ulcer/blood , Female , Humans , Male , Middle Aged , Stomach Ulcer/bloodABSTRACT
During the recent 4 years, 135 patients (130 females and 5 males) with trophic persistent ulcers of the lower extremities, developed due to venous pathology, were treated conservatively. Eighty patients aged from 30 to 50 years, and only 55 patients were much older. The duration of the disease was from 6 months to 20 years. Ulcers were of different size from 3.2 to 180 cm2. The combined method of treatment of trophic ulcers enabled the authors to shorten twice the terms of the treatment as compared with other methods. The positive effect was gained in 89.6% of cases, in 59 patients (43.7%) complete healing of ulcers being gained. This method may be employed not only under stationary but also under outpatient conditions.
