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1.
Article in Russian | MEDLINE | ID: mdl-11785340

ABSTRACT

Patients with extensive bite wounds given conventional treatment and exposed to millimetric electromagnetic waves (MEW) were compared by therapeutic benefit. MEW treatment early after the trauma enhances regeneration in the lesion thus raising therapeutic efficiency of the treatment because the exposure to MEW in hydration phase provides a fast relief of soft tissue edema, lessens intoxication, stimulates adaptation.


Subject(s)
Bites and Stings/therapy , Electromagnetic Fields , Humans , Treatment Outcome
3.
Khirurgiia (Mosk) ; (10): 51-3, 1998.
Article in Russian | MEDLINE | ID: mdl-9825629

ABSTRACT

122 patients with purulent complications of open diaphyseal fractures of long bones were treated. Comparative analysis of different surgical methods for treatment of pyogenic complications has shown that the most effective method is one of active sanation of the area of inflammation with the use of combined drainage ensured successful and steady decrease of pyogenic process (follow-up up to 4 years, 89.7% of patients). The drainage provides stable fixation of bones fragments by dipped fixators until consolidation of the fracture. It also promotes repain of residual diaphyseal defects without application of complicated plastic methods.


Subject(s)
Femoral Fractures/surgery , Fractures, Open/surgery , Hand Injuries/surgery , Shoulder Fractures/surgery , Tibial Fractures/surgery , Wound Infection/surgery , Drainage , Femoral Fractures/complications , Follow-Up Studies , Fracture Fixation , Fractures, Open/complications , Hand Injuries/complications , Humans , Shoulder Fractures/complications , Suppuration , Suture Techniques , Tibial Fractures/complications , Treatment Outcome , Wound Infection/etiology
4.
Biofizika ; 39(2): 376-8, 1994.
Article in Russian | MEDLINE | ID: mdl-8193202

ABSTRACT

The authors generalized the experience of interference current apparatus application for the treatment of acute disease and trauma in the N.V. Sklifosovsky Scientific and Research Institute for Emergency Medicine (Moscow). A kind of recorder for reading the interfinger electric resistance of patient skin was offered as a biologic feedback to this apparatus aimed at individualized treatment. The values of the "resonance" frequencies shown by the recorder of the biological feedback to the interference current apparatus allow to determine the duration of the refractivity of excitable membranes in patients in the process of the complex treatment.


Subject(s)
Biofeedback, Psychology , Membrane Potentials , Acute Disease , Humans , Skin Physiological Phenomena , Stress, Psychological/physiopathology , Stress, Psychological/therapy , Wounds and Injuries/physiopathology
5.
Sov Med ; (2): 25-8, 1991.
Article in Russian | MEDLINE | ID: mdl-2057834

ABSTRACT

Functional method has been used in the treatment of 110 patients with noncomplicated closed fractures of metatarsal bones. Theoretical rationale of the method is presented. Positive effect of early exercise on the injured limb is demonstrated. A plaster bandage permitting talocrural movements is described. A plaster bandage permitting talocrural movements is described. Immobilization periods, shorter than the common ones, are validated. Employment of this method resulted in a stable reduction of invalidity periods.


Subject(s)
Ankle Injuries , Fractures, Closed/surgery , Metatarsal Bones/injuries , Adolescent , Adult , Aged , Ankle Joint/physiopathology , Ankle Joint/surgery , Exercise Therapy , Female , Fracture Fixation/methods , Fractures, Closed/physiopathology , Fractures, Closed/rehabilitation , Humans , Male , Metatarsal Bones/surgery , Middle Aged , Time Factors
8.
Ortop Travmatol Protez ; (12): 11-6, 1990 Dec.
Article in Russian | MEDLINE | ID: mdl-2093857

ABSTRACT

In treatment of recent associated damages of finger flexor tendons and nerves the authors have developed the methods of primary-single-stepped and prumary-two-stepped restorative operations, including reinsertion, plasty or endoprosthetics of deep flexor tendon in combination with microsurgic epineural suture. It has been utilized an atraumatic silicon tendon endoprosthesis of proper construction. Excellent functional results of treatment have been obtained in 52.5% of observations, good--in 21.9%.


Subject(s)
Finger Injuries/surgery , Fingers/innervation , Microsurgery , Tendon Injuries/surgery , Tendon Transfer , Adolescent , Adult , Female , Humans , Male , Middle Aged , Suture Techniques
10.
Ortop Travmatol Protez ; (10): 55-8, 1989 Oct.
Article in Russian | MEDLINE | ID: mdl-2622639

ABSTRACT

The authors describe their experience in the treatment of 55 patients with trochanteric fractures of the femur operated with a bundle of elastic rods (after Ender). Their mean age was 80 (61-98) years. The control group comprised 83 patients who had received conservative treatment and 53 patients who had been treated surgically with a three-blade nail with diaphyseal plate. The method is characterized by low traumatism and is accompanied by little blood loss, that is why no hemotransfusion was made in most cases. The danger of infection at the fracture site is minimal as it in not exposed. A sufficiently stable fixation of the fragments allows to make an early activation of the weakened patients, which is necessary for the prevention of hypostatic complications. The operation is simple and easy; it may be successfully mastered by broad sections of the doctors; an electro-optical++ transducer is required in the operating room.


Subject(s)
Bone Nails , Fracture Fixation, Internal/instrumentation , Hip Fractures/surgery , Age Factors , Aged , Fracture Fixation, Internal/methods , Humans , Middle Aged
11.
Sov Med ; (10): 18-21, 1989.
Article in Russian | MEDLINE | ID: mdl-2533398

ABSTRACT

The results of treatment of 36 patients injured during the earthquake in Armenia are analyzed. The patients had severe traumas: open injuries to the limbs, complicated by nephro- and hepatopathies. The periods of the limb crushing with fragments of ruined buildings varied from 3 hours to 3 days. The treatment modalities included conservative and operative detoxication (hemoperfusion, hemodiafiltration, hemofiltration, prolonged endolymphatic infusions of drugs), active surgical strategy, rehabilitation of patients. Seven amputations, 7 reamputations, and 21 necrectomies were performed in 36 patients by vital indications; no lethal outcomes were recorded. Restorative skin plasty was performed in 14 patients with 19 limb stumps, with good functional outcomes. The patients were directed to the Central Research Institute of Prosthetics to be supplied with prostheses. Only in 3 patients with the upper limb crushing the development of stable ischemic contractures could not be prevented.


Subject(s)
Amputation, Traumatic/surgery , Arm Injuries/surgery , Crush Syndrome/therapy , Disasters , Fractures, Open/surgery , Leg Injuries/surgery , Shock, Traumatic/therapy , Amputation Stumps , Amputation, Traumatic/complications , Arm Injuries/complications , Armenia , Combined Modality Therapy , Crush Syndrome/complications , Debridement/methods , Fractures, Open/complications , Humans , Leg Injuries/complications
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