RESUMO
Brachial joint affection in patients, suffering rheumatoid arthritis, occupies a third place after such of the elbow and the hand. Due to significant reduction of a freedom degree, caused by inflammation, the upper extremity looses function of active instrument for the items transposition. Volume of surgical treatment of such patients depends on stage of the process. On early stages arthroscopic synovectomy of brachial joint is performed and on the late--endoprosthesis. Late results of the treatment are mainly positive. Satisfactory results are based, predominantly, on raising of activity of general rheumatoid inflammation.
Assuntos
Artrite Reumatoide/cirurgia , Artroplastia de Substituição/métodos , Artroscopia/métodos , Articulação do Ombro/cirurgia , Adulto , Artrite Reumatoide/patologia , Artrite Reumatoide/terapia , Feminino , Humanos , Masculino , Modalidades de Fisioterapia , Amplitude de Movimento Articular , Índice de Gravidade de Doença , Articulação do Ombro/patologiaRESUMO
The article deals with experience in the surgical treatment of 405 patients with closed and open fractures of the femur. The method of choice in operative management of fractures was stably-functional osteosynthesis--mechanically secure fixation providing the possibility of excluding immobilization in the postoperative period. Stable fixation and early activity promoted timely consolidation of the fractures with simultaneous restoration of a normal range of movements and reduction of the terms of treatment due to coincidence of the periods of consolidation and rehabilitation. Depending on the level and character of the fractures, straight, angular, and hooked plates, Kuntscher's and Smith-Petersen nails, and spongy ++ screws were used for stably-functional osteosynthesis.
