RESUMO
The analysis of results of knee arthroplasty performed in two groups of patients - 40 patients of senile age and 40 long-livers, taking into account their comorbidity was perfomed. Patients with the Charlson comorbidity index of 5-8 points, subject to hospitalization on the profile for pre-examination and inpatient treatment of aggravating somatic pathology, as preparation for a future knee replacement surgery. Results after the operation in the groups on the scale KOOS was 78±8,18 and 76±11,36, and according to WOMAC 142±4,6 and 151±4,8, respectively. A year after the operation, there were no statistically significant differences between two groups. Operative intervention is possible only if its risk is minimized.
Assuntos
Artroplastia do Joelho , Osteoartrite do Joelho/cirurgia , Idoso , Comorbidade , Humanos , Longevidade , Osteoartrite do Joelho/epidemiologia , Resultado do TratamentoRESUMO
Hip arthroplasty outcomes for «difficult¼ eldery group of patient, aged 75-89 years, with femoral neck pseudarthrosis were analyzed. All patients were divided into 3 groups depending on the type of treatment (surgical or conservative) and terms of the removal of previously implanted metal constructions (before or during surgical procedure). Good and satisfactory results by Harris hip score were achieved in 94,8% of observations. The reasons of postoperative complications were considered for every group of patients.
Assuntos
Artroplastia de Quadril , Fraturas do Colo Femoral/cirurgia , Pseudoartrose/cirurgia , Qualidade de Vida , Idoso , Idoso de 80 Anos ou mais , Artroplastia de Quadril/efeitos adversos , Artroplastia de Quadril/métodos , Tratamento Conservador , Humanos , Complicações Pós-Operatórias/etiologia , Resultado do TratamentoRESUMO
A variant analysis of virus antigens of tick-borne encephalitis complex was carried out by enzyme immunoassays and topographic mapping of this protein using a panel of monoclonal antibodies to the structural glycoprotein of tick-borne encephalitis (TBE) virus of the Far East subtype. The results of the study confirmed the existence on the structural protein of both identical determinants typical of all the antigens of the complex and of subgroup-specific determinants. The topological analysis of the epitopes binding monoclonal antibodies revealed 3 separate domains possessing different functional properties. The results of topological mapping and immune typing of TBE virus antigen were compared.
