RESUMO
The investigation conducted by the authors makes it possible to come to the conclusion that rheumatoid arthritis brings about early and severe invalidity mainly of young and middle-aged patients (predominantly women) persisting practically up to the pension age with further aggravation of disability. It has been also established that physicians of rural regions and interregional commissions for medical testimony are not sufficiently acquainted with the modern classification, methods of treating rheumatoid arthritis and specifying invalidity in connection with this disease. There is practically no specialized aid for the population of small towns and rural regions. The need in this aid is obvious.
Assuntos
Artrite Reumatoide/diagnóstico , Avaliação da Deficiência , Adulto , Fatores Etários , Artrite Reumatoide/epidemiologia , Doença Crônica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , População Rural/estatística & dados numéricos , Fatores Sexuais , U.R.S.S./epidemiologia , População Urbana/estatística & dados numéricosAssuntos
Artrite Reumatoide/terapia , Osteoartrite/terapia , Ambulatório Hospitalar/organização & administração , Reumatologia/normas , Espondilite Anquilosante/terapia , Assistência Ambulatorial/organização & administração , Assistência Ambulatorial/normas , Artrite Reumatoide/diagnóstico , Necessidades e Demandas de Serviços de Saúde , Humanos , Área Carente de Assistência Médica , Osteoartrite/diagnóstico , Ambulatório Hospitalar/normas , Federação Russa , Espondilite Anquilosante/diagnósticoRESUMO
Experience in the treatment of 60 patients is generalized. Operative interventions are recommended for improving the outcomes of treatment in marked incongruence of the articular surfaces. Open reduction and osteosynthesis of the fragments is advisable in the first 21 days after the trauma. In neglected fractures of bones forming the acetabulum, the operation is performed with consideration for the condition of both components of the hip joint. The authors believe the following operations to be most indicated in this case: modeling resection of the hip joint, total endoprosthesis, arthrodesis. The late-term results were studied in 50 patients, among whom 31 were treated by surgery and 19 by nonoperative methods. The results were excellent in 6, good in 18, and satisfactory in 15 patients.
Assuntos
Acetábulo/lesões , Fraturas Ósseas/cirurgia , Acetábulo/cirurgia , Adolescente , Adulto , Idoso , Artrodese/métodos , Criança , Feminino , Fixação de Fratura/métodos , Articulação do Quadril/cirurgia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
A method of plasty of the hip joint with the perforated metallic implant fixed with plastics is proposed. The method was approbated in experiment with 10 adult dogs and used in 3 patients with long-standing marginal fractures of the acetabulum. Morphological and roentgenological examinations have found restored integrity of the acetabulum, the supporting ability of the extremity and sufficient amplitude of movements.
