Vol , No 2 (2018)
5-8 429
Abstract
Currently, minimally invasive method of treatment of intervertebral hernias is used as a reasonable alternative to conservative treatment at high rates of effectiveness based on the disease, with certain severe conditions of rehabilitation and recovery period after surgery.The benefits of minimally invasive surgery have been known for a long time. In many areas of medicine and partially orthopedics minimally invasive procedures have proven to be the best.However, such operations are not immediately recognized in the medical world. The idea of minimally invasive intervention on the spine seemed unattainable due to the lack of high-tech equipment needed in this field of medicine.Currently, the surgeon requires computers and special x-ray machines for the operation, which must have a high-resolution optical system. Such equipment can be quite expensive, and training requires a lot of effort. That is why endoscopic spine surgery is offered by few clinics.The method of Koss proved to be effective against the background of experimental research - this will be discussed in this article.
9-14 381
Abstract
Occlusion-stenotic lesions of arteries of the lower limbs traditionally occupy one of the leading places in the structure of disability and mortality among the population throughout the world. According to modern literary sources, about 3% of the world’s population aged 40 to 60 years old have arterial diseases of the lower extremities. At the same time, this indicator increases to 20% among persons older than 70 years [1, 2, 3]. In addition, it should be noted that the frequency of lesions of peripheral arteries is constantly increasing, which is associated with an increasing incidence of cardiovascular diseases, as well as diseases such as obesity and diabetes mellitus.
F. L. Lazko,
N. V. Zahorodnii,
A. YU. Semenov,
L. O. Kneller,
R. D. Borghut,
D. A. Romanov,
P. A. Demin
15-21 610
Abstract
Introduction: a dynamic system for fixation of distal tibiofibular articulation damages in recent times cut a swath among experts in traumatology and orthopedicsarea since at a high frequency of occurrence of such damage its classical static fixation by position screw has a number of disadvantages with consequent complica-tions. A dynamic fixation provides physiologic micromotion intercostal articulation with maintenance of adequate repositioning that assumes its advantage over static fixation.a e-mail: Fedor_lazko@mail.rub e-mail: Semeonoff.aleks2011@yandex.ruc e-mail: Okneller90@gmail.comd e-mail: Ramidisser@mail.rue e-mail: Dr.Romanov67@mail.ruf e-mail: Pauldemon94@gmail.comstudy purpose: comparison of clinical and radiological results of static and dynamic fixation methods of the distal tibiofibular articulation instability.Methods: Was carried out an effectiveness analysis of treatment of 42 patients having B and C-types malleolar fractures according to AO/ASIF classification withtibiofibular syndesmosis damage, in settings of the traumatology and orthopedic department of the State Clinical Hospital No. 67 named after Vorokhobov duringthe period from 2016 to 2018. Patients were divided into two groups depending on the type of syndesmosis fixation: 21 patients were included into dynamic fixation group and 21 patients were included into static fixation group. Control examinations were carried out at 1.5; 3; 6 and 12 months after surgery. The average follow-up period was 12 months. Clinical and x-ray methods were used, scores questionnaires were filled in (AOFAS, FADI, OMAS).study results: evaluation of the obtained data showed that tendency to better clinical and radiologic results is reported in the dynamic fixation group.Conclusion: the dynamic fixation of distal tibiofibular articulation damages is a good alternative to its classical static fixation by position screw.
22-27 492
Abstract
For complex preparation for minimally invasive treatment of intervertebral hernia, a number of drugs are used to relieve pain and local inflammation. Non-surgical treatment involves primarily a set of conservative measures, including rest, consisting in several days of bed rest. A prolonged sitting position is also not recommended. Also, for the removal of pain can be used analgesics and drugs that counteract inflammatory processes, such as ibuprofen. Drugs that relaxing skeletal muscles, for example, mydocalm, reducing pain. Complex treatment can be addition to the administration group, but their ac- tion is too slow and it is difficult to determine how effective they are.Epidural injections can also be included in the treatment complex. At the end of treatment, it is recommended to perform special physical exercises to strengthen the muscles of the back or engage in physical therapy.In the treatment of hernias with displacement of vertebral discs can be used methods of manual therapy. Both together and as separate treatments can be applied methods of post isometric relaxation or PIR.Acupuncture should be performed only by a professional doctor. It is able to reduce the degree of pain by relaxing the muscles. It is recommended to carry out from 8 to 12 sessions. The application of medicinal leeches or leech therapy has a positive effect 60 % of cases. Also conservative treatment includes some types of massage.Many patients doctors recommend to carry out the procedure of spinal traction or traction. It can be carried out using special traction equipment or manually. In this article we will focus on the preparation of the patient for treatment by Koss.
28-32 442
Abstract
The problem of choosing the optimal method of surgical treatment of occlusal-stenotic lesions of the arteries of the lower extremities (OSPANK) remains one of the most urgent for modern vascular surgery. The existing recommendations for determining the tactics of surgical treatment based on the international clas- sifications of TASK-1 and TASK-2 for all their advantages can not be considered completely universal and exhaustive, which is associated with the continuous develop- ment of X-ray endovascular methods of correction of OSPANK, the constant refinement of indications and contraindications for various methods of surgical treatment.
E. M. Mokhov,
V. A. Kadykov,
A. M. Morozov,
M. A. Eliseev,
A. A. Grosheva,
T. T. Zenin,
O. V. Peltikhina
33-38 677
Abstract
After analyzing the literature, we established general patterns and specificity using various animal species to simulate the reaction of certain organs and body systems. In addition, the specifics of such studies from the ethical point of view, as well as the human dimension in the experiment on animals, are considered. As a result of studying literature sources, it was revealed that, unfortunately, at the present stage of the development of science, it’s not possible to completely replace experiments on animals with computational techniques and modeling. However, for ethical reasons, experiments are performed using means that reduce the suffer- ing of animals, such as general anesthesia, local anesthesia, proper animal care, that is eliminating senseless cruelty towards them. In order to avoid cruelty to animals, the issues of laboratory research with their participation regulate the legislation, as well as control by such independent bodies, dealing with problems of ethics and morality as an ethical committee. The basic motives for using animals in experiments is the desire to save lives, in a timely manner to identify and prevent undesirable consequences of applying a new technique for treating diseases or making new drugs
39-42 441
Abstract
Treatment of hernia by the method of Dr. Koss is used in cases where conventional physiotherapy exercises are already late and therefore ineffective and surgery is inevitable. This can sometimes be the consequence of the rupture of the fibrous ring, when self healing is unrealistic.The industry of advanced medicine translates the treatment of intervertebral hernia into a kind of Assembly flow. This also applies to operational techniques. Alas, in this well-established scientific and technical chain there is a significant gap - it is the unavailability of their own doctor, who would control the whole process of healing from the very first moment of pain to the stage of their elimination and further, in dynamics, the prevention of possible subsequent exacerbations. The pa- tient goes from doctor to doctor, from therapist to neurologist, from neurologist to neurosurgeon. Some use “point” treatment options - only operation, only bone (manual therapy, osteopathy), only injections, only massage, etc., etc.Methodical in all stages of treatment, collegiality, doctoral acceptability and gramotnaya neurorehabilitation subsequently relieving the compression of nerve roots of an intervertebral hernia (whether nucleoplasty, other neurosurgical surgery or non-surgical method of treatment according to the method of the doctor Cossa), prevention of recurrent exacerbations, such as in other areas of the spine that is the problem which needs to be addressed to the attending doctor together with the patient.
43-48 386
Abstract
Ummary: In all periods of development of vascular surgery, the problem of choosing the optimal method for surgical treatment of occlusal-stenotic lesions of the arteries of the lower extremities (OSPANK) has been and remains one of the most urgent.The most common occlusal-stenotic lesion of the arteries of the lower extremities, according to most modern sources, is the lesion of the femoropopliteal segment, which occurs in approximately 65% of cases. This pathology is more common among patients of the older age group (more than 60 years). According to the data of modern authors, the need for surgical treatment for atherosclerotic lesions of arteries of the lower extremities is about 600 people per 1 million population per year. At the same time, despite the dynamic development of reconstructive methods of treatment, approximately 500 patients per 1 million population a year perform an amputation of the lower limb. Characteristically, according to modern data, the five-year survival after amputation of the lower extremity for atherosclerotic arterial lesion in most cases does not exceed 54%, which can not be called a satisfactory result [6,7]
49-53 405
Abstract
The authors analyze the results of the immediate and long-term nature of surgical treatment of patients with multi-storey occlusive-stenotic lesions of the arteries of the lower extremities. Revealed the efficiency of hybrid technology to lower the cost of treatment to 50-70%.
ISSN 2223-2427 (Print)