Ortopediia travmatologiia i protezirovanie
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Ortop Travmatol Protez · Jul 1989
[Use of a rod apparatus for external fixation in the treatment of hand injuries].
The authors describe an external fixation rod apparatus and the results of its application in 28 patients with various injuries. The apparatus was used in the patients with fractures of phalanges of the fingers and metacarpal bones for extra-articular fixation after the elimination of contractures and dislocations in the joints, in cases of combined epidermatoplasty, arthrodesis, etc. The method of treatment had to be changed only in 2 patients. In all other cases the effect of the rod apparatus was positive.
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Ortop Travmatol Protez · Jul 1989
Case Reports[Diagnostic errors in hematogenic osteomyelitis of the pelvic bones].
The authors have analysed the caused of frequent diagnostic errors in the primary diagnosis which reach 51.2% in 41 patients with hematogenic osteomyelitis of the pelvis. A high percentage of diagnostic errors is caused by more frequent occurrence of hematogenic osteomyelitis of the pelvis in the adults aged 20 to 60 and older who are "not expected" to have hematogenic osteomyelitis which is considered to be a disease characteristic of children and adolescents, by an inadequacy between the provoking etiologic factor and the subsequent development of the disease and by disguise of hematogenic osteomyelitis of the pelvis with symptoms of other frequently occurring diseases. The character of the diagnostic errors is clearly linked with the localization of the process in the bones of the pelvis.
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The authors present the clinical and experimental substantiation of the method of local cooling of the cerebrospinal formations and the evaluation of its efficiency in various surgical interventions on the spinal column and the spinal cord. The method of performing local hypothermia of the spinal cord in 64 patients is described. Having compared three versions of local cooling, the authors recognize that the optimum method was that with the cooling element placed directly on the dura mater and with compulsory neurovegetative protection during the performances. The high efficiency of local hypothermia of the spinal cord was confirmed by rapid stabilization during the postoperative period of the values of central hemodynamics and the oxygen budget of the patients' organisms, while there was regression of the neurologic deficiency, prevention and arresting of the brain tissue edema and analgesia.
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Ortop Travmatol Protez · May 1989
[Effectiveness of local hypothermia in the complex treatment of patients with complicated injuries of the spine].
Having analysed her observations of 84 scheduled patients with complicated injuries of the spinal column the author comes to the conclusion that local cooling of the spinal cord during the postoperative period exerts positive influence: it contributes to a decrease in excitability of alpha motoneurons of the spinal cord which is manifest by reduced muscular tension, improves the local blood flow in the spinal cord, raises the vascular tension and provides the analgetic effect.