THE THERAPEUTIC TACTICS OF INTRA-ARTICULAR FRACTURES OF THE ANKLE (LITERATURE REVIEW)

As a result of the analysis of literature it was revealed that in case of pronation-abduction ankle injury takes place injury of the articular surfaces. The hyaline cartilage significantly suffers. Typical localization of damage of the articular cartilage is the middle or front third of the inner edge of talus block. The damage can spread to articular surface of the outer block of the talus. In 50 % cases the articular cartilage is the front edge of the tibia is damaged. The combination of damages of the articular cartilage of the inner edge of the block of the talus and the outside the department anterior edge of the tibia is more often (from 43 % till 57 %). In 80 % cases the damage of the articular cartilage surface of the talus ankle as roughness, cracks, defects with exposure of subchondral bone was revealed. The results say that in case of damage bony and ligamentous structures of the ankle at the joint pronation-abduction mechanism the articular cartilage significantly suffers. The size and character of the damages of the articular cartilage differs. i4s a result we can say that initially severe damage of the articular cartilage at trauma will significantly worsen the immediate and long-term results and this fact should be taken into account while making plan of the treatment of patients with ankle injury

Method of operative treatment of valgus deformation of a toe

Valgus deformation of a toe is the most common orthopedic pathology of a human. This pathology prevails in women, especially of elderly age. According to the data of different authors, the ratio between men and women is from 70—80 % to 20—25 %. Basing on the existing level of technologies of treatment of valgus deformation of a toe increase of effectiveness of treatment due to total correction of the deformation, stronger fixation of osteotomed fragments, especially at the osteoporosis, restoration of full and. painless range of motions in metatarsophalangeal and. interphalangeal joints and. also decrease of a risk of intraoperational fracture of fragments became an objective. We analyzed the results of surgical treatment of valgus deformation of a toe and. varus deformation of toe instep bone in 82 patients of 20—60 years. 92 operations in patients with II—III degree of deformation were carried out. 52 patients with II degree of deformation and. 30 patients with III degree of deformation were operated with use of our method. The article presents the results of treatment of valgus deformation of a toe and. varus deformation of toe instep bone in 82 patients by proposed method. Use of this method allows to eliminate valgus deformation of a toe, to restore congruence in metatarsophalangeal joint with the shift of sesamoid complex, to correct varus deformation. of toe instep bone, to eliminate external rotation of a toe by longitudinal cuneiform osteotomy of proximal fragment on the external surface of a toe instep bone at once. Our surgical method allows to reach strong fixation of the bone fragments after osteotomy especially at the osteoporosis, to restore full and. painful range of motions in metatarsophalangeal and. interphalangeal joints. It becomes possible to have good cosmetic effect and. to improve quality of life of patients

Les derniers résultats des études sur "Chersonésos de Strabon"

Zedgenidze A. A. Les derniers résultats des études sur "Chersonésos de Strabon". In: Sur les traces des Argonautes. Actes du 6e symposium de Vani (Colchide), 22-29 septembre 1990. Besançon : Université de Franche-Comté, 1996. pp. 303-310. (Annales littéraires de l'Université de Besançon, 613

Les derniers résultats des études sur "Chersonésos de Strabon"

Zedgenidze A. A. Les derniers résultats des études sur "Chersonésos de Strabon". In: Sur les traces des Argonautes. Actes du 6e symposium de Vani (Colchide), 22-29 septembre 1990. Besançon : Université de Franche-Comté, 1996. pp. 303-310. (Annales littéraires de l'Université de Besançon, 613