Features of the Functional State of Patients with The Closed Breaks of Shoulder and Shin at Treatment on Ilizarov

Abstract

A comparative survey of stiffness fixation of bone fragments and blood supply to regenerate in two groups of adult patients with closed fractures of the shoulder (35 pers.) and fractures of the tibia (35 pers.) in terms of treatment by Ilizarov. Found that when a shoulder injury significantly lower functional load carried by the limb and 3 times higher than recorded by a load cell micromotion bone fragments when dosed loading segment of the limb. At the turn of the humerus faster and increases blood flow in normal vessels regenerate bone.On the basis of information about the regeneration of the broken bones of front and back extremities experimental zoons a priori had opinion of absence of principle differences in the regeneration of the broken bones of overhead and lower extremities for people. Ilizarov at treatment of patients with the closed breaks of both humeral bone and bones of shin recommended to adhere to the identical optimum terms of fixing - 54 days [1]. Not taken into account thus, that lower extremities, unlike overhead. The feature of the functional state of patients at treatment of break of humeral bone is falling of capacity at the maintainance of lokomotornoy activity. The closeness of proksimal'noy part of shoulder to the corps and necessity of maintainance of motions in an elbow joint do impossible using for treatment of break of humeral bone of typical set of circular supports of vehicle of Ilizarova, in-use at treatment of sick with breaks bones of shin [2]. For the union of breaks of bones a large value is had feature of their providing with blood, more intensive on a shoulder [3-6]. The purpose of the real research was comparison of capacity for the static functional ladening of shoulder and shin, and also inflexibility of fixing of bone fragments and providing with blood of regenerate at treatment on Ilizarov of the closed diafizarnykh breaks of bones of these segments of extremities.Inspected 2 groups of patients. First made 35 patients with the closed diafiz breaks of humeral bone in the conditions of treatment on the method of Ilizarov. Age of patients from 26 to 66 years (40±3), women - 10 brows., term of fixing in the moment of inspection from 3 to 94 days (22±6). The second group was made by 35 patients of mature age with the closed diafiz breaks of bones of shin in the conditions of treatment on the method of Ilizarov. For all patients micromobility of fragments of humeral or shinbones was determined at the axial ladening of the proper extremity dosed, step increasing for 5 kG [7]. Thus by tenzometric statio and voltmeter of B7-73/1 a signal, allowing at a count to define the change of distance between spokes, going out from a bone higher and below than area of break, was registered. In addition, by a sensor with bearing frequency 8 Mhz of computer-controlled diagnostic complex «Angiodin-2UK» production amalgamation of «BIOSS» (Russia) speed of blood stream was registered in the area of break on the surface of tibia or on the outward surface of humeral bone at the step increasing functional ladening of shin or shoulder (Figure 1). Statistical treatment of results of researches was conducted by the package of analysis of data of Microsoft ExSel-2010. For the estimation of authenticity of distinctions of results used the t-criterion of St'yudent. Applied the methods of cross-correlation and regressive analysis.

Authors and Affiliations

Schurov VA

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  • EP ID EP591724
  • DOI 10.26717/BJSTR.2018.09.001749
  • Views 152
  • Downloads 0

How To Cite

Schurov VA (2018). Features of the Functional State of Patients with The Closed Breaks of Shoulder and Shin at Treatment on Ilizarov. Biomedical Journal of Scientific & Technical Research (BJSTR), 9(1), 6895-6897. https://europub.co.uk/articles/-A-591724