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Supplementum Pages :317–322

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Abstract
Dzhumabekov SA, Aytnazarov ET Bishkek Research Center of Traumatology and Orthopedics, Bishkek, Kyrgyzstan Knee replacement is by far the most progressive method of surgical treatment of lesions of the joints of different etiology, which is developing rapidly and is increasingly used in orthopedic practice. We used implants sled type. Overall, 96 patients were performed 101 operations on knee replace- ment with artificial implants. The age of patients ranged from 20 to 71 years. The main contingent of the patients were women - 90 men - 6 patients. The average age of women was 50 years, men - 54 years old. The vast majority of transactions car- ried out using cement fixation, which was due to both economic reasons (cementless implants for fixing cement is more expensive models), and the presence of the majority of patients expressed phe- nomena of osteoporosis. In addition, according to the literature, cement technique gives the best long-term results than Cementless. According to the literature, the results of knee replacement pros- thesis with patellar and without a comparable, so we opted for simplification and reduction of the duration of the operation. As the development of this method, we are faced with a number of specific features of the knee joint. All surgical procedures were performed under conditions of significant degradation of joints, however, most patients had different axial deformation of the knee. Most often, patients have been with varus deformity. When sur- gical intervention in most patients degradation was more pronounced on the medial femoral-tibial side of the knee joint, which manifests itself a violation of the axis of the limbs (varus deformity), so in se- vere varus deformity of the limb at the knee height of the tibial resection increased. And, accordingly, to achieve a balance of joint space in extension and flexion angle of 90º, we were set up to ear implants 10-12 mm. If you have a long-term knee flexion contractures, even after replacing the knee joint with an artificial one, it is very difficult to develop a movement to some time we applied in such cases myofasciotenodesis, but the consequences of such operations is very grim. Given these circumstances, we have developed a method of intraoperative re- dressement thigh. Before endoprosthesis is made to shorten the femur resection and extramedullary fixation plate. By shortening the femur is relaxation and stretching the thigh muscles, so we can simul- taneously eliminate contractures of the knee joint without interfering with the soft tissue structures. Clinical evaluation was performed for the evalua- tion table Knee Society, consisting of two parts: assessment of knee function and functional capac- ity of the patient. Complications: paresis of the pe- roneal portion of the sciatic nerve is marked in 4 cases. After the medical treatment the patient came regression of neurological symptoms before the full restoration of nerve function. Two patients with rheumatoid arthritis and secondary gonarthrosis range of motion in the knee joint remained un- satisfactory (less than 30º). This can be explained by the peculiarities of their mentality, by virtue of which it was not possible to achieve compliance with the normal period of rehabilitation. The mean preoperative functional evaluation of the knee was
Özet
Amaç: Omurganın gögüs ve bel bölüm hasar komplekasiyondan dolayı olan cerrahlık tedaviler aşağı prinsiplere uymaması lazım, buzulan omurga segmentisıinin anatomı ortası düzelmesi için yapılması gereken omurilik ve omurlilik sinir dekompressı.Yöntem: omurganın gögüs ve bel bölümlerın hasar komplekasiyonları için yapılan tespit sistemisi ile cerrahlık ameliyatının hacmini belirlemek.Bulgular: Bu projede 199 gögüs ve bel hasar komplekasiyonu ile hastalanan hastaları tedavi edilmiş sonuçlarını gostermektir. 178 kayıplara ameliyat yapıldı (89.4%). Erkekler sayı-134. (67.3%), kadınlar sayı -65 (32.6). Hasarın olan yerinden dolayı Th12 – L1 98 (49,2%), Th11 – Th12 56 (28,1%), Th7-8-9 17 (8,5%), Th3-4-5 14 (7%), L1 54 (27,1%), L2 29 (14,5%), L3 24 (12%) omurgular. Neurolojik açlık Frankel/ASIA, sınıflandırması ile bellirlendi. A grupasına 15 (7,5%), B 34 (17%), C 40 (20,1%), D 89 (44,7%), E 21 (10,5%) hastalar girilir. Magerl omurga hasarı. A 129 (64,8%), B 58 (29,1%), C 12 (6%) hastalar girilir. İki fazlı ameliyatlar 31 (17,4%) hastalara, ön korporedez 6 (3,3%) hastalara yapıldı. İntraameliyatlı myelografi 52 hastalara yapıldı. 19 olgularda kayıplara omurlilik sıkıştırma faktörü ortadan kaldırılması ve likvör dolaşımı kurtarmak için laminektomi yapıldı.Çıkarımlar: Modern tespit sistemleri ile yapılan cerrahi tedaviler omurgada sıkışrma faktörlerini kaldırmak için çök yardım etmektedir.Amaç: Omurga ameliyatındaki O arm sonuçlarını araştırmak.Yöntem: 2014-2015 yıllarında 19 ve 77 yaştaki 87 hastalar (assısted fluoroscopıc navıgatıon) yöntemile ameliyatlı oldular, ortam yaş-49, erkekler-39 oldu, kadınlar-48. 40 hastalarlara vertebroplasti