Biomedical subjects
Publications and source records attributed to N I Khvisiuk.
The results are presented of pathomorphological studies and clinical examinations of 572 patients with lumbar zygo-apophyseal joint arthrosis using arthrography, intraarticular treatment- and- diagnostic blockades, intracutaneous joint denervation and surgical treatment of arthrogenous lumbar canal stenosis. Based on the data obtained, the pathogenetic classification of lumbar spondyloarthrosis has been elaborated and presented in the given paper.
In the article are presented data on the operative treatment of 52 patients (54 operations) with anterior instability of the arm joints. Patients have been distributed into 4 groups depending upon the character of intra-articular damages, revealed in the process of arthrotomy. Each group of patients was subjected to adequate operative intervention, based upon Bankart's method. The authors proceeded from the principle that the arm joint instability treatment should be aimed at removal of intra-articular damages. There have been restored integrity of the damaged cartilage cushion and the joint capsule, the capsule plasty and blocking of the anteroinferior joint sinus. The treatment tactics of the kind allowed to achieve the maximum stability of the arm joint and prevent postoperative recurrencies. Long-term results have been studied with 41 patient, no recurrencies have been noted. The operated limb function has been restored with the majority of the patients.
In the article are presented data on application of constant current of 25 +/- 2.5 microA for stimulation of bone reparative regeneration in case of fractures in experimental animals (40 dogs) and patients (66 persons). It has been proven that application of electrostimulation with electrode polarisation, with the stage of reparation process development taken into consideration, increased the patients treatment efficiency and quality.
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A woman patient suffering from the rigid man syndrome (RMS) is described. Analyzing the clinical characteristics of the case, the anatomophysiological features of segmental innervation and suprasegmental control of the activity of axial muscles of the body, the authors suggest that the phenomenon of axial muscle rigidity is caused by the hyperreactivity of vestibular and reticular neurons stimulating via vestibulo- and reticulospinal fibers the motoneurons of the medial plates of the anterior cornua of the spinal cord (the segmental representation of axial muscles). The pathogenetic similarity of myotonic disorders in axial muscles in patients with the RMS and reflex manifestations of vertebral osteochondrosis is under discussion.
The present paper is the result of the next stage of the studies devoted to prolonged intraarterial introduction of drugs into the tissues of the thoracic spine. For the solution of the problems of surgical provision of this task the authors have worked out the operative approaches to the secondary departments of the posterior intercostal arteries and the technique of their retrograde catheterization on 14 cadavers in 31 experimental operations. This method has been used in the complex treatment of 12 patients with acute and inveterate injuries of the thoracic and the thoracolumbar departments of the spinal column and of the spine. The proposed method appears to be prospective and may be used in the treatment of the patients with tumours, inflammatory and other diseases of the thoracic spine.
The authors demonstrate that a merited place among the methods of manual therapy belongs to PIR--postisometric relaxation of the muscles. It is shown that the relaxation of the muscle converted to isometric regime of work is achieved on the basis of the anatomic and biomechanical principles of its action. The use of PIR is advisable, which is evident in the light of the theory of portal pain control.
The authors have studied the clinical picture of 360 patients with primary traumatic dislocations and the long-term results have been observed in 286 patients. The analysis of 50 arthrotomies of the shoulder performed in cases of anterior instability has been made. A direct relationship between the clinical course of instability and the severity of the intra-articular lesions appearing during the first traumatic dislocation has been established. Such lesions include ruptures or avulsions of the anterior portion of the cartilage wall, ruptures of the joint capsule, avulsion of the capsule from the neck of the scapula, fractures of the anterior border of the glenoid cavity, compression fracture of the posterior lateral portion of the head of the humerus, etc, Inadequate treatment of traumatic dislocation leads to instability in the form of frequent dislocations or subluxations in the shoulder joint. The surgical treatment of the instability should be directed at the reconstruction of the injured structures of the shoulder joint.
The authors examine the anatomical and biomechanical peculiarities of the upper and lower cervical vertebromotor segments. A differential administration of the manual therapy methods to influence various levels of the cervical spine is substantiated. It has been demonstrated that the mobilization of the atlanto-occipital joints should be carried out by means of flexion and extension movements and lateral inclinations. It is supposed that the atlanto-occipital complex of joints may be affected by means of combination of axial traction and rotation of the cervical spine. The manipulations on the lower cervical vertebromotor segments require a combined application of lateral inclinations and rotation.
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The paper is based on the analysis of the results of clinical, pathophysiological and roentgenological examinations and on the data of surgical verification of the causes of neurologic deficiency in 163 patients. Proceeding from the condition that the principal operations in cases of complicated fractures of the spine are decompression and stabilization interventions, the authors have elaborated a system of such interventions and stated the main principles of choice of the methods of decompression. In particular they have proposed the following extents of decompression interventions: decompression of the contents of the vertebral canal, decompression of the contents of the dural sac and intratrunk decompression of the spinal cord. The methods of decompression interventions may be correction, correction and stabilization, resection and resection and stabilization. The proposed scheme allows to eliminate the existing terminological discord and provides for objective evaluation of the efficiency of the intervention.
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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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.