[Therapeutic physical exercise after endoprosthesis of the hip joint].
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Biomedical subjects
Publications and source records attributed to P V Iur'ev.
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Medical rehabilitation was fulfilled in 75 patients with intra-articular fractures of the distal metaepiphysis of the shoulder bone. The authors came to the conclusion that the main methods of treatment of fresh intra-articular fractures of the distal metaepiphysis of the shoulder bone consisted in conservative measures (a single reposition, skeletal extension and compression-distractional osteosynthesis). In cases of the open reposition followed by osteosynthesis a sparing technique of surgical intervention should be used.
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178 patients with various ligamental injuries were treated according to the technique elaborated at the Institute. To restore ligaments preserved tendon homografts from the long fibular tendon with a remained terminal bone fragment were employed. The techniques of Gay-Growth-Smith and Sitenko underlie the methods of tendinoplasty applied. Following the operation therapeutic exercises, using water basin, massage, mechanotherapy and different kinds of physical therapy were employed differentially. Good results were obtained in a vast majority of patients (91.6%).
An experience with functional and physical and physical therapy employed postoperatively in 525 patients with injuries of 752 digital flexor tendons is reported. A primary suture on flexor tendons after the V.I. Rozov technic within the boundaries of the synovial-aponeurotic sheath was put on 252 fingers in 183 patients. Homoplasty of digital flexor tendons was performed in 342 patients (500 fingers), terms of the injury being from 2 months to 15 years. Studies of late results in 382 patients on 535 fingers enabled to conclude that along with an operative procedure one should provide the conditions for an early functioning of the muscle and operated tendon per se. Therapeutic exercises associated with massage, physical and labour therapy seem to be a decisive factor in the complex of postoperative measures.
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