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Biomedical subjects

V P Okhotskiĭ

Publications and source records attributed to V P Okhotskiĭ.

At least 19 recordsLinked to original sources
PubMed1998

[Management of patients with pyogenic complications of long bones open fractures].

122 patients with purulent complications of open diaphyseal fractures of long bones were treated. Comparative analysis of different surgical methods for treatment of pyogenic complications has shown that the most effective method is one of active sanation of the area of inflammation with the use of combined drainage ensured successful and steady decrease of pyogenic process (follow-up up to 4 years, 89.7% of patients). The drainage provides stable fixation of bones fragments by dipped fixators until consolidation of the fracture. It also promotes repain of residual diaphyseal defects without application of complicated plastic methods.

Drainage↗
PubMed1991

[Treatment of uncomplicated closed fractures of the metatarsal bones by the functional method].

Functional method has been used in the treatment of 110 patients with noncomplicated closed fractures of metatarsal bones. Theoretical rationale of the method is presented. Positive effect of early exercise on the injured limb is demonstrated. A plaster bandage permitting talocrural movements is described. A plaster bandage permitting talocrural movements is described. Immobilization periods, shorter than the common ones, are validated. Employment of this method resulted in a stable reduction of invalidity periods.

Adolescent↗
PubMed1990

[Primary plasty of deep flexor tendons during complicated injury of hand].

In treatment of recent associated damages of finger flexor tendons and nerves the authors have developed the methods of primary-single-stepped and prumary-two-stepped restorative operations, including reinsertion, plasty or endoprosthetics of deep flexor tendon in combination with microsurgic epineural suture. It has been utilized an atraumatic silicon tendon endoprosthesis of proper construction. Excellent functional results of treatment have been obtained in 52.5% of observations, good--in 21.9%.

Adolescent↗
PubMed1989

[Treatment of open injuries in the victims of the earthquake in Armenian SSR].

The results of treatment of 36 patients injured during the earthquake in Armenia are analyzed. The patients had severe traumas: open injuries to the limbs, complicated by nephro- and hepatopathies. The periods of the limb crushing with fragments of ruined buildings varied from 3 hours to 3 days. The treatment modalities included conservative and operative detoxication (hemoperfusion, hemodiafiltration, hemofiltration, prolonged endolymphatic infusions of drugs), active surgical strategy, rehabilitation of patients. Seven amputations, 7 reamputations, and 21 necrectomies were performed in 36 patients by vital indications; no lethal outcomes were recorded. Restorative skin plasty was performed in 14 patients with 19 limb stumps, with good functional outcomes. The patients were directed to the Central Research Institute of Prosthetics to be supplied with prostheses. Only in 3 patients with the upper limb crushing the development of stable ischemic contractures could not be prevented.

Amputation Stumps↗
PubMed1989

[Surgical treatment of trochanteric fractures of the femur in middle-aged and elderly patients using a bunch of metal rods].

The authors describe their experience in the treatment of 55 patients with trochanteric fractures of the femur operated with a bundle of elastic rods (after Ender). Their mean age was 80 (61-98) years. The control group comprised 83 patients who had received conservative treatment and 53 patients who had been treated surgically with a three-blade nail with diaphyseal plate. The method is characterized by low traumatism and is accompanied by little blood loss, that is why no hemotransfusion was made in most cases. The danger of infection at the fracture site is minimal as it in not exposed. A sufficiently stable fixation of the fragments allows to make an early activation of the weakened patients, which is necessary for the prevention of hypostatic complications. The operation is simple and easy; it may be successfully mastered by broad sections of the doctors; an electro-optical++ transducer is required in the operating room.

Age Factors↗
PubMed1985

[Conservative and surgical treatment of fractures].

On the basis of the clinical experience the author estimates the modern methods of the conservative and operative treatment of fractures. The advantages of the functional plaster bandage in the treatment of fractures of the arm and shin bones are shown.

Adolescent↗