Quadriceps tendon injuries most often happen to male patients with predisposing conditions in their fifth and sixth decade of life due to trivial trauma. Patients on renal dialysis are the most vulnerable population group.
Early diagnosis and surgical treatment are an absolute imperative in management of this injury. We have not proven that a certain surgical technique has an advantage over the others. A comorbid risk factor is related to a lower Lysholm score. Despite a few cases of complications, we can conclude that the surgical treatment yields satisfactory results.
Ten patients with electrical injury (over 3000 V) of the forearm and hand were operated on during the period of 11.6±3.1 months after accident. Soft tissue plasty with free microsurgical flap and simultaneous tendon and nerve plasty with nonvascularized autograft was performed in eight patients. In two patients with extensive soft tissue defects microsurgical flap included musculus latissimus dorsi that was reinnervated using the anastomoses with anterior interosseous nerve. For the restoration of sensation along the palmar surface of the hand, transposition of ulnar nerve segment on a vascular pedicle from the arm to the forearm was performed. Although no severe postoperative complications developed all patients required tendolysis and transposition of tendons for the restoration of tendon function. Those additional interventions provided the restoration of the wrist grip and social rehabilitation of all patients.
Геморроидальная болезнь преследует человечество много тысячелетий. Основным проявлением болезни является выпадение узлов и геморроидальное кровотечение. Развитие медицинской технологии и внедрение современных методик, таких как LHP, позволяет получить хорошие результаты. При этом значительно уменьшаются страдания пациентов в послеоперационном периоде и наступает быстрая реабилитация.
Hemorrhoidal disease has been haunting humanity for many millennia. The main manifestation of the disease is the loss of nodes and hemorrhoidal bleeding. The development of medical technology and the introduction of modern techniques, such as LHP, allows you to get good results. At the same time, the suffering of patients in the postoperative period is significantly reduced and rapid rehabilitation occurs.
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