Aim. To study the biomechanical peculiarities of orthopedic disorders in patients after cerebral stroke and estimate possibilities for their correction. Materials and methods. One hundred and thirty two persons in the late rehabilitation period after the cerebral stroke were examined. The state of loco-motor system biomechanics was assessed, using the rehabilitation complexes “TRUST-M” and “ST-150”. Results. The late rehabilitation period of stroke was characterized by decrease in walking rate and time, rise in step cycle. Speed of movement was disturbed. Combined pain, spasticity, contracture and functional asymmetry of the extremities length determined the formation of individual variant of patient’s pathological locomotor stereotype. When implementing correlation analysis, marked correlation between the severity of orthopedic disorders and the asymmetry of pelvis and extremities length was detected. To correct biomechanical disorders, it was recommended to use complex orthopedic treatment by means of prosthetic-orthopedic devices, which permitted to move and provided stable holding of extremity segments in the desired position. Conclusion. 1. Biomechanical indices characterize the severity of orthopedic pathology in the late rehabilitation period following cerebral stroke. 2. Biomechanical disorders are connected with decreased walking rate and time, raised step cycle, impaired speed of movement. 3. Timely biomechanical orthopedic diagnosis and adequacy of applying prosthetic-orthopedic devices guarantee efficiency of rehabilitation measures in patients after cerebral stroke.

Aim. To present in details the surgical tactics in different periods of traumatic disease (TD) for associated chest injury. Materials and methods. Treatment of 865 patients with associated injuries was analyzed. There were 66.9 % of men (579 persons) and 33.1 % of women. Automobile traumatism dominated. The central and peripheral hemodynamics as well as vegetative disorders were investigated. The blood viscosity and toxicity, lipid metabolism etc. were determined. Results. The characteristic features of the course of acute and the following periods of traumatic disease in associated chest injury, taking into account the revealed complications, expression of circulatory, hypoxic, metabolic and toxic changes, were studied. The logic of surgical tactics in different periods of traumatic disease was presented. Complications and errors when treating patients were analyzed. Conclusions. Treatment of injured patients, suffering from associated chest trauma in the acute and following periods of TD is subjected to logic of surgical tactics, taking into account prognostication of occurring possible complications and their prevention.

Objective. To reveal the influence of functional mobility of connective-tissue structures on the development and course of intra-articular pathology of the knee joint. Materials and methods. Patients (n = 279) with intra-articular pathology of the knee joint after the arthroscopic treatment were examined. The state of functional mobility of connective-tissue structures was diagnosed using the express method for dysplastic state of connective tissues in conditions of ambulatory-polyclinic service. Statistical analysis was carried out with Pirson correlation criteria. Results. The paper is devoted to analysis of the influence of functional connective-tissue structure mobility on the development and course of intra-articular pathology of the knee joint. Subjects with low functional mobility of the connective-tissue structures were established to be more often subjected to chondromalacia of cartilaginous tissue of the femoral medial condyle and injury of the medial meniscus. Such pathology as slipping patella, Goff body hypertrophy and knee joint chondromatosis are typical for subjects with hypermobility of the connective-tissue structures. Conclusions. High degree of functional mobility of connective-tissue structures significantly contributes to preservation of cartilaginous cover of the femoral medial condyle, even with concomitant pathology of the knee joint available. For men with high functional mobility of connective-tissue structures, the most common diseases are knee joint chondromatosis and Goff body hypertrophy, and for women slipping patella. For women with low functional mobility of connective-tissue structures, the most typical is pathology of the medial meniscus.

Aim. To study the specific features of locomotor apparatus injuries and to improve the surgical tactics of treatment using low invasive osteosynthesis techniques in case of road accidents among children. Materials and methods. The results of surgical treatment of 35 children (age range 2 to14 years) after road accidents were studied at the pediatric traumatology and orthopedics unit. Associated multisystem injuries of the locomotor system constituted 77,1 %. Clinicoroentgenological data, MRT and CT indices were studied. Vegetative dysfunction was assessed. All the patients underwent low invasive surgical intervention with minimized surgical approach, including elastic intramedullary nails, closed transcutaneous pin osteosynthesis under electro-optic transducer control, transosseous osteosynthesis. Results. All the patients were operated, 80 % of them were operated during the first day after the admission to the hospital. It resulted in early arrest of pain syndrome, fast normalization of vegetative function, prevented the development of traumatic disease or stopped its manifestations. All the results of surgical treatment were estimated as positive. Insignificant contractures were observed in 2 patients after the distal comminuted fracture of the shoulder with decrease in movement amplitude at the level of elbow joint within 15%; no disability was noted; no slowed consolidation and false joints were registered. Conclusions. Low invasive techniques provide optimal conditions for osseous consolidation and positive functional outcome after road accidents. It is recommended to take into account the status of vegetative functions in patients with associated multisystem injuries.