Research ArticleOpen Access

Features of Medical Rehabilitation of Patients with Fractures of Tibia Older than 55 Years

Volume 5 - Issue 3

Schurov Vladimir Alekseevich*

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- Researcher of the laboratory for correction of deformities of limb lengthening and RRC “WTO” them, Russia
*Corresponding author: Schurov Vladimir Alekseevich , doctor. Honey. Sciences, Professor, chief researcher of the laboratory for correction of deformities of limb lengthening and RRC “WTO” them. academician. G. A. Ilizarov. Russia, Kurgan, 640001, Koli Myagotina str. 95. App. -49

Received: June 05, 2018; Published: June 13, 2018

DOI: 10.26717/BJSTR.2018.05.001217

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Abstract

The goal is the analysis of the dynamics of micromotion of bone fragments and duration of treatment by Ilizarov patients older than 55 years with fractures of the Shin bones (220 people) in the conditions of outpatient treatment.

Method: Definition of micromotion of bone fragments was performed with a strain gauge assessment of changes in the distance between the spokes of the Ilizarov emerging from the tibia above and below the area of bone regenerate during the tests with stepwise increasing the axial load on the limb 10 kgs. The linear velocity of blood flow through the vessels in the area of bone regenerate along the anterior-abdominal surface of the tibia was determined by using an ultrasonic Doppler installation. Radiographs after treatment planimetrically determined the amount periosteal blood of callus.

Results: At transition of patients with injuries of a Shin on an outpatient mode of treatment practically in 2 times micro mobility of bone fragments and duration of the period of fixing increased. Indicators significantly increased in patients with increasing age to 30-55 years, and then tended to decrease. Compaction of bone regenerate during the fixation period contributed to the reduction of micro-mobility and normalization of blood flow rate in the regeneration zone. The reason for the reduction of treatment in older people we see in a gentler motor mode.

Keywords:PE: Preeclampsia; CO: Cardiac Output; CS: Caesarean Section; FC: Fluid Challenge; CI: Cardiac Index; MAP: Mean Arterial Pressure; SVI: Stroke Volume Index; FR: Fluid Responsiveness; SV: Stroke Volume