Babovnikov AV Pryazhnikov DA, Rubekina LN Tsypursky IB, A. Smyslov Moscow State Medical Dental University, Department of Traumatology, Orthopedics and Military Field Surgery of the existing diversity techniques of operative treatment of fractures of the elbow led to their wide application without strict indications and contraindications. The absence of a single algorithm and standards of care patients This category provokes uncontrolled "creative" approach to choosing a method of treatment. The price of the operating surgeon error is too high because of significant technical difficulties in restoring stale or improperly fused elbow injury. Evaluation of poor clinical outcome of surgical treatment of patients with lesions elbow showed that the majority of cases the cause of pseudarthrosis is unstable fixation due to an underestimation of the need for operating surgeon Anatomic reconstruction of each bone fragment out of fear "Unnecessary" expansion of surgical approach or contact with the neurological structures, because of the difficulty of Anatomic location and the fear of neuropathic complications. When treating patients with false joints distal humerus is expedient to be guided by the following algorithm: 1) Define the initial range of motion in the elbow joint, neurovascular status, and signs of septic complications.
To clarify the scope and type of a false joint at the difficulties of interpretation of radiographs, it is advisable to perform an additional CT scan. Based on these data, pseudarthrosis classified as aplastic or hypertrophic. 2) A decision on the amount of surgery and is determined by operational access. In the case of aplastic false joint, planned way and the volume osteo-plastic substitutions. In implementing the surgical approach is advisable to make it through the old post-operative scar to reduce the risk of ischemic necrosis of the skin. Histories Data on previous surgical interventions on the areas concerned, the elbow is a wire for extra caution because of the possibility of transposition ulnar nerve or its involvement in scar-adhesions.
Depression – what is it? Depression – is not just a fleeting melancholy, but serious disorder that often interferes with a person cope with everyday activities. You experience severe pain, but do not know where you hurt. You feel fear, but do not know what fear. And worst of all – you do not want to talk about it. Although depression is sometimes obvious cause, the disease often attacks the man out of the blue.
And your life suddenly, for no apparent reason though overshadowed by a cloud obscured the sky. In depression there is nothing to be ashamed. However, one patient is divided into: 'Eight years have passed, and I'm still ashamed of itself. " The hardest thing is to relieve emotional pain. 'Flour is sometimes so strong that I feel the pain physically. It hurts every muscle in my body. " At such times it is almost impossible to lift yourself out of bed.
TYPES OF DEPRESSION: The effectiveness of a treatment depends on the type of depression, manic-depressive psychosis. Proceeds in the form of prolonged periods of high (mania) and low (depressed) moods. Dysthymia, although not as serious as major depression, still knocks people off balance. Y result of a lack of sunlight in fall and winter. Takes place usually in the spring or summer. Choice of treatment depends on symptoms and disease severity. You can seek advice from your physician, but someone needed help specialist doctor. Your doctor may prescribe antidepressants or something else. Some herbs can be treated successfully, others have helped to change in diet or physical exercises. Common Errors friends who do not have medical education, can advise which treatment to use, and what does not. Sometimes they try to dissuade from taking prescribed medications and are agitating for the grass. Or believe that nothing should be taken. Be careful. Make sure the tips you follow, come from a trusted source. In the end, the choice of treatment for you. Therefore, learn as much as possible. Disappointment leads to the fact that patients drop out of treatment, for example due to side effects or perceived irrelevance. Be careful. Treatment is unlikely to succeed without a good understanding between patient and physician. Frankly tell your doctor about all your concerns. forget how bad they felt before. Be careful. The abrupt discontinuation of medication without consulting a physician can have serious, even life-threatening consequences.