ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 28 of 39
УЖМБС 2017, 2(6): 132–135
Medical rehabilitation

Main Vectors of Medical Rehabilitation in Diaphyseal Fractures Treatment

Shimon V., Shereghy A., Pushkash I., Stoyka V.

Current study is based on a retrospective analysis of 68 patients treated at the traumatology clinic of Transkarpathian Regional Clinical Hospital named after A. Novak between 2015 and 2017. Their diagnosis was diaphyseal fractures of long bones. Based on the data of international and state scientific sources, within current research ways of improving the treatment results were set, and the role of medical rehabilitation in the complex rehabilitation of patients' work capacity was also highlighted. The purpose of the study was improving the treatment outcomes for patients with diaphyseal bone fractures and reducing the treatment timing by increasing the effectiveness of rehabilitation. Materials and methods. Subgroups have been formed within the main groups, according to the following criteria: male, female 44, female 24. By age - 4 age groups: up to 50 years old: 10 men and 6 women, 51-60 years old: 14 men and 7 women, 61-70 years old: 10 men and 8 women; in the age group older than 71 years old: 10 men and 3 women. Examinations were carried out in terms of 1, 3, 6 months, and 12 months if possible. Most of the diaphyseal fractures are on the shin, in our observations it is 35 patients (51.5%), and hip fractures make up 25.0%, which were 17 patients. Numerous fractures were in 16 patients, which was 23.5%. The following methods of physiotherapy have been used: laser therapy, magnetic therapy, ultrasound, electrophoresis of various medicinal substances, impulse currents of low and high frequencies. Physical factors, from the first days after the trauma, contribute to the improvement of local blood circulation, hamate resorption, and reduction of postoperative edema, stimulate regenerative processes. In order to prevent the possible development of contracture in the knee and ankle joint, we provided early functional treatment in these joints. Conclusions: Individual complex of physical exercises and therapeutic exercises is an important additional factor that should be used with the aim to provide the shortest recovery of patients with the trauma of long limb bones. Permanent medical control, treatment in the rehabilitation departments with the use of all types of physiotherapy and mechanotherapy is a powerful incentive for recovery and rapid return to work of patients with locomotor system trauma. Such method helps to obtain efficient anatomical and functional results.

Keywords: rehabilitation, diaphyseal fractures, rehabilitation of work capacity

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  1. Hayko HV, Kalashnikov AV, Kurylo AA. Analiz pervynnoi invalidnosti pry perelomakh kistok kintsivok ta yikh naslidky za materialamy travmatolohichnoho MSEK m. Kyiva. Matetialy Plenumu asotsiatsiyi ortopediv-travmatolohiv Ukrainy, Kyiv-Vinnytsya, 2004. s. 7–13. [Ukrainian].
  2. Hasko MV, Zinchenko AT, Tsyrkot IM, Kovalyshen IV. Dynamika reheneratsiyi kistkovoi tkanyny pry mnozhynnykh perelomakh kistok nyzhnikh kintsivok z zastosuvannyam blokuyuchoho intramedulyarnoho osteosyntezu. Travma. 2008; 9 (4): 399-401. [Ukrainian].
  3. Gryaznukhin EG. Osobennosti konservativnogo lecheniya mnozhestvennykh perelomov dlinnykh kostey nizhnikh konechnostey. Travmatologiya i ortopediya Rossii. 1996; 3: 39-41. [Russian].
  4. Dubas VI, Sulyma VS, Shchybel IV, Tesyak RV, Kupchak OY, Kuzyuk HM, Fedoryka RYa. Desyatyrichnyi dosvid vykorystannya na Prykarpatti pruzhno stiykoho osteosyntezu pry likuvanni khvorykh z perelomamy dovhykh kintsivok. Ortopedyya, travmatolohyya y protezyrovanye. 2007; 3: 127–30. [Ukrainian].
  5. Kalashnikov AV. Profilaktyka porushen reparatyvnoho osteohenezu. Visnyk ortopediyi, travmatolohiyi ta protezuvannya. 2002; 2: 54-7. [Ukrainian].
  6. Klimovitskiy VG, Pasternak VN, Oksimets VM, Vereshchagin SI, Dmitrenko AA, Pasternak DV. Vliyanie etiologicheskogo faktora travmy na techenie reparativnogo osteogeneza. Chast 1. Srashchenie diafizarnykh perelomov goleni pri nepryamom mekhanizme travmy. Travma. 2007; 8 (1): 7-12. [Russian].
  7. Kryvenko SM, Klymovytskyi VH. Vidnovne likuvannya khvorykh iz mnozhynnymy diafizarnymy prelomamy dovhykh kistok kintsivok. Travma. 2008; 9 (1): 62-5. [Ukrainian].
  8. Shymon VM, Shnitser RI, Sherehiy AA, Heleta MM. Medychna reabilitatsiya v kompleksi likuvannya diafizarnykh perelomiv kistok homilky. Zaporozhskyi medytsynskyi zhurnal. 2010; 12 (4): 154–7. [Ukrainian].
  9. Johner R, Wruhs O. Classification of tibial shaft fractures and correlation with results after rigid internal fixation. Clin Orthop. 1983; 178: 7-25.
  10. Lin L, Xian Xu, Xu Li, Wei W, Junfeng C, Qingyou L. Comparison of Tibial Intramedullary Nailing Guided by Digital Technology Versus Conventional Method: A Prospective Study. Med Sci Monit. 2017; 23: 2871–8.
  11. Waryasz GR, Bariteau JT, Born CT. Ensuring correct placement of proximal fixation in reconstruction intramedullary nailing for subtrochanteric femur fractures. Orthopedics. 2014 Feb; 37 (2): 107-10.
  12. Tuite MJ, Kransdorf MJ, Beaman FD, Adler RS, Amini B, Appel M, Bernard SA, Dempsey ME, et al. ACR Appropriateness Criteria Acute Trauma to the Knee. J Am Coll Radiol. 2015 Nov;12(11):1164-72.