Кафедра травматології та ортопедії
Permanent URI for this communityhttps://repo.knmu.edu.ua/handle/123456789/190
Browse
5 results
Search Results
Item A Study of the Effect of Specific Antibacterial Therapy on the Course of Tuberculous Spondylitis in an Experiment(2024) Holka, H.; Vesnin, V.; Burlaka, V.; Oliynyk, A.; Fadeev, O.; Hoptsii, O.; Frolova-Romaniuk, E.Objective — to assess the impact of modern antibacterial therapy on the development of a specific destructive process in experimental tuberculous spondylitis in animals. Based on the histological examination of the vertebral bodies, it was established that the animals treated with specific first-line ABD showed clear morphological features of tuberculous inflammation. In animals treated with specific second-line ABD, inhibition of the pathological process. This study showed that the implementation of modern intensive specific antibacterial therapy in experimental conditions allows to achieve the delimitation of the destructive process in the relatively early stages of the disease development (4—5 weeks). The obtained new knowledge about the pathomorphological features of the course of TS against the background of carrying out specific antibacterial therapy allows radical surgical interventions on the musculoskeletal system without the risk of generalization of the tuberculosis process at an earlier time (compared with the generally accepted ones).Item Improvement of the Effectiveness of Treatment Patients with Tuberculosis Spondylitis(2021) Holka, H.; Vesnin, V.; Burlaka, V.; Oliinyk, A.; Fadieiev, O.The protocols of clinical and radiological examination, analysis of treatment of 60 patients with active tuberculous spondylitis have become the clinical material of this study. The main group included patients (n = 30) with TS of the thoracic and lumbar vertebrae operated with the use of a sliding titanium cage for ventral intercostal spondylodesis. The comparison group includes patients (n = 30) using traditional approaches to the surgical treatment of the TS. The comparative study of the effectiveness of treatment of patients of the main and control group with TS showed that the use of the proposed technique in patients of the main group made it possible to significantly improve the results of treatment. Tuberculosis spondylitis (TS) in the structure of bone-joint tuberculosis in adults occupies a leading position and reaches 40 - 61.5% and it presents the great medical and social problemItem Dorsopathy : manuals in discipline "Traumatology and orthopedics" for self-study of 5th year students(KhNMU, 2021) Holka, H.; Oliynyk, A.; Istomin, D.Dorsopathy (degenerative disc diseases) ‒ is a disease of the spine, which is based on primary dystrophies and degenerative process of the intervertebral disc (IVD), with the further development of reactive and compensatory changes intervertebral joints and ligaments, and then in the adjacent vertebral bodies and , as a result , totally defeat all elements of vertebrates at ‒ motor segment . At present, people aged 45 years often restrict their activities because of constant pain in the back and neck. The prevalence of chronic back pain is 26‒32 % among the adult population. In the structure of morbidity with disability of the adult population more than 50 % are diseases of the peripheral nervous system. Among the disabled with diseases of the peripheral nervous system in 80 % of cases occur by vertebral affection. Back pain is an extremely common human phenomenon, a price mankind has to pay for their upright posture. According to one study, almost 80 percent of persons in modern industrial society will-experience back pain at some time during their life. Fortunately, in 70 per cent of these, it subsides within a month. But, in as many as 70 per cent of these, the pain recursItem Treatment in traumatology : methodical indications for students(ХНМУ, 2019) Holka, H.; Istomin, Dmytro; Oliynyk, A.; Burlaka, V.; Harkusha, M.; Vesnin, V.Osteosynthesis is an operative joining of bone fragments in fractures and their consequences. The term is proposed by A. Lambotte in the XIX century. The aim of the operation is to eliminate the displacement of bone fragments, their stabilization for the period of consolidation, restoration of shape and function of the limb. Osteosynthesis does not accelerate fracture healing, but only optimizes the course of reparative bone regeneration. That is, the operative connection of bone fragments minimizes the incidence of disregeneration (delayed fusion and non-healing of the fracture, formation of false joints and neoarthroses). However, the rate of complications after osteosynthesis is 5–15 %.Item Deforming arthrosis : methodical instructions(ХНМУ, 2019) Голка, Григорий Григорьевич; Гаркуша, Максим Анатольевич; Фадеев, Олег Геннадиевич; Holka, H.; Harkusha, M.; Fadeyev, O.; Oliynyk, A.; Istomin, Dmytro; Burlaka, V.Deforming arthrosis is one of the most common diseases of the musculoskeletal system. About 5 % of all inhabitants of the globe suffer from it. They make up 1/3 among outpatients with orthopedic profile. In average of 7–10 years from the beginning of the disease deformative arthrosis of large in almost 100 % of cases leads to disability.