Background: The diseases of the musculoskeletal system are a serious problem among patients of older age groups, as they can lead to disability, dependence in everyday life and reduce the quality of life. Therefore, it is important to conduct geriatric evaluation in patients with gonarthrosis. The aim of the study: To study the peculiarities of the course of osteoarthrosis of knee joints in patients of senile age on the basis of complex geriatric evaluation. Materials and methods: We have studied clinical features of osteoarthritis of the knee joints in 249 patients of older age groups, including 123 patients of senior age and 126 elderly patients. Clinical features were studied with the help of a computer program to assess the geriatric status. The data was processed statistically. Results: We have shown that in people of senior age with osteoarthritis of the knee joints, in contrast to the elderly, there are more pronounced violations of stability and gait. In senior age, the risk of developing a syndrome of malnutrition is formed, cognitive abilities are reduced, lower indicators are characterized by a moral state, there is a significantly higher dependence on other people in daily activities, the quality of life is reduced. Conclusion: Osteoarthritis of knee joints in senior age is accompanied by systemic age-caused conditions, namely a more pronounced decrease in the quality of life as a whole by 24.5%. Age-related conditions in people over 75 can be identified through the use of a comprehensive geriatric assessment, which allows to timely identify a number of deviations and prescribe a set of therapeutic and preventive measures.
This study focuses on the clinical symptoms of inflammatory and destructive lesions of the facial skeletal bones as a long-term complication of coronavirus disease-2019 (COVID-19). The most common symptom of COVID-19 is thrombosis. Many scientists have noted that the main target of COVID-19 is the lungs with varying damage severity in the form of pneumonia. Acute cerebrovascular accidents and coronary pathology have become the most common causes of lethal outcomes in young people. Clinically, in patients with COVID-19, both obvious thrombotic complications were recorded with large thrombi detection (not only in the veins and pulmonary arteries, but also in the heart and vessels of the brain, kidneys, and liver), as well as signs of thrombosis at the microcirculatory level, which is quite difficult to establish in vivo. The diagnostics, treatment, and follow-up of a patient with COVID-19 history and complications that arose in the maxillofacial region were conducted in the Department of Maxillofacial Surgery of Clinical Hospital. Upon admission, the patient was diagnosed with chronic osteomyelitis of the upper jaw on the right, chronic right-sided maxilloethmoidal sinusitis, mucous membrane defect on the right hard palate, oroantral fistula on the right, and keratitis of the right eye. During the inpatient treatment, multicomponent therapy was performed. During the therapy, a general condition and local status improvement of the patient was noted. CONCLUSIONS: The clinical cases indicate that the course of COVID-19 is characterized by late complications in the maxillofacial region in the form of damaged vessels that extend from the а. maxillaris trunk in the pterygopalatine fossa region. The trophic disorder was slowly progressive and irreversible. The clinical and radiological presentation showed no clearly defined boundaries of bone necrosis of the facial middle zone. Low tissue regeneration was noteworthy.
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