Presented is the experience of the application of stable osteosynthesis by three Kirschner wires on diaphyseal fractures of the metacarpal bones at 74 patients. Indications for osteosynthesis was opened (6%), closed (94%), non-united, mal-united fractures and false joints of metacarpal bones diaphysis. Patients were given intraosseous anesthesia at distal epi-metaphysis area of radial bone. Described is a method of operation extra medullary osteosynthesis using three Kirschner wires. Also, method of wedge osteotomy for full recovery of hand function is described. Good results were obtained in 83.1% of patients, satisfactory at 13.6%, and unsatisfactory results in 3.4% of patients.
The quality of life of patients after total knee replacement is significantly improved. Endoprosthetics of the knee joint leads to the elimination of pain, improving the physical and functional capabilities of the body, which contributes to the re-adaptation of a person to an active social life. We proposed an integrated approach to rehabilitation measures, both medical, social and psychological to achieve this.
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