Carpal tunnel syndrome: Does preoperative disease severity influence the outcome of mini-open surgery?

In the practice of carpal tunnel surgery, open decompression of the median nerve in carpal tunnel syndrome (CTS) is recognized as the therapeutic priority. However, the speed and completeness of postoperative recovery of sensitivity and function depend on the initial clinical manifestations of the disease and the severity of the electrophysiological disorder. The aim of this study was to investigate the influence of preoperative clinical and electrophysiological factors on the outcome of surgical treatment of patients with CTS of varying severity.

Corrective Osteotomy of Malunited Fractures of the Distal Radius Using a Combined Surgical Approach.

Malunited distal radius (DR) fractures following conservative treatment range from 6% to 80% of clinical observations. Surgical treatment is used to return the articular surface of the radius to original anatomical position and to restore the natural transfer of strength, wrist kinematics, and function of the entire hand. The aim of this research was to study and analyze the results of corrective osteotomy of malunited distal radius fractures using a combined approach.

Opening-wedge V-shaped corrective osteotomy for malunited fractures of metacarpal bones.

Currently, the most commonly used method of treatment of patients with fractures of the metacarpal bones is closed reposition with immobilization of short-arm cast. This often leads to dislocation of fragments, their malunion, which leads to wrist functionality disorders and reduces the quality of patients' life. The main way to eliminate the deformities ‒ osteotomy of the metacarpal bones, followed by osteosynthesis.

[Surgical infection in drug dependands: determination of severity degree and treatment-tactical characteristics].

Basing on examination of 187 opium taking patients with surgical infection, the method of identification of infection severity degree and treatment-tactical policy of delivery of specialized medical care for those patients have been developed. The probable positive result of the proposed method is 90,4%. The rest 9,6% is a true negative result or a pure error of the proposed method of dentification of infection severity degree.

[Viral hepatitis A and B in wounded patients].

Virus hepatitis A and B have certain characteristics traits in personnel with gunshot wounds, especially when the wounds are of medium and high degrees of severity. Virus hepatitis A in the injured men is distinguished by shortened initial period, predominantly of dyspeptic or mixed type, as well as by grave and complicated course sometimes ending with lethal outcome. Virus hepatitis B in the injured men is characterized by the absence of pre-icteric period or weakness of its manifestations in many cases, by the prevalence of mild forms of the disease, as well as by increased tendency to development of chronic forms.

[The clinical characteristics of combat injuries against a background of infections].

In 1985-1987 in Afghanistan 75 wounded, who at the same time had infectious diseases (benign tertian malaria, viral hepatitis, typhoid, dysentery, amebiasis), and 51 patients with gunshot wounds of soft tissues had a checkup and treatment. The control group was consisted of 54 sound volunteers. All the patients, 18-30 years old, male sex, were examined for the dynamics of general and special features of the wound process, hemogram and index of reactivity (Rotter-Kavetsky test).