[Diagnostics of Achilles tendon ruptures].

This review is concerned with diagnostics, surgical and orthopedic treatment of fresh and long-standing Achilles tendon rupture. Despite seemingly easy diagnostics, different authors indicate that 15-29% of Achilles tendon rupture escape timely recognition which leads to inadequate treatment and its poor outcome. Hence, the importance of clinical tests permitting to improve diagnostics bearing in mind that such expensive methods as MRT are not readily available.

[Using compressive internal osteosynthesis in condition of free vascularizational reconstruction of defects of the forearm bones].

It was developed and analyzed a method of fixation by blocked compression base of free vascularizational transplant in condition of reconstructing of forearm bones. This method was approved in clinical practice in treatment of 13 patients. In comparison with traditional method of fixation by apparatus of Ilizarov, the proposed method reduces the time of operation using reduction of anoxi period of transplant on 32.

[Plastic surgical correction of defects of long tubular bone defects with free blood supplied autografts].

Treatment of the patients with long tubular bone defects is the difficult problem. At present the most widespread bone graft methods allow to achieve the result but not always satisfy physicians and patients. The use of revascularized bone autografts opens the new opportunities in the treatment of such patient category.

[The energy metabolism of the liver under the action on the body of different durations of hypokinesia].

Studies of tissue respiration and oxidative phosphorylation of homogenates in the liver of white rats indicated that the 3-day hypokinesia is associated with a decreased rate of endogenic respiration and an increased amythal-resistant respiration. On the 10th day, there occurs a sharp increase of the oxidation rate of the endo- and exogenic substrates and the separation of oxidative phosphorylation takes place. During 30-day immobilization, the homogenate respiratory activity again decreases while on the 70-140th days of an exposure the oxidation rate of endo- and exogenic substrates increases with an increased effect of endogenic succinate on the hepatocyte energy metabolism.

[The role of the thrombocyte and erythrocyte components of hemostasis in the development of thrombohemorrhagic complications in patients with systemic lupus erythematosus].

The authors evaluated changes of plasma, thrombocytic and erythrocytic links of hemostasis in 15 patients with thrombotic and in 30 with hemorrhagic complications in lupoid nephritis. Marked changes of thrombocytes, erythrocytes were caused by autoimmune processes with signs of thrombohemorrhagic syndrome requiring therapeutic correction using heparin and deaggregants under careful coagulographic control.

[Results and prospects of studying thrombosis formation in ischemic heart disease].

On the basis of own investigations and literary data of recent years the author discusses problems of frequency and location of thromboembolic complications in ischemic heart disease, their pathogenesis, effect on the course of acute myocardial infarction, clinico-laboratory criteria of diagnostics of the intravascular coagulation syndrome, current methods of diagnosis, treatment and prophylaxis.

[Long-term outcomes of non-rheumatic myocarditis].

Remote clinical outcomes of infectious-allergic myocarditis during 4-8 year observation are usually favourable. The presence of stable repolarization disorders (42.7%) on the ECG was not accompanied by changes of cardiohemodynamics++.

[Arteriovenous differential in the indices of hemocoagulation homeostasis in patients with acute myocardial infarct with a protracted course and cardiogenic shock].

Venous and arterial coagulation and fibrinolytic activity, particularly total hemostatic potential, its plasma and platelet constituents, and functional platelet properties were examined within the first hours of acute myocardial infarction in 106 patients. Those were divided into groups with uncomplicated, recurrent and spread myocardial infarction, and with cardiogenic shock. Early signs of disseminated intravascular coagulation were registered within the first hours of the disease in the venous (more prominently) and arterial (less prominently) channels.

[Left ventricular diastolic function of patients with dilated cardiomyopathy].

A study of 79 patients with dilatation cardiomyopathy (DCMP), making use of echo- and angiocardiography and catheterization of various heart compartments, has demonstrated considerable changes in left ventricular diastolic properties, common to this condition: reduced pliancy of heart chamber, increased myocardial rigidity and impaired myocardial relaxation. Reduced left ventricular diastolic pliancy is associated with myocardial hypertrophy and impaired relaxation.

[Importance of echocardiography in the diagnosis of dilated cardiomyopathy].

The echocardiographic pattern was assessed in relation to angiocardiographic changes in 62 patients with dilatation cardiomyopathy (DCMP). Considerable cardiac hemodynamic disorders, with enlarged left ventricular and left atrial cavities, limited myocardial contractility, hypokinetic posterior wall and ventricular septum, and hypertrophic left ventricle showing no correlation to the degree of dilatation were demonstrated. Major quantitative echocardiographic criteria for DCMP diagnosis are: end diastolic left ventricular size increased beyond 5.

[Clinico-pathogenetic variants of protracted forms of acute myocardial infarct].

Methods of clinico-instrumental investigation and biochemical monitoring (CPK and its membranous fraction) were employed for examination of 432 patients with acute myocardial infarction (AMI). Among them there were patients with an uncomplicated course of disease (19.4%), recurrences (13.

[Psychological characteristics of the personality in patients with dilated cardiomyopathy].

A total of 39 patients with dilated cardiomyopathy (DCMP) were examined using the MMPI method combined with methods of memory and attention investigation in order to study personality psychological features. Deviations in the psychic status were found in 82.1%.