A technique for treatment of patients with cystic involvement of femoral neck-trochanteric part

In Russian Ilizarov Scientific Center "Restorative Traumotology and Orthopaedics" the rational technique for reconstructive surgies on the basis of transosseous osteosynthesis was worked out. This method allows not only to get rid of destruction focus at a single stage, but to eliminate the existed associated orthopaedic pathology as well.

The indication to operative intervention is:
- Absence of positive dynamics reparative processes in the pathological center at conservative treatment;
- Dynamic increase in the sizes of the center of destruction;
- Numerous pathological crises or threat of their occurrence;
- Availability of deformations of a segment with shortening or without it;
- Relapses after earlier executed operative interventions.

The given way is applied at 7 patients with cystophorous defeat of a proximal area of a femur in the age of from 8 till 16 years (men – 5, women – 2).
Earlier at patients 11 pathological crises in occasion of which it was applied conservative (a plaster bandage - 5, skeletal extension - 2) and operative (a regional resection - 3, an intraperiosteal resection - 1) treatment were marked.

At receipt in a hospital at five patients it was marked coxa vara from 1200 up to 850, at 2 - a plough valga (1350 - 1450). In two cases there was a shortening a segment on 3 and 4 sm accordingly. The casualty finiteness was 3 cm longer (due to a hip) than contralateral at two patients.
The size of distribution of pathological process on bones was various and made from 4 up to 10 cm.

Terms of an osteosynthesis the device have made 106,7±14 days. Favorable outcomes of treatment are reached in all cases. Results were estimated in a view of following factors:
- Presence of a painful syndrome;
- Stability in a place of operative intervention;
- Presence of deformation, shortening of a segment;
- Volume of movements in adjacent joints;
- Occurrence of relapse of disease.

The remote results of treatment are studied in terms from 1 year till 5 years.
Thus, use of the developed method on the basis of perosseous an osteosynthesis at treatment of patients with cystophorous defeat of a femur, providing performance directed osteotomy, receptions of a compression and distraction fragments as separately, and in their combination, allows to receive stable, recurrence-free results with adequate orthopedic and functional rehabilitation and to reduce term single-stage treatments in 1,5-2 times.

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Symptoms of a diabetes and what diet should be at a diabetes?

With a diagnosis of a diabetes it is impossible to say good bye for this disease forever. It to not be treated and with it it is necessary to learn to live correctly – to observe necessary recommendations, to support the organism with special procedures.

Sometimes the diabetes proceeds imperceptibly and has not an effect. But nevertheless the certain symptoms are shown sooner or later. Or it reveal casually at inspection, what or other disease.

Besides that, a diabetes could be different, it depends on on the form of a diabetes as well as on a personal condition of every organism. The basic and most popular symptoms at a diabetes are:

1. Sensation of weakness or weariness.
2. Fast fatigue.
3. Dizziness.
4. Frequent urination.
5. Frequent feeling of thirst.
6. Infringement of sight, not clear sight.
7. Fast loss of weight.
8. Temperature drop of a body below an average mark.
9. Spasmes of gastrocnemius muscles, numbness and tingling in finitenesses.
10. Slow treatment from infectious diseases and healing of wounds.

It should be also mentioned that symptoms at a diabetes of 1 type differ from symptoms at 2 type. At a diabetes of 1-st type following symptoms are possible: frequent urination, thirst, a nausea, vomiting, loss of weight, weakness, constant feeling of famine, irritation.

Characteristic symptom for children of 1 type sick of a diabetes - night incontinentia urine (it is necessary to pay attention if before it it was not observed).

At a diabetes of 2-th types are observed: an itch, drowsiness, skin infections, slow healing of wounds, numbness legs, loss of hair on legs, an inflammation of an extreme flesh. This type of disease begins more often after 40 years (at mature age), and it is connected with a wrong feed.

If there are similar symptoms it is better to hand over the analysis of blood and urine on the maintenance of sugar. The high level of sugar of blood and presence of sugar in urine as is one of symptoms of disease.

Special diet at a diabetes.

In official medicine it is accepted to differentiate a feed of patients strict diets. They are designated by numbers. A sick diabetes register a diet №9. Certainly, in any diet there are certain specific features, but nevertheless main principles should be observed. This diet is appointed with objective of normalization of a carbohydrate exchange, and the prevention of infringement of a fatty exchange. As to define endurance to carbohydrates, i.e. what quantity of carbohydrates of food is acquired.

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