SU1297836A1 - Method of rehabilitation of patients after amputation of extremity - Google Patents

Abstract

This invention relates to medicine, in particular to orthopedics and traumatology. The invention shortens the time of prosthetics. Before amputation by puncture, a piece of mixed muscle is taken for examination, the content of white and red FIBERS is determined, and if the latter are predominant, rapid prosthetics are prescribed. With the predominance of white fibers, a medical training or primary-permanent prosthesis is performed after the wound has healed and the sutures are removed. ff X eo SO E5

Description

This invention relates to medicine, in particular to orthopedics and traumatology.

The purpose of the invention is to reduce the time of prosthetics by choosing the method of prosthetics after limb amputation.

The method is carried out as follows.

Before amputation by puncture, a piece of the mixed patient is taken for examination, the content of white and red fibers is determined in it, and when the prevalence of red fibers the patient is prescribed rapid prosthetics, and with the predominance of white fibers, a medical or primary or permanent prosthesis is performed after the wound has healed. and remove the stitches

Example. A few days before the planned amputation in the area of the outside wide hips, which is mixed, the patient is subjected to local anesthesia of the skin and subcutaneous tissue with a 0.5% Novocain solution. After 5 minutes, a biopsy needle is taken at this place with a needle for biopsy. The puncture site is smeared with 5% iodine solution and closed for 1 day with an aseptic dressing. To identify concretes, a histochemical reaction to myosin ATPase is used by a known method.

With the predominance of red fibers, express prosthetics are performed. To do this, on the eve of the operation, a cotton sleeve and polyurethane sheet foam are applied to the amputated limb, and then plaster bandages forming the receiving sleeve. The latter is carefully modeled, cut

Editor H, Fathead Order 837/5

Compiled by M.Pozn to Tehred M. Morgental

Corrector

Circulation 596 Subscription

VNIIPI USSR State Committee

for inventions and discoveries 113035, Moscow, Zh-35, Raushsk nab., 4/5

Production and printing company, Uzhgorod, “Projectna St., 4

Two halves are removed from the leg and fixed to each other with a plaster bandage, a metal frame is attached to the received sleeve. Immediately after the operation, the surgical wound is closed with an aseptic dressing, a sterile cotton case and foam rubber are put on the stump. Then put in advance prepared half of the plaster receiving sleeve with a metal frame. At 2-3 days after the operation, the patient begins to walk. Rann walking on the prosthesis prevents atrophy of slow red muscle fibers.

By known methods, during the first year after amputation, only half of the patients are prosthetic, and the rest - at a later date.

I

Through the use of the proposed method, it is possible to prevent intense muscle atrophy (up to 50% of the mass) within two weeks in individuals with a predominance of slow infant fibers, which is a decisive factor in the rehabilitation of this category of patients.

Claims (1)

Invention Formula The method of rehabilitation of patients after limb amputation by forming a stump, determining in a mixed bleach the content of white and red fibers, characterized in that, in order to shorten the prosthetic time, the ratio of white and red fibers is determined and with the prevalence of red fibers carried out an express prosthetics Proofreader L. Patay