[The restoration of the weight-bearing capacity of the lower extremities and the gait of patients with traumatic detachments].
The functional recovery terms are estimated in 65 patients presenting extensive traumatic detachments (decollement) and defects of the lower extremities. The series includes 40 children (61.5 per cent), and 25 adult individuals (38.5 per cent). The distribution of patients by gender, age, surface involved by the lesion, its location and concomitant damage to deep anatomical structures is studied. The patients are subjected to 2-8 years postoperative follow-up. According to type of intervention, they are distributed in three groups, as follows: group one--patients with reimplantation, group two--reimplantation with ensuing necrosis, and group three--cases presenting granulation wounds on admission. The results are evaluated by the static loadbearing test of Buglaev and ichnography, and subjected to statistical processing by variation analysis. As shown by the results, maximal functional recovery in group one is attained by the end of the first year, in group two--by the end of the second year, and in group three--by the end of the fourth year. Application of early exercise therapy, individually prescribed, contributes to the positive outcome.
Diakov
R
R
Petrova
M
M
D000293:Adolescent; D000328:Adult; D000673:Amputation, Traumatic / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005684:Gait; D006801:Humans; D007866:Leg / Q000502:physiology* / Q000601:surgery; D007869:Leg Injuries / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery; D008297:Male; D012092:Replantation; D012867:Skin / Q000293:injuries; D016474:Weight-Bearing
Vŭzstanoviavane oporosposobnostta na dolnite kraĭnitsi i pokhodkata pri bolni s travmatichni dekolmani.