Автор работы: Пользователь скрыл имя, 22 Июля 2012 в 12:07, диссертация
Особенностью течения РА, является то, что поражение суставов при этом заболевании приводит к достаточно быстрой стойкой инвалидизации больных, преимущественно молодого и среднего возраста. По данным различных авторов [144], инвалидность при ревматоидном артрите (РА) к пятому году от начала заболевания наступает у 45-47% больных, средний возраст инвалидов, страдающих РА, составляет 52 года.
ВВЕДЕНИЕ 4
ГЛАВА 1. ОБЗОР ЛИТЕРАТУРЫ 12
ГЛАВА 2 МАТЕРИАЛЫ И МЕТОДЫ ИССЛЕДОВАНИЯ
2.1 Объект исследования 32
2.2 Методы исследования
2.2.1 Оценка объёма активных движений и величины ульнарной девиации 45
2.2.2 Оценка изменений в окружающей имплант
костной ткани 45
2.2.3 Оценка функциональной способности и
качества жизни пациента 46
2.2.4 Оценка выживаемости имплантов 53
ГЛАВА 3 СОБСТВЕННЫЕ ИССЛЕДОВАНИЯ
3.1 Рентгенологическая оценка оперированных суставов
3.1.1 Анализ динамики суставного пространства после эндопротезирования пястно-фаланговых суставов
силиконовыми протезами 57
3.1.2 Изменения перипротезной кости 60
3.2 Объективная оценка функции оперированных су ставов.... 61
3.3 Оценка функциональной способности кисти после операции тотального эндопротезирования пястно-фаланговых суставов 78
3.4 Оценка функциональной недостаточности больных после операции тотального эндопротезирования пястно-фаланговых суставов сустава 92
ЗАКЛЮЧЕНИЕ 99
ВЫВОДЫ 112
СПИСОК ЛИТЕРАТУРЫ 113
СПИСОК ЛИТЕРАТУРЫ:
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