Surgical tactics in fresh injuries of ligaments of the knee joint

Experience with the clinic in operative treatment of fresh damage of the ligaments of the knee joint (90 cases) is analysed. The authors dwell on the problems of diagnosis and the choice of the surgical tactics in isolated and multiple injuries to the ligaments. It is shown that operative restoration of the damaged ligaments in the earliest period after the trauma makes it possible to normalize the relationship of the injured elements. Good results were produced--complete stability and restoration of the function of the joint allows the suggested tactics to be recommended for wide introduction into traumatological practice.     

Ultrasound methods of examination in the determination of therapeutic strategy in patients with spleen injuries

Based on experience of ultrasonic diagnosis of spleen damages in 86 patients it was established that specificity of the method is 99%, accuracy--97%, sensitivity--83%. Dynamic ultrasonic examinations identify to the group of patients with severe combined trauma and spleen damage who may be treated conservatively. This group consists of patients with small quantity of free fluid in left subdiaphragmatic space and stable changes in splenic parenchyma. Increase of hematoma, presence of blood flow in it, increase of spleen sizes are the indications for surgical treatment.