Kaminskiy O. The treatment of open injuries of the ankle joint with using of low-power laser irradiation (experimentally-clinical study).

Object of research - open injuries of ankle joint, low intensity laser irradiation in their complex treatment. The purpose - to improve results of treatment of patients with open injuries of ankle joint by optimization of reparative osteogenesis and substantiations of algorithm of complex medical-diagnostic actions. Methods of research: clinical, rontgenological, morphological (histologic, morphometric, electron microscopic), biochemical, statistical. Scientific novelty: for the first time on the basis of experimental data by means of morphological researches new data are obtained, the detailed characteristic is given, features and morphological equivalents of infringements reparative chondro- and osteogenesis in conditions of model of open injuries of ankle joint are found out. For the first time mechanisms of influence of low intensity laser irradiation in conditions of open injuries of ankle joint are analysed. For the first time the features of dynamics of metabolites oxidant-antioxidant systems oforganism, parameters calcium-phosphoric of a homeostasis, alkaline phosphatase are found out from patients with open injuries of ankle joint under influence of low intensity laser irradiation. The algorithm of complex medical-diagnostic actions which allow to optimize reparative osteogenesis and process of consolidation of bone fragments in case of open injuries of ankle joint is proved. The way of treatment of injuries of ankle joint and the device for its realization which have allowed to reach considerably better clinical results of treatment at patients with open injuries of ankle joint is developed, approved and offered for use in practice of health protection. The developed algorithm of medical-diagnostic actions has allowed to receive an optimum variant of complex treatment of open injuries of ankle joint depending on a degree of severity of soft tissues injuries, character and type of fracture. Results of work are introduced in a clinical practice of traumatologic branches of Regional clinical hospital, City clinical hospital of emergency named by Prof. A.I. Meshchaninova, Regional clinical traumatologic hospital of Kharkov, in educational process of faculty of traumatology and orthopedy of Kharkov state medical university Ministry of Health of Ukraine. Traumatology and orthopaedics.