Modern approaches to rehabilitation of military men with a gun-shot polystructural woundings of upper extremity

Objective. To improve the results of treatment in the patients with polystructural gun-shot woundings of the upper extremity, using elaboration and individualization of the rehabilitation program, depending on the trauma severity degree. Маterials and methods. The restorational treatment course to 52 injured persons was conducted in accordance to elaborated individualized program in the Institute of Traumatology and Orthopedics NAMS of Ukraine, 168 military men - in accordance to standard procedures in the Іrpin Military Hospital with periodical monitoring of the state and correction measures. The extremities function was estimated in accordance to two procedures, which have added one another: DASH (Disability of the Arm, Shoulder and Hand Outcome Measure) and AOOS in modification of І. М. Кurinnyi. Results. Expediency of differentiated approach and elaboration of individual programs of rehabilitation and achievement of a maximally searched definite results of the specialized help delivery to the injured persons, suffering a gun-shot polystructural woundings of upper extremity. Conclusion. Enhancement of the upper extremity function in military men, who obtained rehabilitation in accordance to the individual programs elaborated, was essentially bigger - (61.7 ± 12.1) points and achieved during shorter by (65.0 ± 14.0) days, than in the wounded persons, who obtained rehabilitation in accordance to standard procedures, the function enhancement have constituted (48.1 ± 11.2) points.