STRUCTURE OF ORTHOPEDIC PATHOLOGY OF PERSONS OF CONSCRIPT AGE IN TERNOPIL REGION

Authors

  • T. О. Vorontsova I. Horbachevsky Ternopil National Medical University
  • M. D. Protsailo I. Horbachevsky Ternopil National Medical University
  • N. M. Hnatyo I. Horbachevsky Ternopil National Medical University
  • О. M. Protsailo I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/1811-2471.2023.v.i1.13720

Keywords:

conscript, flat feet, scoliosis, arthrosis, osteochondrosis

Abstract

SUMMARY. According to the results of the orthopedic pathology examination of conscripts in our region, 78.9 % were recognized as suitable for military service in seven years. The largest number of deviations from the norm was found on the side of the spine (scoliosis, osteochondrosis, defects of the chest) and lower limbs (flat feet, developmental defects). The number of young people of draft age decreased by 45.9 %.

The aim – to study the state of health of the young population of conscript age for the purpose of timely diagnosis, rehabilitation and prevention of orthopedic pathology.

Material and Methods. Monitoring of 250,532 examination results of conscripts in our region for the detection of orthopedic pathology was carried out over seven years: from 2012 to 2018.

Article 62 provides for detection of limb shortening due to angular deformations after improperly fused fractures, defects of the feet and hands. Objective, subjective, clinical, X-ray, morphometric and other data (CT, MRI, ultrasound) must be taken into account when assessing the suitability of conscripts for military service.

Article 64. The condition of the spine and its diseases are evaluated. Scoliosis, kyphosis, lordosis, osteochondrosis, lesions of intervertebral discs, and other dorsopathies. Pathological changes in the spine were confirmed by functional radiographs and other modern studies (CT, MRI). The degree of scoliosis was assessed according to the Lippam-Cobb method.

Results. 78.9 % were recognized as fit for military service, 18.9 % were deemed fit for military service, 18.9 % were fit for military service, and 2 % were fit for military service. 2 % of those surveyed received a temporary deferment from military service.

 The largest number of deviations from the norm was found on the side of the spine and lower limbs (Table 2).
A detailed analysis of these ailments during 7 years of observation showed that foot diseases had a significant advantage in 2012–2014, in the following years there was no significant difference (Table 3). Thus, in 2012, foot pathology was 52.0 % (26,170), spine – 42.4 % (21,331). According to Article 62, static deformations of the feet prevailed – flat feet (42.8 %), arthrosis – 6 %, arthropathies – less than 1 %.

Conclusions. The number of young people of conscription age is decreasing uncontrollably – by 45.9 % in seven years (2012–2018).

78.9 % were recognized as fit for military service, 18.9 % as unfit in peacetime, 18.9 % as unfit in peacetime, 2 % as unfit.

The largest number of deviations from the norm concerned the lower limbs - flat feet, foot deformities, arthrosis.

The second place was occupied by diseases of the spine - scoliosis, kyphosis, osteochondrosis, osteochondropathy, deformations of the chest with disorders of the function of external breathing.

 Formation of a healthy lifestyle, education of healthy, comprehensively developed young citizens is the key to a strong army and national security of the state.

References

Karpinska, T.H., Hrabovska, T.V., & Sereda, S.V. (2021). Pokaznyky stanu zdorovya suchasnykh pidlitkiv, yak odna iz skladovykh zdorovya naselennya derzhavy [Indicators of the state of health of modern teenagers, as one of the components of the health of the population of the state]. Ukr. med. chasopys – Ukrainian Medical Journal, 3(143)-V/VI. DOI: 10.32471/umg.1680-3051.143.209478. Retrieved from: https:www.umj.com.ua/article/209478/pokazniki-stanu-zdorov-ya-suchasnih-pidlitkiv-yak-odna-sz-skladovih-zdorov-ya-naselennya-derzhavi [in Ukrainian]. DOI: https://doi.org/10.32471/umj.1680-3051.143.209478

Vakulenko, O., Zhalilo, L., & Komarova, N. Stan zdorovya ditey i molodi Ukrayiny [State of health of children and youth of Ukraine]. Retrieved from: https:www.health.gov.ua>Publ>conf.nsf>OpenDoc [in Ukrainian].

(2021). Analitychna zapyska pro osnovni tendentsiyi zminy znachen pokaznykiv, shcho zastosovuyutsya dlya rozrakhunku indeksu rehionalnoho lyudskoho rozvytku vykonavchyy orhan Kyyivskoyi miskoyi rady (Kyyivska miska derzhavna administratsiya) [Analytical note on the main trends of changes in the values of indicators used to calculate the index of regional human development by the executive body of the Kyiv City Council (Kyiv City State Administration)]. Retrieved from: https:www.minregion.gov.ua/wp-content/uploads/2021/09/kmda-analitychna-zapyska.pdf [in Ukrainian].

Parkhomenko, L.K. (Ed.) (2004). Yuvenolohiya. Praktykum z pidlitkovoyi medytsyny [Juvenology. Workshop on adolescent medicine]. Kharkiv: Fakt [in Ukrainian].

(2008). Nakaz № 402 vid 14.08. Pro zatverdzhennya Polozhennya pro viyskovo-likarsku ekspertyzu v Zbroynykh Sylakh Ukrayiny [Order No. 402 dated August 14. On the approval of the Regulation on military medical examination in the Armed Forces of Ukraine]. Retrieved from: https://zakononline.com.ua /documents/show/285914_672324 [in Ukrainian].

Bozhko, L. (2023). Obmezheno prydatni za stanom zdorovya: chy mozhut buty. [Limited fitness due to health: can they be]. Retrieved from: https://healt.fakty.com/ua/ua/napulsi/obmezheno-prydatnyh-za-stanom-zdorovya-mozhut-mobilizuvaty-kogo-pryzvut. 06.02 [in Ukrainian].

Nosova, H. (2023). Z yakymy khvorobamy ne berut do armiyi: detalnyy spysok [What diseases are not accepted into the army: a detailed list]. Retrieved from: https://ua/ato/z-yakimi-hvorobami-ne-prizinayut-do-armiyi-povnie-spisok-2101828.html. 05.02 [in Ukrainian].

Rohalska, N. (2023). Khto mozhe otrymaty «bilyy kvytok»: statti neprydatnosti do viyskovoyi sluzhby v Ukrayini (perelik) 13.02. [Who can get a "white ticket": articles of ineligibility for military service in Ukraine (list) 13.02]. Retrieved from: https://wwwstopcor.org>StopCor>Cuspil'stvo [in Ukrainian].

Hefti, F. (2007). Pediatric Orthopedics in Practice. Springer-Verlag: Berlin Heidelberg.

Warwick, D., Dunn, R., & Melikyan, E. (2009). Hand Surgery. Oxford specialist handbooks in surgery. Oxford University Press. DOI: https://doi.org/10.1093/med/9780199227235.001.0001

Published

2023-03-30

How to Cite

Vorontsova T. О., Protsailo, M. D., Hnatyo, N. M., & Protsailo О. M. (2023). STRUCTURE OF ORTHOPEDIC PATHOLOGY OF PERSONS OF CONSCRIPT AGE IN TERNOPIL REGION . Achievements of Clinical and Experimental Medicine, (1), 68–73. https://doi.org/10.11603/1811-2471.2023.v.i1.13720

Issue

Section

Оригінальні дослідження