bluuebunny/crossref_metadata_2025 huggingface dataset:
Experimental Substantiation of Shape Forming and Sanitation Function of Cement Spacers at Treatment of Hip Periprosthetic Osteomyeliti
Authors: Dzyuba G. G , Reznik L. B , Erofeev S. A , Pavlinov G. B
Published: October 2020

Degree and terms of acetabular bone structures reparation, indices of total and local immunity were evaluated in experiment (12 dogs with osteomyelitis). In the main group surgical treatment consisted of proximal femur resection with implantation of articulating spacer. In control group resection arthroplasty was performed. Roentgenologic and morphologic data showed marked reparative regeneration of acetabular bone structures under the influence of inserted spacer at terms up to 16 weeks. At application of spacers immunologic picture was characterized by rapid restoration of pro- and anti-inflammatory cytokines balance as well as by the absence of immunomodulatory effect on phagocytic link of the immune system.
Surgical Treatment for First Metatarsal Joint Deforming Osteoarthrosis of Various Etiology
Authors: Yezhov M. Y
Published: October 2020

Examination and treatment results were presented for 17 patients with deforming arthrosis of the first metatarsal joint. In the 1 st group (12 patients) total arthroplasty of the first metatarsal joint was performed using Total Toe System implants. Second group included 5patients with dysplas- tic osteoarthrosis of the first metatarsal joint and iatrogenic aseptic necrosis of the head of the first metatarsal bone resulted from excessive medial resection of the head. In 3 patients from group 2 custom made implants and specially designed instruments were used. All patients from the 1 st group were examined in 3—12 months postoperatively. Joint condition showed 82points by AOFAS scale compared to 31 before surgery. In patients from the 2 nd group treatment results made up 88 points by AOFAS scale.
Potentialities of Percutaneous Technique in Revision Surgery of Forefoot Static Deformities
Authors: Berezhnoy S. Yu , Protsenko A. I , Kostyukov V. V
Published: October 2020

Results of the analysis of repeated surgical interventions (34 patients, 43 feet) after previously performed surgeries for forefoot static deformities are presented. In all cases various percutaneous techniques were used. Mean follow up was 6 months (3 months — 4 years). Surgical results were assessed using patient satisfaction criterion. Satisfaction with treatment results was recorded in 95% ofpatients. It was shown that potentialities ofpercutaneous technique enabled to solve the majority offorefoot static deformityrevision surgery problems. The conclusion was made that strict order of patient management after reconstructive foot operations enabled to perform early reoperations before severe complications development.
Reconstructive Restorative Surgical Interventions in Complex Treatment of Children with Legg-Calve-Perthes Disease
Authors: Barsukov D. B
Published: October 2020

For optimization of anatomic and functional treatment results pre- and postoperative roentgenologic data were analyzed for 120 patients aged from 6 to 14 years with Legg-Calve-Perthes disease accompanied by severe affection of epiphysis. Mean follow up period after reconstructive (remodeling) surgical interventions, i.e. corrective osteotomy of the femur, pelvic osteotomy by Salter, combinations of those 2 techniques, triple pelvic osteotomy made up 10 years. It was shown that remodeling of femoral head was possible only when the degree of bone coverage was equal or exceeded 1. If that parameter was below 1 the conditions for deformity progression developed. Roentgenologic variants of the affected joint anatomic structure that enabled to define concretely the indications to a certain type of femoral head surgical remodeling were determined.
Hip Arthroplasty in Adolescents with Juvenile Rheumatoid Arthritis
Authors: Malakhov O A , Alekseeva E I , Malakhov O O , Morev Sergey Yur'evich , Valieva S I , Bzarova T M , Denisova R V , Sleptsova T V , Mitenko E V , Isaeva K B , Malakhov O A , Alekseeva E I , Malakhov O O , Morev S Yu , Valieva S I , Bzarova T M , Denisova R V , Sleptsova T V , Mitenko E V , Isaeva K B
Published: October 2020

Results of total hip replacement (THR) performed in 23 patients (9 male and 14 female) aged from 13 to 18 years with coxarthrosis on the background of juvenile rheumatoid arthritis (JRA) are presented. All patients have been operated on at traumatologic-orthopaedic department of Scientific Center for Children's Health during the period from 2008 to 2012. Main complaints of patients were pain and limitation of movement in hip joints, discrepancy of lower extremities length, claudication, disturbance of weight bearing ability and lower extremities function that in 90% of cases made the movement without additional support impossible. Indications to THR and peculiarities of surgery in young patients with JRA are described. Almost in all patients correction of lower extremities deformity and formation of either normal or close to normal functional status have been achieved. Roentgenologic examination showed good localization of implant components.
Thrombosis Prevention in Arthroscopic Reconstruction of Anterior Cruciate Ligament
Authors: Rykov A G , D'yakov D D , Korshnyak Valentin Yur'evich , Pryanishnikov R V , Rykov A G , D'yakov D D , Korshnyak V Yu , Pryanishnikov R V
Published: October 2020

Results of dabigatrana etexilat (Pradaxa) use for venous thrombosis prevention after anterior cruciate ligament arthroscopic reconstruction are presented. It is shown that after this type of surgical intervention patients are at risk of thromboembolic complications development. Intake if Pradaxa tablets in dose 220 mg daily for 10 days after surgery enables to avoid thrombosis of lower extremity veins.
Results of Monolithic and Modular Femoral Components Use at Total Hip Revision Arthroplasty
Authors: Zagorodniy N. V , Nuzhdin V. I , Bukhtin K. M , Kagramanov S. V
Published: October 2020

Results of 28 total hip revision arthroplasties using distal fixation stems were analyzed. In 18 operations revision stems Wagner SL (1 st group) and in 10 interventions modular revision stems Cerafit revision (2 nd group) were used. Mean follow up period made up 3 years. Course of operation and peculiarities of bone canal treatment prior to stem implantation were described in detail. In 1 st group excellent results were achieved in 2 (11.11%), good in 8 (44.44%) satisfactory in 4 (22.22%) and poor in 4 (22.22%) of patients. In 2 nd group in 2 (20%), 4 (40%), 3 (30%) and 1 (10%) patient, respectively. Poor treatment outcomes resulted from suppuration and distal migration offemoral component. Rate of intraoperative femur cracks and fractures for two study groups was not higher than at revision arthroplasty using other implants. Taking into account intraoperative advantages the use of modular femoral components in complicated cases is a good alternative to monolithic stems.
Evaluation of Methods for Correction of Spinal Root Microcirculation Disorders in Intervertebral Disk Hernia
Authors: Krupatkin A. I , Kuleshov A. A , Shvets V. V , Makarov C. N
Published: October 2020

Qualitative and quantitative assessment of the influence of various drugs upon spinal root microcirculation before and after spinal canal decompression in lumbar osteochondrosis was performed. Study included 87 (41 female and 46 male) patients aged 26 — 68 years with clinical manifestations of radiculopathy on the background of intervertebral disk hernia in lumbar osteochondrosis. All patients were operated on by Caspar technique. Indices of laser Doppler flowmetry in infrared channel were taken directly from the spinal nerve root before and after decompression. Patients from 1 st group (n=56) received no drugs. In patients from the 2 nd group (n=31) either euphyllinum (subgroup 2E), dexamethasone (subgroup 2D) or rheopolyglucin (subgroup 2R) were injected intravenously prior to decompression. All study drugs were effective and the most significant influence on the microcirculatory indices was exerted by rheopolyglucin. Initial index of microcirculation was 30 p.u. in 1 st group, 32 p.u. in subgroup 2E, 40 p.u. in subgroup 2D and 32p.u. in subgroup 2R. After decompression that index increased up to 36±6 p.u. in 1 st group and up to 40±8, 47±7, 44±12p.u. in three subgroups, respectively.
Negative Pressure Wound Therapy for Prevention and Treatment of Purulent Septic Complications in Traumatology and Orthopedics
Authors: Obolenskiy V. N , Ermolov A. A , Sychyev D. V , Semenistyi A. Y , Rodoman G. V , Leval’ P. Sh , Golev S. N , Zagorodniy N. V , Laka A. A , Sampiev M. T , Semyonova T. V
Published: October 2020

Negative pressure therapy is one of the newest methods used in the wounds treatment. It enables to accelerate and optimize the process of wound healing and hence to reduce the cost of treatment. Negative pressure stimulates proliferation of granulation tissue, provides continuous evacuation of exudate and effectively cleans wound surface. Treatment results for 251 patients with purulent septic complications after surgical intervention are presented. One hundred two patients had open fractures of extremity bones, 51 patients underwent total arthroplasty of large joints and 48 patients — scoliosis endocorrection.
Treatment of Patients with Elbow Osteoarthrosis I-II Stage by Arthroscopy
Authors: Kuznetsov I. A , Ryabinin M. V , Zhabin G. I , Salikhov M. R , Rybin A. V
Published: October 2020

Comparative assessment of conventional (control group, 30 patients) and arthroscopic (main group, 16patients) treatment techniques was performed by the treatment outcomes of 46 patients aged 20-50 years with I-II stage of elbow osteoarthrosis and resultant flexion-extension contracture. Elbow function was evaluated by MEPS scale prior to and 1 month after operation. The advantage of arthroscopic intervention that enabled to eliminate intraarticular pathology, to initiate early rehabilitation and provided good functional result at short terms — 91 points in the main group versus 74 points in control one.
Comparative Evaluation of Various Techniques of Arthroscopic Tenodesis for Tendon of Long Head of Biceps (multicenter study)
Authors: Dubrov V. E , Zaitsev R. V , Dokolin S. Yu , Rakhmankulov E. R , Fomenko S. M , Radimov K. F
Published: October 2020

Fifty six patients under 50 years participated in a multicenter study on the comparison of long term (12 – 14 months) results after application of different tenodesis techniques, i.e. sub- and suprapectoral one with fixation by interferent and anchor fixatives. Dicision on patient’s participation in the study was made intraoperatively if rotator cuff pathology was identified and indications to the tendon of long head of biceps were determined. Results were evaluated by Constant – Murley score and SF-36 questionnaire. Statistically significant (p
Traumatic dislocations of crus (part 2)
Authors: Morozov A. A , Zorya V. I
Published: October 2020

Second part of the lecture describes detailed characteristics of associated neurovascular fascicle injury in shin dislocations and presents data on treatment tactics, techniques and complications.
Modern Tendencies of Synovial Fluid Substituting Drugs Based on Bound Hyaluronic Acid Use in Treatment of Patients with Loco-Motor System Pathology and Injuries
Authors: Strakhov M. A , Skoroglyadov A. V
Published: October 2020

Analysis of literature on hyaluronic acid role and properties as well as on the use of synovial fluid substituting drugs based on bound hyaluronic acid (HA) shows the significance of this type of therapy for the arrest of articular and periarticular pain syndrome, and high efficacy in complex treatment of osteoarthritis. Recent data enabled to understand better the mechanisms of HA metabolism and to determine the advantages HA drugs use depending on the production technology, molecular weight and other pharmacodynamics properties.
Arguments and Facts of Thrombosis Prophylaxis in Surgical Traumatology and Orthopaedics
Authors: Lazarev A. F
Published: October 2020

Modern data on the rate of venous thromboembolism development after orthopaedic surgeries as well as the results of international prospective ETHOS study (17 countries including Russia, 161 centers) are presented. The aim of the study was to assess post-operative venous thromboembolism prophylaxis prescribed and received in patients after high-risk orthopaedic surgeries (total hip arthroplasty, femur osteosynthesis, total knee arthroplasty) as compared with the 2004 American College of Chest Physicians (ACCP) guidelines. Peculiarities of thrombosis prophylaxis in Russia centers are shown.
Treatment Results for Patients with Proximal Humerus Fractures
Authors: Nabiev E. N
Published: October 2020

Surgical treatment results for 135 patients with proximal humerus injuries are presented. According to AO classification type A fractures were diagnosed in 86 (63.7%), type B — in 44 (32.5%) and type C — in 5 (3.8%) patients. In 53 (39.3%) patients osteosynthesis with devices elaborated at clinic were used. Treatment results showed that in young and middle aged patients with good bone tissue quality with type A fractures T- and L-shaped fixatives and elaborated at clinic device that provided interfragmental compression should be used. In patients with type B fractures and low bone density either sparing synthesis by Weber — Muller or elaborated at clinic device with blocking screws and in patients with type C fractures — either synthesis with pins or primary shoulder arthroplasty were recommended.
Emergent Stabilization of Pelvic Bones Fractures in Polytrauma
Authors: Litvina E. A
Published: October 2020

Principle aspects of the management of patients with concomitant pelvic injury and injuries of other localization from the standpoint of modern treatment concept Damage control are discussed. Special attention are paid to the techniques for pelvic ring fixation, arrest of intrapelvic hemorrhage, sequence of surgical interventions depending on the pattern of concomitant injuries. The necessity of emergent pelvic injuries fixation with external devices as well as the fractures of other localization in the acute period until stabilization of patient’s general condition is substantiated
In Vivo Study of Tricomponent Resorbable Calcium Phosphate Bone Cement Based on Tricalcium Phosphate
Authors: Mamonov National Research Center for Hematology, Moscow, RF , Chemis National Research Center for Hematology, Moscow, RF , Drize National Research Center for Hematology, Moscow, RF , Proskurina National Research Center for Hematology, Moscow, RF , Kryazhkov I. I , Komlev V. S
Published: October 2020

Results of experimental morphologic study of tricomponent resorbable calcium phosphate bone cement (CPhC), based on tricalcium phosphate for the filling of defect as a temporary bearing resorbable matrix are presented. Study was performed on soviet chinchilla rabbits weighting 3200-3500 g. The model of critical spongy bone defect was used. At different observation terms (6, 9 and 12 months) gradual substitution of biomaterial with newly formed bone tissue from periphery to the center was observed with complete cement resorption 12 months after surgery. By mechanic characteristics newly formed bone in the defect was stronger than the surrounding trabecular one. It was stated that material possessed hemostatic effect and moderate toxicity. Peripheral bone marrow maintained its cellularity at all terms, gradually filling intertrabecular space of newly formed bone. Achieved data enable to recommend wide used of CPhC for bone defects substitution.
Use of Nitinol Rods for Lumbosacral Spine Fixation (Prospective Randomized Clinical Study)
Authors: Kolesov S. V , Shvets V. V , Kolobovskiy D. A , Kaz’min A. I , Morozova N. S
Published: October 2020

One hundred thirty operations were performed in patients (57 males, 73 females) with degenerative lumbar spine diseases during the period from 2010 to 2012. Mean age of patients made up 57 (45-82) years. Depending on the type of intervention all patients were divided into 2 groups: in 60patients (1 st group) dynamic stabilization with nitinol rods without fusion and in 70patients (2 nd group) rigid fixation of lumbar spine with titanium rods was performed. Outcomes were analyzed in 1.5 years after surgery. VAS, ODI and SF36 questionnaires showed improvement of patients’ condition in both groups. Restoration of lordosis was from 22 to 35° and from 23 to 37° in 1 st and 2 nd groups, respectively. No screw instability, bone tissue resorption around the screws and adjacent segment pathology was noted in group 1. Functional X-rays showed preservation of mobility (5+1.2°). In 2 nd group formation of pseudarthrosis was recorded in 5patients, adjacent segment pathology - in 20 including 5 patients who required repeated surgical intervention. Transpedicular lumbosacral spine fixation using nitinol rods is an effective technique that enables to preserve movements in lumbosacral spine in combination with stable fixation
Outcomes of Surgical Treatment of Infectious Complications after Large Joints Arthroplasty
Authors: Norkin I. A , Shpinyak S. P , Girkalo M. V , Barabash A. P
Published: October 2020

Surgical outcomes were analyzed for 108 patients with infectious complications developed at different terms after large joints arthroplasty. When complications develop in the early postoperative period than independently of the process depth and in stable implant components radical surgical debridement of the inflammation focus is indicated. In the rest of cases the removal of all implant components with subsequent either joint arthrodesis or revision arthroplasty using spacers of different modifications should be performed. We consider spacer application to be a method of choice as it enables to preserve extremity function and to perform revision arthroplasty in future.
Disturbance of Extensor Mechanism after Primary and Revision Knee Arthroplasty
Authors: Kavalerskiy G. M , Murylyov V. Yu , Kholodaev M. Yu , Rukin Ya. A , Elizarov P. M , Rubin G. G
Published: October 2020

Rate of extensor mechanism complications after primary and revision knee arthroplasty reaches 12 %. Description and systematization of such complications by literature data is given. Our experience in treatment of 12 patients with such complications after primary knee and in 5 patients after revision knee arthroplasty that made up 1.0 and 13.9% of all interventions, respectively, is presented. Registered complications include para-patellar scars and ossification impingement (4), patellar lateralization (5), patellar dislocation (1), patellar tendon rupture (7). Treatment results in patients after primary arthroplasty are better than after revision intervention - 83.3 and 40% of positive results, respectively. It is shown that high rate (42.9%) of patellar tendon rupture are associated with deep periprosthetic infection. Besides, autoplasty with m. gracilis and m. semitendinosus shows its inefficiency in treatment of such complications.
Use of Nitinol Rods in Surgical Treatment of Degenerative Scoliosis
Authors: Kolesov S. V , Shvets V. V , Kolobovskiy D. A , Kaz’min A. I , Morozova N. S
Published: October 2020

Seventy two patients, aged 39 - 84 years, with degenerative lumbar scoliosis were operated on. In 30 patients (1 st group) nitinol rods 5.5 mm in diameter and standard transpedicular screws were used. In 20 patients fixation at L1 - S1 and in 10 patients at L1 - L5 level was performed. In presence of spinal canal stenosis additional decompression was performed. Spinal fusion was not performed. Forty two patients (2 nd group) were treated by standard methods using titanium rods in combination with lumbosacral spinal fusion. Out of them in 20 patients fixation at L1 - S1 and in 22 patients at L1 - L5 level was performed. Results were followed up in 1.5 years after intervention at minimum. Correction of the deformity in two groups was almost equal and averaged 25° (from 10° to 38°). No one case of implant instability, bone tissue resorption around the screws and adjacent level involvement was recorded. Functional X-rays showed 21° of lumbar spine mobility (from 15° to30°) at average. In 2 nd group mobility in fixed segment was absent; pseudarthrosis was diagnosed in 3 and proximal kyphosis - in 1 patient. Revision intervention was required in 2 cases.
Treatment of Type 1 Complex Regional Pain Syndrome in 14 Years Old Child
Authors: Merkulov V. N , Dorokhin A. I , Krupatkin A. I , Merkulov M. V , Avakova M. A
Published: October 2020

Case report on 14 years old girl with type 1 complex regional pain syndrome (CRPS) is presented. At first admission in 5.5 months after right hand injury and development of type 1 CRPS, paravasal sympathectomy on the right upper extremity was performed. Complete elimination of pain syndrome and restoration of the extremity function was achieved. Five and a half months after discharge the left foot and in 3 weeks later the right hand were injured. In both cases injuries were accompanied by pronounced CRPS clinical picture. At second admission in 6 weeks after foot injury interventional treatment with placement of catheters next to nerve trunks and bolus administration of antibiotics was performed for 1 week and enabled to achieve remission of the disease. It was noted that not only hypersymphaticotony but also psychological status of a patient were important for the disease development.
Treatment of Patients with Ruptures of Clavicular Acromial End using Designed Pin and Cortical Screw
Authors: Danilov M. A , Borozda I. V
Published: October 2020

Comparative treatment results are presented for 154 patients with closed injuries of the acromioclavicular joint. Main group included 34 patients who were operated on using the proposed fixation technique with designed K-wire and screw. The technique was elaborated with regard for the data of biomechanical studies. In control group (120 patients) fixation was performed with Lee hook ( n =76), K-wires ( n =25) and hook plate ( n =19). Proposed method was considered to be an effective (95.5 points by Constant-Murley score) and low-cost treatment technique characterized by short terms of hospitalization, (13.0±0.71 days) and temporary disability (40.4±0.71) days as well as by low rate of postoperative complications (3 (8.8%) cases).
Early and Mid-Term Results of Primary Hip Arthroplasty Using Il’za Endoprosthesis
Authors: Mironov S. P , Balberkin A. V , Zagorodniy N. V , Karpov V. N , Kolondaev A. F , Shavyrin D. A , Snetkov D. A
Published: October 2020

The problems of hip arthroplasty under conditions of wide introduction of that surgical intervention into clinical practice and the perspectives of cementless wedge-shaped femoral stems use are discussed on the example of high-technology home endoprosthesis “Il’za” are discussed. Technical characteristics of the implant, peculiarities of surgical procedure with its application, early and mid-term clinical and roentgenologic results of 581 operations are considered. Stable deterioration of hip function has been noted in 1, 2 and 3 years after operation - from 37.6 points by Harris hip score to 89.3, 92.2, and 89.1 points, respectively. Survival of the femoral component in 6 years after arthroplasty made up 98.6%, general survival - 96.2%. Universality of this femoral component that enables to achieve its stable primary and secondary fixation in the absolute majority of patients is proved. The achieved data allow to talk of the reliability of wedge-shaped femoral hip stems and significant prospective for their use in wide clinical practice.
Revision Hip Arthroplasty: Epidemiology, Causes, Risk Factors (foreign literature review)
Authors: Kaminskiy A. V , Marchenkova L. O , Pozdnyakov A. V
Published: October 2020

Publications related to revision hip arthroplasty were analyzed. Data of National Registers from different countries were presented, problems of epidemiology and prognostication of need in revision arthroplasty were highlighted, the causes (demographic, clinical, surgical, rehabilitation) and the most significant risk factors that conditioned the failure of primary hip arthroplasty were described.
Nikolay Nikolaevich Priorov - Life Devoted to Traumatology and Orthopaedics (In commemoration of 130th anniversary of birth)
Authors: Knopov M. Sh , Taranukha V. K
Published: October 2020

The article presents the life and creative path of the outstanding home trauma and orthopaedic surgeon, talented public health organizer, noted man of science, founder of prominent scientific school, Academician of USSR AMSc, Honored Science Worker of RSFSR Nikolay Nikolaevich Priorov.
Risk Factors for Recurrence of Shoulder Instability after Bankart Lesion Arthroscopic Treatment
Authors: Belyak E. A , Kubashev A. A , Lazko F. L , Abdulkhabirov M. A , Ptitsyn K. A , Prizov A. P , Kulikova O. I , Savitskyi P. P , Ismailov D. A , Men’shikov V. V
Published: October 2020

Analysis of treatment results for 408 patients (17-48 years old) with posttraumatic anterior shoulder instability was performed. In all cases arthroscopic Bankart repair with the use of suture anchors was performed from 1997 to 2013. Follow up period made up 5.7±1.2 years. Recurrent instability was observed in 45 (11%) patients. Comparison of patients with and without recurrent shoulder instability enabled to identify the following risk factors: high-level of sports activity (78.0% vs 27,8%, p
Tribochemical Component of Oxidative Stress Development at Artificial Joints Implantation. Part 5. Pro-oxidative Properties and Interrelation of Titanium and Non-Metallic Orthopaedic Material Wear Particles with Antioxidants
Authors: Bulgakov V. G , Tatarinov V. F , Gavryushenko N. S
Published: October 2020

Radical-forming ability of artificial wear particles of BT6 titanium alloy and nonmetallic materials was studied using modelling reaction of cumene oxidation. It was stated that alloy particles initiate formation of radicals and consecutive repeated cumene oxidation by metallic particles took place with significantly higher rate of radicals’ formation. Particles of nonmetallic materials (polyethylene, corundum ceramics, carbon nanocomposite) are inert and do not possess radical-forming ability that ensures their advantage in prevention of possible development of adverse free radical reactions in surrounding implant tissues.
Treatment of Lower Limb Fractures in Children with Multiple and Concomitant Injuries
Authors: Timofeev V. V , Bondarenko A. V , Podsonnyi A. A
Published: October 2020

Treatment results for 306 children (1-17 years) with lower limb fractures accompanied by multiple and concomitant injuries were studied during 2005 - 2014. Comparative assessment of conservative treatment, transcutaneous osteosynthesis with external fixation devices and internal fixation was performed. The number of complications, duration and number of hospitalizations, total duration of treatment, long-term results and quality of life at terms from 1 to 3 years after injury were evaluated. Indications to the application of every osteosynthesis technique were determined.
Surgical Stabilization of the Chest in Multiple and Floating Rib Fractures
Authors: Benyan A. S
Published: October 2020

One of the complicated problems at the interface of thoracic surgery and traumatology is the treatment of multiple and floating rib fractures. Its urgency is determined by the high rate of complications and level of mortality. Analysis of surgical stabilization techniques in multiple and floating rib fractures is performed. Both the methods of historical significance and widely used at present are described. Data on the efficacy of various stabilization techniques are presented.
Surgical Treatment of Proximal Humeral Fractures with Short Straight Intramedullary Nail
Authors: Bondarenko P. V , Zagorodniy N. V , Gil’fanov S. I , Semenistyi A. Yu , Semenistyi A. A , Loginov A. N
Published: October 2020

Long term surgical treatment results were studied for 30 patients (10 male and 20 female) with two- and three-fragment proximal humeral fractures with short intramedullary nail. Mean age of patients was 68.8 (37-84) years. All patients were examined clinically and roentgenologically. In postoperative period secondary varus deformity was observed in18 (60%) patients and made up 4.3° at an average. Roentgenologic signs of delayed fracture consolidation due to the loss of reposition and decrease of neck-shaft angle under 120° were observed in one case. Evaluation by ASES scale made up 90.73±7.01 points, by SST scale - 10.47±1.41 points. Treatment results for three-fragment fractures were not as good as for two-fragment ones however the difference was not statistically significant ( p >0.05). Obtained data showed the high efficacy of short straight intramedullary nail application in two- and three-fragment proximal humeral fractures.
Indirect Electroimpulse Myostimulation and Its Role in Treatment of Patients with Shin Bone Fractures
Authors: Obolenskiy V. N , Karpenko A. V , Zagorodniy N. V
Published: October 2020

Prospective randomized controlled study to evaluate the efficacy of electric muscle stimulation (EMS) of calf muscles in prevention of venous thromboembolic complications (VTEC), shortening of treatment and rehabilitation terms in patients with shin bones fractures was performed. The study included 60 patients, aged 19-67 years, with isolated shin bones fractures. All patients were admitted at early (from 0.5 to 3 hours) terms after injury. For final fixation either intramedullary or plate osteosynthesis were used. All patients were on anticoagulant therapy for VTEC prevention. In the study group ( n =30) 2 séances of EMS, 3 hours each, were performed daily from the first day of hospitalization. In 30 patients from the control group EMS was not performed. It was shown that application of EMS ensured the shortening of treatment and rehabilitation terms, better quality of life and enabled to avoid VTEC development. Achieved preliminary data are indicative of the expediency of EMS application in traumatologic patients at early hospital stage.
Different Variants of Osteoblastoma Course in Children (Clinical, Roentgenologic, Morphologic Comparison)
Authors: Snetkov A. I , Morozov A. K , Berchenko G. N , Batrakov S. Yu , Kravets I. M , Frantov A. R
Published: October 2020

Osteoblastoma is a benign bone forming well vascularized tumor with unlimited growth potential. Experience in diagnosis and treatment of 85 children, aged 5 - 18 years, with osteioblastoma is presented. All patients were treated at CITO department of childhood bone pathology and orthopaedics during the period from 1985 to 2015. In 8 patients the course of the disease was aggressive. Results of clinical, roentgenologic and morphologic comparison as well as the analysis of literature data enables to demonstrate the validity of distinguishing the aggressive type of osteoblastoma that is characterized by peculiarities of clinical course and requires special approach to its treatment.
Peroneal Tendon Dislocations
Authors: Koryshkov N. A , Khodjiev A. S , Dzyuba A. M , Platonov S. M , Larionov S. V , Shcherbakov A. O
Published: October 2020

Clinical observation of patients with posttraumatic deforming arthrosis of subtalar joint resulted from calcaneus fracture and preoperatively diagnosed closed old dislocation of left foot peroneal tendons is presented. The necessity of thorough examination of patients with hindfoot injuries and expediency of surgical interventions not only on the bony but also on the soft tissue structures is substantiated. Such interventions will provide for the restoration of the normal anatomical position of peroneal tendons.
Variants of Neurotization in Injuries of Brachial Plexus and Nerves of Upper Extremity
Authors: Zhuravlev S. A , Golubev I. O
Published: October 2020

The most commonly used variants of neurotization on the upper extremity in various injuries of peripheral nerves or brachial plexus and results of their application are presented. Pledge of successful neurotization is thorough knowledge of topographic anatomy of peripheral nerve branches, skills in precision surgical technique and adequate postoperative rehabilitation.
Entre margens e resistências: o espaço afro no tecido urbano contemporâneo em Campinas
Authors: De Oliveira Santos Bianca Franco , Polito Jéssica Almeida
Published: October 2020

Essa pesquisa bibliográfica discute a vitimização dos indivíduos de origem africana, buscando entender o porquê da falta de sensibilidade a igualdade racial, a desvalorização da cultura e o quanto isso reflete na integridade social no Brasil, pensamentos e ações que perduram desde o período escravocrata até a atualidade. Visando valorizar as características da cultura africana e a maneira como ela foi tratada ao longo da história, a fim de evidenciar a resistência e luta por parte dos escravos, no processo de endoculturação brasileira. Propondo por meio dos espaços culturais, ambientes mediadores de experiências, conhecimento histórico e vivências visando modificações mais efetivas por meio da conscientização sobre a importância desta cultura na sociedade brasileira contemporânea.
Arquitetura para centros esportivos: o caso de Joaçaba, Herval D’oeste e Luzerna, Santa Catarina
Authors: Camara Inara Pagnussat , Emmerich Fabiano Deitos
Published: October 2020

O esporte é uma ferramenta fundamental no desenvolvimento social de um país, pois promove socialização aos participantes, ensinando-lhes boas maneiras, controle emocional e corporal, competitividade e trabalho em equipe. Neste estudo, busca-se compreender quais são as modalidades esportivas mais praticados na cidade de Joaçaba/ SC e sua microrregião (Luzerna/SC e Herval D’ Oeste/SC), e quais os esportes que a população gostaria de ter acesso, servindo de base para a estruturação de um anteprojeto arquitetônico voltado ao esporte. A escolha do local deve-se primordialmente ao fato da região ser precursora de “grandes nomes” do esporte brasileiro e a uma cultura esportiva já enraizada e, atualmente, carente de locais estruturados para o crescimento das modalidades e usuários. Os métodos utilizados para esta pesquisa iniciaram com a aplicação de questionários nas escolas da região de Joaçaba, Herval do Oeste e Luzerna e posteriormente realizados via plataforma de questionários do Google, com o intuito de quantificar e classificar os esportes praticados pelos entrevistados e quais modalidades esportivas são carentes e almejadas por estes jovens. Os resultados apontaram preferências por modalidades esportivas coletivas, como voleibol, futsal, futebol de campo e basquete, sendo os preferidos para as práticas, contudo com carência de infraestrutura nas cidades do estudo.
Urbanização e preservação cultural: caso do Bairro das Chicalas em Luanda
Authors: Andre Aurea Bianca Vasconcelos , Polito Jessica De Almeida
Published: October 2020

O processo de urbanização em Luanda tem sido pontual, sendo priorizadas as áreas centrais da cidade e negligenciando-se os projetos habitacionais para a população mais pobre. Os planos de requalificação tendem a ser planos com propostas duvidosas, se analisados sob a ótica dos grandes debates urbanísticos que abordam a integração social e o direito à cidade. Prevalecem interesses financeiros e finalidades corporativistas, e não a melhoria da qualidade de vida dos moradores que, frente a realidade latente, não se reconhecem enquanto unidade populacional. O plano de requalificação da Baía de Luanda, na qual Chicala faz parte, envolve destruições de bairros informais em seu entorno. Discute-se aqui as implicações desta reforma urbanística e seus impactos no bairro da Chicala, à luz da segregação territorial, identidade cultural, políticas públicas habitacionais e o habitat. Frente aos impasses de uma gestão territorial conturbada e direcionada, e as ações que reforçam a desigualdade social, sugere-se, aqui, uma reflexão sobre a requalificação e a preservação cultural aplicados a este bairro. O pensamento global aliado às ações locais promovem diálogos com as experiências internacionais que podem contribuir para a gestão do território de modo coerente, tendo em vista a sua unidade cultural e os interesses de seus habitantes.
Utilização de matrizes numéricas no Estudo de Impacto de Vizinhança: estudo de caso
Authors: Kramer Gabriela Quadros , Nogueira Matheus Lemos , Garcez Mônica Regina
Published: October 2020

O Estudo de Impacto de Vizinhança é um instrumento para identificação, avaliação e análise de impactos ocorridos no meio urbano. O seu desenvolvimento proporciona ao Poder Público a possibilidade de analisar o empreendimento em questão, além de discutir seu licenciamento e as medidas mitigadoras e compensatórias a serem aplicadas. Visto que em muitos casos a análise dos impactos possui um certo grau de subjetividade, o objetivo deste trabalho é aplicar um método mais racional, baseado em matrizes numéricas, no EIV de um empreendimento no município de Caxias do Sul/RS. Para cada um dos parâmetros analisados foi proposta uma forma de análise baseada na legislação municipal ou, na falta desta, na literatura existente. Dentre as principais conclusões, observou-se a importância da elaboração de EIVs para empreendimentos de porte significativo, sendo que com este instrumento foi possível prever os impactos gerados após a implantação do empreendimento estudado. A utilização das matrizes numéricas aqui apresentadas pode dar apoio metodológico aos EIVs, tornando-os mais objetivos.
Memória, paisagem urbana e seus processos de identidade: o caso da Praça Nereu Ramos em Criciúma/SC
Authors: Scarduelli Grasiele , Gonçalves Teresinha Maria
Published: October 2020

Dentro do contexto urbano, as praças são consideradas locais de importância vital para as cidades, privilegiando o espaço coletivo e locus das interações sociais. Tendo como ponto de partida uma pesquisa desenvolvida no âmbito da dissertação de mestrado em Ciências Ambientais da primeira autora, o presente estudo possui como tema o espaço público e suas relações de urbanidade. Possui como objeto de pesquisa a Praça Nereu Ramos, considerada a materialização viva de toda a história da população Criciumense. A reflexão proposta possui como objetivo investigar o processo de apropriação do espaço e identidade de lugar da população de Criciúma/SC quanto a importância da preservação dos espaços públicos e paisagem urbana da Praça Nereu Ramos. Tudo isso pela importância em entender os espaços públicos como resultados de um produto social de uma sociedade específica. O estudo possui uma abordagem qualitativa, numa perspectiva da pesquisa social de caráter investigativo, através do reconhecimento da praça como um espaço público. A coleta de dados foi realizada pelas técnicas de observação participante e entrevistas semiestruturadas e analisadas pelas técnicas de análise de conteúdo e conceitos chave. A interpretação dos dados possibilitou entender a importância da preservação dos patrimônios culturais e suas relações com a paisagem urbana na área central da cidade, analisando a percepção da população quanto á sua contribuição para manutenção da identidade e memória cultural. No entanto, a pesquisa nos deixa a pergunta: até que ponto os espaços públicos contribuem para a valorização da vida nas cidades?
Configuração da borda urbana de Passo Fundo/RS: a análise dos Sistema de Espaços Livres e de padrões morfológicos
Authors: Maculan Laércio Stolfo
Published: October 2020

O objetivo do estudo é através da a análise dos padrões morfológicos apontar as causas e efeitos que configuram a borda urbana de Passo Fundo/RS. A cidade é classificada como uma capital regional do tipo B, tendo influência e polarizando uma aglomeração que conta com aproximadamente 1,08 milhões de habitantes (IBGE, 2008). O delineamento metodológico foi estruturado em três etapas: primeiramente a borda urbana foi delimita em dez Unidades de Paisagem (UP), segundo Silva et al. (2014); na segunda etapa foram categorizados os Sistemas de Espaços Livres (SEL); por último, foram indicados os padrões morfológicos presentes em cada uma das UP. Os resultados apontam que as características do SEL ambiental tendem a gerar tecidos fragmentados. Quanto ao SEL urbano de práticas sociais os agentes privados implantaram espaços voltados à recreação e lazer, contudo, a realidade é completamente diferente nas demais praças que necessitam de um programa de necessidade que atenda a diferentes perfis e atividades. No SEL privado os agentes privados são responsáveis por produtos que contam com elementos morfológicos voltados para média e alta renda e pela implantação de condomínios fechados. Quanto às camadas de baixa renda há dois fenômenos que demonstram a urgência no desenvolvimento de políticas públicas. O primeiro trata da consolidação e do adensamento construído em bairros implantados pelo agente público, e o segundo indicam a falta de oportunidade e de soluções que viabilizem a necessidade de habitação deste perfil de moradores. Este trabalho buscou apresentar a diversidade de padrões morfológicos que compõem a forma da borda urbana de Passo Fundo, com o intuito de colaborar na configuração de políticas públicas e legislações urbanísticas que sejam capazes de compreendem as especificidades da borda urbana.
On the Progress of Energy and Power Saving
Authors: Huang Siwen
Published: October 2020

With the progress and development of China’s economy and society at present, energy and power engineering has gradually become an extremely important key factor in promoting the sustainable development of economy and society. However, we are also faced with a difficult problem, that is, the shortage of energy will pose a huge and serious threat to the future development of the earth and mankind. Therefore, efficient utilization of various new generation energy sources has gradually become the development trend of energy and power engineering in China in the future.
W obliczu końca Europy, jaką znamy
Authors: Romaniszyn Krystyna
Published: October 2020

Przedmiotem artykułu jest namysł nad masową migracją jako współczynnikiem zmiany społeczeństw europejskich i ogólnie europejskiej cywilizacji. Zostały w nim wykorzystane dane statystyczne dotyczące globalnej mobilności ze szczególnym uwzględnieniem napływów z Południa do Europy. W centrum uwagi znalazły się następujące wątki: rozmiary imigracji do Europy; czynniki wypychające z krajów pochodzenia imigrantów i czynniki przyciągające ich do krajów europejskich; społeczne mechanizmy i kulturowe determinanty mobilności, prawdopodobne społeczne i kulturowe konsekwencje masowej imigracji do Europy oraz jej polityczny kontekst.
La salud mental en China
Authors: Bermann Gregorio
Published: October 2020

Rescatar la memoria para construir identidad es uno de los objetivos de la serie “Clásicos” de la colección Cuadernos del ISCo. La publicación de La salud mental en China se inscribe dentro de ese propósito, al recuperar la figura de Gregorio Bermann, partícipe de la Reforma Universitaria de 1918; dinamizador del campo de la salud mental en América Latina en discusiones que atraviesan la psiquiatría, el psicoanálisis y la psicología; un intelectual ligado a ideas socialistas con acción política a nivel nacional e internacional; y uno de las dieciséis miembros titulares expertos en salud pública que conformaron el Comité Técnico Preparatorio de la Conferencia Internacional de Salud, de la cual surge en 1948 la Organización Mundial de la Salud (OMS). La primera edición de este libro fue publicada en español por Jorge Álvarez, en 1970. Fue traducido al italiano y prologado por Franco Basaglia, uno de los principales referentes de la reforma psiquiátrica italiana, y publicado en 1972 en la prestigiosa editorial de Giulio Einaudi. También fue traducido al francés por Alain Barbaste y publicado en 1973, en el auge del maoísmo entre los intelectuales franceses, por la editorial de François Maspero que, al igual que Einaudi en Italia, fueron propagadoras del pensamiento de izquierda europeo. En Maspero, este libro de Bermann fue incluido en una colección junto a autores como Guattari y Castel. La edición alemana se publicó en 1973, traducida por Thomas Lorenzen y publicado por la editorial Europäische Verlagsanstalt. Esta nueva edición ha sido enriquecida con fotografías, cartas personales y documentos recuperadas del Archivo General de la Nación; del Archivo Gregorio Bermann, Centro de Estudios Avanzados, Facultad de Ciencias Sociales, Universidad Nacional de Córdoba; del Centro de Conservación y Documentación y Audiovisual, Universidad Nacional de Córdoba, Colección Antonio Novello; y de la World Health Organization, Historical Collection.
Treatment of COVID-19: Old Friends for a New Enemy
Authors: Álvarez Gómez Angela María , Cardona Maya Walter D.
Published: October 2020

While we are waiting for the “best good news” of a vaccine that allows us to control the SARS-CoV-2 virus that causes COVID-19, we have to find a solution to reduce the adverse effects of the disease on people’s health. The situation is not hopeful. According to the World Health Organization, 4278180 people have been infected, of whom 292376 have died (May 13, 2020), many in their productive age who surely were out of the economic upheavals due to the measures adopted to anticipating the pandemic will also have a negative impact on the world economy.
A Review on the Effect of COVID-19 in Pregnant Women
Authors: Rahaman Syed Tazib
Published: October 2020

Coronavirus Disease 2019 (COVID-19) is an emerging disease with a rapid increase in cases and deaths since its first discovery in December 2019, in Wuhan, China. Limited data are available on COVID-19 effects during pregnancy; however, information on diseases associated with other highly pathogenic coronaviruses (i.e. Severe Acute Respiratory Syndrome [SARS] and the Middle East respiratory syndrome [MERS]) may provide insight into the effects of COVID-19 during pregnancy. Coronaviruses cause illnesses ranging from the common cold to severe respiratory disease and death. The data indicate an average of 5 days incubation period (range: 2-14 days). The average age range of the hospitalized patients was 49-56 years, and a third to half of them have an underlying illness. Children were rarely mentioned. Within hospitalized cases, men were more frequent (54%-73%). Fever, cough, myalgia, vomiting, and diarrhea are common symptoms. This review aims at giving an in-depth understanding of COVID-19 by comparing its effects with SARS and MERS to evaluate its severity in pregnant women1. The results of varied studies show that COVID-19 affects pregnant women seriously and there is an alarming need to look into this aspect to prevent its harmful effects on the fetus.
Alcohol Withdrawal Cases As a Consequence of COVID-19: A Clinical Analysis
Authors: Gadgile Pawan , Hinge Aditi , Karia Sagar , De Sousa Avinash , Shah Nilesh
Published: October 2020

Background: The COVID-19 pandemic has been followed by the shutting down of bars and liquor shops. This condition has led to the acute unavailability of alcohol, and subsequently increasing the number of cases of alcohol withdrawal. 
Objectives: This paper reports the clinical profile of cases of alcohol withdrawal presented to the psychiatry department following the non-availability of alcohol due to the COVID-19 lockdown.
Methods: The patients were referred to the psychiatry department from the emergency medicine department and some of them directly to the psychiatry department. Thirty-two patients with alcohol use disorder and alcohol withdrawal were included in the study. The study data were collected using a semi-structured proforma and then were tabulated. The obtained data were assessed by the Chi-square test and unpaired t-test where appropriate.
Results: The Mean±SD age of the study patients were 38.84±11.64 years. The Mean±SD years of consumption of alcohol was 13.50±7.8 years in the sample (range 1-30 years) and Mean±SD days of last consumption of alcohol was 3.88±1.8 days (range 2-10 days). There were no significant differences between stockers and non-stockers in various parameters. 
Conclusion: Alcohol and substance withdrawal have increased in the wake of the lockdown and COVID-19 pandemic and there is a need for non-COVID-19 setups to be created to cater to the needs of these patients.