bluuebunny/crossref_metadata_2025 huggingface dataset:
Plotinus’s Apophatic Theology
Authors:   Kemerovo State University of Culture and Arts, Russian Federation, Filin Dmitriy
Published: October 2020

The purpose of this article is to analyze the content of Plotinus’s apophatic theology. The problem of the limit of human cognition has always been topical in the history of the human thought. The absolute reality acted as such a limit in Platonism. The apophatic aspect was the final step of its cognition. The founder of Neoplatonism systematized the Plato’s teaching about hypostases of the being and by doing so he transferred the center of the philosophical speculations in the sphere of the Unity of Oneness. Thus, his apophatics is more consequent than the Plato’s one. Narrating about the Unity of Oneness, Plotinus is sort of synthesizing certain peculiarities of the apophatic theology of his two great predecessors: Aristotle and Plato. One can say, Plotinus’s apophatic theology “vanished” in the description of the mystical blending to the Unity of Oneness of the first cause of being. However for a philosopher intuitive aspects of its cognition are as important in a certain context as logical ones. Plotinus’s philosophy is the way of antinomies, the way of upper-and-non-predicative apophatic darings. The first Unity of Oneness in his philosophy is uncertain and formless because the Unity of Oneness causes all things but doesn’t need them. The latter ones are incidental to It. In their incidental nature is the lack of Good what one can’t say about the Unity of Oneness Itself. It is neither anything qualitative nor quantitative, neither in the rest nor in the movement, neither in any place nor in any time. It is neither Intelligence nor Soul. Thus, the Unity of Oneness according to Plotinus is the energy without essence. Because it creates being transcendental to all things in existence. At the same time Plotinus has in the first place the proper experience of the ecstatic ascents to the exorbitant limit of all things in existence. Staying in It is for a thinker a happiness of the Soul, life of the gods and of the godlike happy people, “escape of the unity to the Unity of Oneness”. As a matter of fact apophatic for Plotinus is the first step taking aside from that experience to a random thought. However in the teaching of the founder of Neoplatonism the thought and the mystical life are so connected to each other that it is practically impossible to separate them—they are the unified whole of existence.
Re-imagining Locations by way of the “Indian Diaspora”
Authors:   Indian Council of Social Science Research, New Delhi, Sengupta Anita
Published: October 2020

Diasporas have gained currency as a productive frame for re-imagining locations, movements identities and linkages that have been flattened by the effect of globalization on world politics. This article examines how diasporas re-orient conventional cartographies and spatial configurations by identifying historically located networks that often escape the attention of scholars and policy makers working within the framework of individual nations. The foregrounding of such networks brings into focus global flows that predates the age of globalization and creates the possibilities of exploring and strengthening collaborations across regions. All of these issues come into play when one examines what is identified as the “Indian” diasporic community in Central Asia and the temptation to think of them as stable bounded communities or transcendent homogeneous groups. This creates the possibilities of rethinking spatial and temporal categories, where not only the nation and its borders are subject to scrutiny but also categories like regions and areas come under interrogation.
Orman ürünleri sanayinin sertifikasyona yönelik görüşleri: Batı Akdeniz Bölgesi örneği
Authors: YILMAZ Ersin , ALKAN Süleyman , KAYACAN Arif , BAYİR Yunus , MAVİ Zafer
Published: October 2020

Araştırmada Batı Akdeniz Bölgesindeki orman ürünleri sanayisine yönelik bir anket çalışması yürütülmüştür. Bu çalışmanın amaçları; sertifikalı ve sertifikasız imalatçıların arasındaki sertifikasyona yönelik görüşlerdeki farklılıkları belirlemektir. Bu amacın seçilme nedeni, sertifikasyonun gelişen bir olgu olması ve bazı yönlerden bilgi boşluğunun bulunmasıdır. Anket, sertifikasyon konusunda demografik ve görüşe dayalı bilgi toplamak amacıyla kullanılmıştır. Sertifikasız imalatçılar, sertifikalı imalatçılardan daha küçük ölçeklidir. İstatistiklerin tamamı, daha büyük ölçekli orman ürünleri imalatçılarının sertifikalı olmasının beklenebileceğini göstermektedir. Sertifikasyon ve çevresel konular kitle iletişim araçlarında daha fazla yer aldıkça ve toplumda bu konulara güçlü bir ilgi oluştukça, sertifikasız imalatçılar arasında sertifikasyon farkındalığında artış beklenebilir. Sertifikalı ve sertifikasız orman ürünleri imalatçıları sertifikasyon konusunda farklı görüşlere sahiptir. Bu farklı görüşler, her bir grubun yaptığı seçimleri etkilemektedir.
Archival Ukrainics and the Problem of Attribution of Authorship of the Researchers of the History of the Ukrainian Revolution of 1917–1921
Authors: Kapeliushnyi Valerii
Published: October 2020

The article explores the problem of personification of historiography of the Ukrainian Revolution of 1917–1921. It is emphasized that the research work consists of a complex of searches and a thorough research of archival Ukrainics outside of Ukraine will help to activate the process of attribution of authorship of the researchers of the Revolutionary Age through their disclosures.

It is emphasized that the study of various aspects of the historiography of the Ukrainian Revolution of 1917–1921 requires the coverage and involvement of numerous publications from periodicals and books. In doing so, researchers are constantly confronted with anonymous, pseudonymous, and crypto-printed and handwritten works that require a lot of time, effort, and searching. Attention is drawn to the fact that one of the most difficult problems in attribution of authorship is establishing a true surname among several applicant authors, when it is necessary to undertake a set of measures: to get acquainted with the biochrony of the applicant authors, to find out in more detail the scientific interests of these authors by analyzing their other publications, to determine the place and year of publication, publishing house or print body of publication, and finally compare these facts to obtain the appropriate result. It is concluded that the problem of attribution of authorship of researchers of the Ukrainian Revolution of 1917–1921 is an integral part of the problem of personification of national history as a whole, has many aspects of research and needs further thorough study and generalization. The author is convinced that further progress in solving the problem of attribution of authorship, that is, the discovery and authorization of aliases and kryptonyms, is related to the successful use of archival Ukrainian materials.
Creation and formation of Sumy guerrilla union: activity of Putivl guerrilla group (august 1941 – february 1942)
Authors: Verbovyj Olexi
Published: October 2020

The article analyzes the first period of the activity of the Sumy partisan association in the period of the existence of the Putivl partisan detachment and partisan detachments of some regions of the Sumy region. The main tendencies of forming partisan detachments in the Sumy region are determined. On an example of the Putivl partisan detachment the process of training, staffing and selection of leadership, material and technical support for the underground partisan resistance movement is reflected. The reasons for failures at the initial stage of activity are determined. The activity of individual partisan detachments that operated from the beginning of the temporary Nazi occupation as separate combat units was investigated, and subsequently they became as a part of the Putivl combined partisan detachment (Sumy partisan association): the Putivl partisan detachment under the command of S. A. Kovpak, the Putivl partisan detachment of S. V. Rudnev, Glukhiv Partisan Detachment of P. L. Kulbaka, Shalyginsky (Kholopkovsky) Partisan Detachment of A. Ya. Saganyuk, Kharkiv Partisan Detachment of M. Y. Vorontsov, Krolevetsky guerrilla group of V. M. Kudryavskyj, Konotop guerrilla unit of V. P. Kochemazov and others. The system of relations between partisan detachments and their command structure with the command of the Putivl combined partisan detachment was determined. The evolution of the structural system of the Putivl combined partisan detachment and its dependence on combat conditions is shown. The battle line of the partisan detachment under the command of Kovpak – Rudnev during August 1941 – February 1942 was investigated. The military conflicts with the Nazi occupation forces and the methods of confrontation of partisan units, intelligence, sabotage, politico-propaganda activity of the Putivl combined partisan detachment (Sumy partisan Association) at the initial stage of its activity is analyzed.
The Ukrainian emigrant press in Germany after Second World War (1945–1948) as a source for investigation of historical and cultural heritage of the Ukrainian diaspora
Authors: Kuzina Natalia
Published: October 2020

The collection of periodicals of camps for displaced persons and the Ukrainian emigrant press are considered as a study source for investigation of historical and cultural heritage of the Ukrainian Diaspora. It is highlighted that despite challenging conditions after the Second World War, the Ukrainian emigrants cared not only about material needs, but also preserved national cultural heritage. It is argued that the process mentioned above took place in constant struggle with the Soviet repressive system, which aspired to bring back as many displaced persons as possible. However, deliberate Ukrainian intellectuals had different political views but were united by the Ukrainian national idea and created significant historical and cultural heritage after the Second World War, particularly in Germany, part of the heritage was described on the pages of periodicals of the Ukrainian Diaspora.

Number and social composition of the Ukrainian emigrants after the Second World War in Germany and Austria is analyzed on the basis of the periodicals, particularly «The Bulletin of Information Help Service». Establishment of educational institutions, archives and libraries in 1945–1948 in Germany is described. Considerable attention is paid to analysis of periodical the «UFAS Chronicle», and investigation of activities of the museum-archive, scientific library and «The Society for the Protection of Ukrainian Heritage Abroad» of the Ukrainian Free Academy of Science in Germany is based on these materials. Significant attention should be drawn to activities of the Scientific and Research Institute of the Ukrainian Martyrology of the Ukrainian Political Prisoners League.

Study of the Ukrainian Diaspora periodicals enables to formulate source study vision for students to understand participation of Diaspora in preservation of the heritage and ways of utilization in tourist activities.
Features of Establishment of the Presidential Authorities in Ukraine at the Initial Stage of Independence
Authors: Chernyshevych Olena
Published: October 2020

The article attempts to analyse the peculiarities of the formation of the presidential power in Ukraine and the problems of its activity during the first years of independence. It is worth noting that the system of the Presidency Institute was completely new for Ukraine, although the experience of this power was already in the Soviet Union, and Mykhailo Gorbachov was elected the first USSR President.

A detailed analysis of the legislative framework of that period became important, and it made possible to investigate the causes of contradictions that arose between the main branches of power – the executive and the legislative ones, to determine what position the President of Ukraine held in these relations.

Attempts at the Presidential Administration to expand their influence on the system of government in the country by establishing such structures as the State Duma of Ukraine and the Institute of Presi­dential Representatives are discussed in detail. Analysed why these reforms were not successful and were quickly completed. It is interesting to give opinions on these issues of different political leaders of the period, who actually stood at the beginnings of building a new political system of Ukraine. It should be mentioned that the appearance of the State Duma was particularly negative, criticised even its name and feared that this structure would take over partially the powers of the Cabinet of Ministers of Ukraine, and its legislative activity would create significant legal conflicts, taking into account normative legal acts that were actively developed and adopted by the Verkhovna Rada of Ukraine.

A problematic issue such as recruitment for new structures is explored separately. It is mentioned that often the preference was given not to professional and business qualities, but to political and personal sympathies, which led to the penetration of incompetent performers into the authorities.

As a result of a detailed analysis of the events of that period, the author concludes that all the changes, which were made on a broad legal basis, were not successful, since the country lived under the Soviet Constitution. This document had to be adopted urgently, but given the pluralism of opinions between the branches of power and in the parliament itself, it was clear that constitutional reform would be delayed. Thus, the contradictions between the branches of power and the evolution of the presidency institute have been prolonged for a long time.
What Money Could (not): Some Directions of Ethnoeconomical Researches in the Foreign Cultural Anthropology
Authors: Tkhorzhevska Tetiana , Bohuslavska Yulia
Published: October 2020

Money in the imagination of modern person, despite rational thinking, could be the not solely conditional equivalent of inserted effort, but also a «wonderful gift» of the greatest forces.

The article shows a historiographic review of significant works of the foreign cultural anthropologists and ethnologists linked to an impression about the supernatural power of money. Attention is focused on the problem of correlation of money and work, the possibility of inclusion of magical practices for increasing the quantity of money and it’s «morality».

An idea about the supernatural power of money has been existed and exists in different cultures, not only pre-industrial but post-industrial as well. One of the first researchers in the «supernatural» power of money field was М. Мauss in the gist economic context. М. Taussig analyzes impressions about «otherworldly» abilities of money through the prism of the interaction of market capitalism with traditional culture. In modern researches, a similar way of thinking could be found in the works of J. Carsten, J. Hickel. Also heavily used opposing of the market and «moral» economics. Market economic values profit as a positive fact. «Moral economic» rates it as an egoistical claim of the work, money and life force, as sorcery and swaying the social benefit in their favour.

Important to emphasize that magical practices of «pulling» money prevail in the post-Soviet societies which require further investigation.

Most of the anthropologists comprehended that phenomenon as a continuation of traditional ma­gical practices in the bounds of a specific culture, although the further context is suggested as well, where the money is compared to religion. Studying modern impressions and ritual practices which are used by our contemporaries until now leaves a large field for anthropologists for observing the social transformations and analyzing cultural features through the money idea.
Surgical Treatment of Juvenile Femoral Head Epiphysiolysis in Children
Authors: Barsukov D. B , Krasnov A. I , Kamosko M. M , Baskov V. E , Pozdnikin I. Yu , Aleksandrenko I. P
Published: October 2020

To optimize the anatomical and functional surgical treatment results in patients with early (I-II) stages of juvenile femoral head epiphysiolysis both pre- and postoperative data of clinical, x-ray and magnetic-resonance examinations were analyzed for 120 patients aged 11 - 15 years. Maximum follow up period after surgical interventions, i.e. femoral head epiphysiodesis (n=60) and femoral head epiphysis fixation (n=60) made up 23 and 3 years, respectively. It was shown that surgical intervention for the fixation of femoral head epiphysis ensured reliable stability of the epiphysis preventing the latter from displacement development and progression, and did not exert significant influence upon either femoral neck and head endochondral growth or the length of the upper extremity.
Total Hip Arthroplasty for Coxarthrosis in Children and Adolescents when Conservative Surgery is Impossible
Authors: Snetkov A. I , Kotlyarov R. S , Frantov A. R , Batrakov S. Yu , Kravets I. M
Published: October 2020

During the period from 1970 to 2015 total hip arthroplasty was performed in 60 patients (71 surgeries) aged 14 - 18 years at the CITO department for child bone pathology and adolescent orthopaedics. In 11 patients bilateral surgical interventions were performed. The majority of patients had systemic hereditary diseases of the skeleton. Principal indications for total hip arthroplasty were elaborated and optimum implant design with regard for the nosology and patient’s age were determined. Mean follow up period made up 9.5 (1 - 23) years. Preoperative evaluation results by Harris Score varied from 28 to 50 points, postoperative - from 79 to 91 points. Good results were achieved in 91.6% of observations.
Morbidity of Musculoskeletal Diseases among Children and Adolescents in 2010-2014
Authors: Es’kin N. A , Andreeva T. M
Published: October 2020

On the state statistical observation data the rates and dynamics morbidity of musculoskeletal diseases among children and adolescents are presented. Stabilization of musculoskeletal diseases morbidity among children and steady growth morbidity among adolescents are detected. In structure of musculoskeletal diseases among children and adolescents arthropathies of different genesis and deforming dorsopathies prevail. Overwhelming majority of patients receive outpatient treatment. The ways of specialized orthopaedic out-of-hospital care perfection are discussed.
Comparative Experimental Study of Custom Made Plate for Anterior Stabilization and Dorsal Fixation Systems at C1-C2 Vertebrae Level
Authors: Kuleshov A. A , Shkarubo A. N , Gavryushenko N. S , Gromov I. S , Vetrile M. S , Fomin L. V , Marshakov V. V
Published: October 2020

Experimental study on the evaluation of strength of fixation with metal constructions at the level of C1-C2 vertebrae was performed on the basis of test laboratory for orthopaedic and traumatologic products. Experiments were performed on the cadaver block preparation (4) and plastic models (8) of craniovertebral spine. Authors’ custom made plate, hook system, screw systems by Magerl and Harms were used as fixators. First step was the imitation of the turning of the head to the right (“twisting”), second step - imitation of head tilting forward (“three point pressure”). It was shown that by its strength and stability of craniovertebral segment the elaborated metal plate was not inferior to dorsal fixation systems.
Use of PlateletRich Autoplasma in Complex Therapy of Knee Osteoarthrosis
Authors: Gorbatenko A. I , Kostyanaya N. O
Published: October 2020

Efficacy of platelet-rich autoplasma (PRA) in treatment of osteoarthrosis was evaluated. Prospective study included 120 patients (83 females, 37 males, mean age 52.8±4.5 years) with clinical and roentgenologic diagnosis of II-IV stage osteoarthrosis by Kellgren-Lawrence classification. The patients from the main group (n=60) were on courses of PRA intraarticular injections (3 injections with 1-2 weeks interval). In the control group the patients received nonsteroidal anti-inflammatory drugs (NSAIDs) and periodically injections of glucocorticoids when indicated. Results were assessed by the verbal efficacy scale, Lequesne index and the pain visual analog scale. Follow up period made up 6 months. Use of PRA enabled to eliminate pain syndrome and improve knee joint function without adverse effects. In 6 months the number of patients who noted the efficacy of treatment was 31% higher in the main group than in the control one. The obtained results allow recommending PRA use for knee osteoarthrosis treatment as an alternative to NSAIDs especially in contraindications to the latter.
Arthroscopy in Treatment of Knee Arthroplasty Complications
Authors: Alabut A. V , Sikilinda V. D , Kubasov D. O
Published: October 2020

Results of the operated joint arthroscopy were presented for 16 patients with complications after knee arthroplasty. The reasons for arthroscopic intervention were: implant instability - 1 case, breaking of implant hinge - 1 case, arthrofibrosis - 2 cases, recurrent hemarthrosis with synovial membrane vessels malformation - 2 cases, reactive aseptic necrosis - 4 cases and resistant medial pain syndrome resulting from neuropathy of the infrapatellar branch of subcutaneous femoral nerve - 6 cases. Arthroscopy after knee arthroplasty enables with high accuracy to diagnose knee joint pathology, to avoid revision arthrotomy, to minimize intraoperative trauma, to improve functional results and patient’s quality of life as well as to reduce the cost of treatment.
Spontaneous Resorption of Intervertebral Disc Herniations
Authors: Kuleshov A. A , Krupatkin A. I , Murav’yova N. V
Published: October 2020

The data on the possibility of intervertebral disc herniation regress at terms from 3 to 12 months are presented. Immune response of the organism and the factor of peripheral fibrous ring neovascularization play an important role in the process of disc herniation resorption. Transligamentous and sequesteredherniations are resorbed better than the subligamentous ones. To intensify the intervertebral disc herniation resorption it is necessary to activate microcirculation of the injured spinal motion segment.
Peculiarities of Drainage after Total Knee Arthroplasty
Authors: Kavalerskiy G. M , Smetanin S. M , Chenskiy A. D , Gritsyuk A. A , Lychagin A. V
Published: October 2020

Treatment results for 65 patients were analyzed depending on the approach to the knee joint drainage after arthroplasty. Active drainage was performed using two large-diameter tubes (group 1, n=16), one large-diameter tube (group 2, n=20), one small-diameter tube (group 3, n=15). In group 4 (n=14), no drainage was performed. Hemoglobin level, knee joint circumference at the level upper patellar pole, volume of drainage discharge and the number of days for exudation via contraperture after drainage tube removal (groups 1-3), pain intensity by visual analog scale, terms of wound gluing and sutures removal, frequency of hemotransfusion were assessed. Statistically significant expediency of active drainage with 1 large-diameter tube and pleats was proved. Without drainage a statistically significant lower decline in hemoglobin levels on 3rd and 5th postoperative days was observed but the terms for wound edges adhesion and the period of knee edema increased.
Risk Factors of Venous Thrombosis Development at Primary Hip Arthroplasty
Authors: Ziatdinov B. G , Akhtyamov I. F
Published: October 2020

The purpose of the work was to determine the factors responsible for the development of lower extremity deep vein thrombosis (DVT) after total hip arthroplasty in patients with aseptic femoral head necrosis and coxarthrosis. Complex clinical laboratory examination was performed in 56 patients aged 26 - 85 years (mean 59.11±2.42). At hospitalization stage 11 (19.64%) cases of DVT development were recorded. It was stated that more often thrombosis developed on the background of the lower limb veins pathology (varicose great saphenous vein, changes in deep veins after great saphenous vein thrombophlebitis). In group of patients with DVT statistically significantly more often the inflammatory reaction markers (leukocytosis and ESR), thrombocytosis as well as shortened APTT and increased fibrinogen levels. Besides, for DVT patients the more prolonged surgery, more marked blood loss and more often use of cement were typical. Such peculiarities may play a certain role in the development of thrombohemorragic complications after total hip arthroplasty and should be taken into consideration as a risk factor of venous thrombosis development at this type of surgical intervention.
Clinical Economic Analysis of the Use of Enoxaparin, Rivaroxaban and Dabigatran Etexilate for Venous Thromboembolism Prophylaxis (VTP) in Patients after Vast Orthopaedic Operations
Authors: Es’kin N. A , Dergach E. V , Pyadushkina E. A
Published: October 2020

Clinical economic analysis of the use of enoxaparin, rivaroxaban and dabigatran etexilate for venous thromboembolism prophylaxis (VTP) in patients after vast orthopaedic operations within the RF public health system was performed. For cost calculation the modelling of decision tree where the presence/absence of clinically significant hemorrhages as the index of anticoagulant safety and VTP incidence as efficacy index were considered. The model was based on the meta-analysis of the published randomized studies results and indirect comparison performed using those data. Only direct medical costs were taken into account. Anticoagulant therapy costs were calculated for the drug dosing regimen according to the use instructions registered in RF. The time horizon of the model was in line with the average duration of thromboprophylaxis after orthopaedic operations: 21 day for enoxaparin and dabigatran, and 25 days for rivaroxaban. Determinate analysis of sensitivity including the evaluation of clinical and economic efficacy of drugs after either total hip or knee arthroplasty was performed. Total costs per patient made up 11 486.99 rub for enoxaparin, 9 035.07 rub for dabigatran and 6 172.63 rub for rivaroxaban use. During sensitivity analysis rivaroxaban preserved its advantage in all scenarios. Rivaroxaban is a preferable drug for VTP prophylaxis after vast orthopaedic interventions as with higher clinical efficacy it requires lower costs.
Perspectives of Arthroscopic Surgery at Treatment of Elbow Joint Diseases
Authors: Salikhov M. R , Kuznetsov I. A , Shulepov D. A , Zlobin O. V
Published: October 2020

The present review is dedicated to the problems and treatment techniques in elbow joint diseases. Basic methods of conservative and surgical treatment for osteoarthritis in the initial stages, chondromatosis, elbow osteochondritis dissecans and lateral epicondylitis are considered. Potentialities of arthroscopic interventions for the treatment of these conditions are presented and the main problems as well as the urgent aspects of arthroscopic treatment for elbow joint orthopaedic pathology at the current stage of surgery development are considered.
Treatment of Comminuted Intraarticular Fracture of Distal Radius with Arthroscopic Reposition of Fragments under External Fixation
Authors: Dubrov V. E , Grechukhin D. A , Maksimov B. I , Shantrukov P. A
Published: October 2020

Introduction. Use of arthroscopically assisted reduction of bone fragments in comminuted intraarticular fractures of the distal radius (DR) remains ambiguous. The purpose of the study was to determine the expediency and efficacy of arthroscopy in surgical treatment of comminuted DR frac- tures especially under conditions of wrist joint (WJ) external fixation. Patients and methods. Sixty eight patients (mean age 38±14.1 years) with comminuted intraar- ticular DR fractures (type B3-C3 by AO/ASIF) were operated on. In 34 out of them arthroscopic support of osteosynthesis was used. Treatment results were assessed in 3, 6 and 12 months by DASH questioner, X-ray examination data, grip strength and range of motion in WJ. Results. It was stated that WJ arthroscopy improved the diagnosis of joint injuries (injury of tri- angular fibro-cartilage complex was diagnosed in 29 (83.5%), scapholunate ligament - in 12 (35.5%), lunotriquetral ligament - in 4 (11.8%) cases) and the quality of bone fragments reposition (displacement of intraarticular fragments over 1 mm after primary reposition was arthroscopically diagnosed in 21 (61.8%) cases, statistically significant improves the early postoperative (first 3 months after surgery, p
Anatomical Reconstruction of Finger Flexors in Scary FibroOsseous Canals
Authors: Chernyakova Yu. M
Published: October 2020

Introduction. Healing of finger flexor tendons after reconstructive operations takes place under the conditions of scary changes in fibro-osseous canals. Determining factor for the functional outcome is the intensity of commissural process around the flexor tendon. The problem of conventional treatment is the impossibility to ensure the ingrowth of fibrous tissue into the scar zone with simultaneous formation of smooth canal wall. Patients and methods. Eighty six patients with 94 finger flexor tendon injuries along the fibroosseous canals were operated on. Eighteen operations with primary delayed deep flexor tendon suture, 8 operations with repeated suture and 7 operations of tendon tenolysis after primary suture were supplemented with the proposed method of temporary isolation of the reconstructed tendon within a dissected polymeric tube. The tube isolates the tendon from blood clots, forms the smooth canal wall. Results. Finger function was assessed in 6 and 12 months. After operations supplemented by temporary isolation of the tendon within the polymeric tubes excellent and good results were achieved at shorter terms, no tenolysis was required and one-step tenoplasty could be performed instead of two-step reconstruction.
Experience in the use of Distal Fixation Femoral Component Use in Revision Hip Arthroplasty
Authors: Zagorodniy N. V , Ivanov A. V , Kagramanov S. V , Chragyan G. A , Nikolaev I. A
Published: October 2020

Purpose . To evaluate the efficacy of revision hip arthroplasty with use of distal fixation revision femoral component. Patients and methods. From June 2004 through October 2015 one hundred thirteen revision arthroplasties were performed in patients with type 3A, 3B and 4 femoral defects by Paprovsky classification. Solution, Wagner SL and Cerafit revision femoral components for distal fixation were used. In the majority of cases (87) the cause of revision intervention was aseptic instability of the femoral component. In 60 cases revision was performed for cementless femoral components, in 53 - for cement components. Results. Follow up period made up from 1 to 12 years. In 83.2% of cases excellent, good and satisfactory treatment results, i.e. pain syndrome remission, restoration of joint movements and extremity weight bearing ability were achieved. Conclusion. Wagner SL, Solution and Cerafit modular revision stems ensure acceptable clinical treatment results and can be the implants of choice for hip femoral component revision arthroplasty in types 3A, 3B and 4 femoral defects by Paprovsky.
Use of Modified Arthroscopic Ankle Joint Stabilization for the Treatment of Chronic Lateral Instability
Authors: Matsakyan A. M , Kesyan G. A , Ochkurenko A. A , Butaev B. G , Shirmazanyan A. G , Protsko V. G
Published: October 2020

Comparative analysis of the results of anatomic restoration of capsuloligamentous system in chronic lateral ankle instability using low invasive arthroscopic techniques was performed. Patients and methods. Forty seven patients (17 - 60 years old) with chronic lateral ankle instability were operated on. In 20 patients a standard “ArthroBrostrum” technique with a use of 2-3 biocomposite fixatives and in 27 patients - the modified arthroscopic intervention with use of 1 titanium anchor was performed. Treatment efficacy was evaluated by AOFAS score. Results. One year after surgery treatment results were followed up in 39 patients: excellent results were achieved in 7 (36.84%), good - in 7 (36.84%), satisfactory - in 3 (15.79%) and poor - in 2 patients after standard technique and in 8 (40.00%), 7 (35.00%), 4 (20.00%) and 1 (5.00%) after modified method, respectively. Conclusion. Thus modified arthroscopic technique is in no way inferior to a standard “ArthroBrostrum” intervention having certain advantages (use of 1 versus 3 fixatives, possibility of intraoperative X-ray control, and shortening of the operation duration). So it could be recommended for the treatment of patients with lateral ankle instability.
Treatment of Benign Bone and Joint Tumors and TumorLike Diseases Using Alloplasty and Collagen Containing Material (Clinical and Experimental Study)
Authors: Zorya V. I , Krasil’nikov A. A , Chemyanov I. G , Matveev A. G
Published: October 2020

Purpose. Improvement of surgical treatment results in patients with benign bone and joint tumors and tumor-like diseases. Materials and methods. Evaluation of the efficacy of plastic collagen containing material for bone defect plasty was performed in 58 Chinchilla rabbits (3-4 kg). In animals from study group the bone defect was filled with collost. Histological examination of the samples was performed in 14, 30, 60 and 90 days after operation. During the period from 2007 to 2015 ninety eight patients, aged 14-75 years, with benign bone and joint tumors and tumor-like diseases were operated on. In all cases postresection defect (1-50 см_) plasty was performed by the proposed combined method that included the use of frozen allograft and collost. During subsequent follow up the potentiality of pathologic process relapse was determined as well as the dynamics of bone structure restoration, extremity function and bone anatomic shape were assessed. Results. Pathomorphologic picture of experimental samples showed that collast accelerated the bone regenerate maturity in the place of a defect. In 1 year after surgery 74 patients (75%) showed good results - in 8 (11.2%), satisfactory - in 62 (84.1%), poor - in 3 (4.7%) cases and in 3 years after operation (57 patients) - 28 (49.1%), 28 (49.1%) and 1 (1.7%) case respectively. Examination of 56 patients (57.1%) in 5 years after intervention revealed good results in 48 (85.4%) and poor - in 8 (14.6%) cases. Conclusion. Study results allow recommending the proposed method of plasty using the allograft and collost for the substitution of vast postresection defects in patients with benign bone and joint tumors and tumor-like diseases.
State of Specialized Trauma and Orthopaedic Care in the Russian Federation
Authors: Es’kin N. A , Andreeva T. M
Published: October 2020

The state of specialized outpatient and hospital care to patients with injuries and orthopaedic pathology is analyzed. Dynamics of the traumatism and musculoskeletal system rates for in 2011- 2015 is presented. The measures for the perfection of specialized care to trauma and orthopaedic patients are proposed.
Surgical Treatment for Severe Decompensated Neuromuscular Scoliosis in Patient with Spinal Muscular Atrophy type II
Authors: Baklanov A. N , Shaboldin A. N , Barchenko B. Yu
Published: October 2020

Treatment results for 16 years old patient with grade 4 thoracolumbar scoliosis on the background of Type II spinal muscular atrophy are presented. One step surgical treatment via dorsal approach was performed: posterior corrective two-rodtranspedicular corporal screw C7 - S1 fusion with fixationof iliac bones by transpedicular system with bone autoplasty + osteomatrix. Surgical intervention resulted in the formation of satisfactory trunk balance, reduction of pelvic distortion and improvement of the patient’s quality of life.
Russian Version of HSS Knee Replacement Expectations Survey: Language and Cultural Adaptation
Authors: Cherkasov M. A , Ibiev A. S , Saraev A. V , Kornilov N. N
Published: October 2020

Purpose . To perform language and cultural adaptation of the Hospital of Special Surgery (HSS) Knee Replacement Expectations Survey and evaluate its reliability. Material and methods . To preserve the HSS validity its language and cultural adaptation was performed in several steps: (1) direct translation, (2) synthesis of the intermediate version, (3) back translation, (4) expert commission review and creation of the 2nd intermediate version, (5) pre-testing and formation of a final version, study of reliability with evaluation of Cronbach’s alpha and intra class correlation coefficient (ICC). Total number of 35 patients (mean age 54.2 years) with terminal-stage gonarthrosis who were admitted for total knee arthroplasty (TKA) participated in the study. Results . Cronbach’s alpha and intra class correlation coefficient (ICC) for the translated and adapted version of HSS Knee Replacement Expectations Survey made up 0.871 and 0.82 (95% confidence interval 0.725-0.897) that was indicative of high correlation between Russian version and the original. Conclusion . Russian version of HSS Knee Replacement Expectations Survey is a reliable tool and can be used for the evaluation of patient expectations prior to TKA.
Advantages and Disadvantages of Various methods for Dupuytren’s Contracture
Authors: Ulishchenko A. A , Golubev I. O
Published: October 2020

Current methods for Dupuytren’s contracture treatment - conservative, radical surgical, low invasive are presented. Their advantages and disadvantages are discussed. Unfortunately no one method allows to avoid relapses at various terms after treatment. In the lack of common approach to the choice of treatment tactics the low invasive techniques such as needle aponeurotomy, collagenase injections, percutaneousaponeurotomywith lipofilling (lipografting)are becoming more popular.
Optimization of Diagnosis and Treatment for Periprosthetic Knee Infection
Authors: Shpinyak Sergey P. , Barabash A. P , Barabash Yu. A
Published: October 2020

Purpose of study: to analyze the modern approaches to classification of large joints periprosthetic infection (PPI) and evaluate the results of revision surgical interventions in patients with deep PPI of the knee. Patients and methods. One hundred fifty three patients, 51 men and 102 women (mean age 57.3±12.4 years), with deep PPI were operated on. Treatment tactics was determined by the term after primary operation. In early PPI (n=31) sanitation interventions with implant preservation and in late PPI (n=122) - two step interventions with long period between the operations (over 4 weeks) were performed. Results. Follow up made up from 2 to 5 years. Sanitation interventions with implant preservation were successful in71% of patients. In group of patients with late PPI satisfactory results were achieved in 89.6% of cases. On the basis of the obtained data the variants of diagnosis and treatment tactics optimization as well as its adaptation to domestic public health system were proposed.
Minimally Invasive Derotational Osteotomy of the Forearm Bones in Congenital Radioulnar Synostosis in Children
Authors: Kozhevnikov O. V , Kralina Svetlana E.
Published: October 2020

Clinical experience of surgical treatment for radioulnar synostosis in 6 children is presented. In all cases forearm derotational osteotomy at the level of synostosis with pin fixation has been performed. The technique of the intervention, peculiarities of fixator placement and other nuances of the surgery that allow avoiding potential complications are described in details. Follow up period made up 1 year after surgery. Improvement of operated extremity function was achieved in all patients. Presented technique of surgical treatment is effective, comparatively safe and enables to improve spatial position of the forearm and hand in short terms.
Late Diagnosis of Mucopolysaccharidosis Type IV (Maroteaux-Lamy syndrome)
Authors: Mikhailova Luydmila K. , Polyakova O. A , Zakharova E. Yu , Voskoboeva E. Yu , Kuleshov A. A , Vetrile M. S , Lisyanskiy I. N
Published: October 2020

Peculiarities of the clinical manifestation of mucopolysaccharidosis type IV diagnosed at the age of 30 years only are presented. In spite of favorable disease course after the age of 30 years combined vertebral canal stenosis more marked at C0-C1 level, cervical myelopathy and spastic tetraparesis that required surgical intervention. Special attention was paid to the genetic aspects of diagnosis and potential causes of delayed disease development.
Surgical treatment of multilevel lumbar vertebral canal stenosis using dynamic stabilization. Multicenter study
Authors: Gushcha A. O , Kolesov S. V , Poltorako Ekaterina N. , Kolbovskiy D. A , Kaz’min A. I
Published: October 2020

Purpose: to compare the results of surgical treatment of patients with multilevel lumbar vertebral canal stenosis. Patients and methods. Prospective randomized multicenter study included 71 patients aged 41 - 79 years. In the 1st group of patients (n=38) a standard wide decompression of the spinal canal, transpedicular fixation of one clinically and roentgenologically significant spinal motion segment using rigid stabilization and interbody fusion was performed. In the 2nd group (n=33) microdecompression of the spinal canal, transpedicular fixation of one clinically and roentgenologically significant segment using the rods of nitinol transpedicular device. The results were assessed by the pain VAS, ODI and SF-36 questionnaires, roentgenologic, CT and MRI data. Results. Mean follow up made up 1.5 years, the maximum one - 3.0 years. Significant pain relief and im- provement in the quality of life as compared with the preoperative level was reported for both groups. No sig- nificant difference between the groups was observed. Functional roentgenograms showed within 5° (4.2 - 6.5°) preservation of motion in the stabilized segment only in patients from the 2nd group. Adjacent segment pathology in 12 months after operation was diagnosed only in 1 patient from the 1st group. Conclusion. Preliminary results allow considering the dynamic transpedicular fixation using nitinol rods as an effective surgical technique for the treatment of degenerative lumbar spine pathology.
Comparative analysis of changes in the desmal and chondral structures of spinal motion segment at various methods for posterior spine fixation in experiment
Authors: Krivoshein Artyom E. , Konev V. P , Kolesov S. V , Byval’tsev V. A , Kaz’min A. I
Published: October 2020

Purpose: to elaborate the criteria for the assessment of the degree of spinal motion segment degradation at various methods for posterior spine fixation in experiment. Material and methods. The study included mongrel dogs with body mass of 12±1.5 kg aged 21±3 months. Transpedicular lumbar spine fixation was performed with either rigid titanium alloy rods (1st group, n=5) or dynamic nitinol rods (2nd group, n=5). X-ray examination and morphologic study of the structural elements of spinal motion segment (SME) were performed to all animals in 3, 6, 12, 18 and 24 months after surgery. Results. Functional examination showed that in both groups the range of motion made up 18±1.2° preoperatively. In the 1st group of animals the range of motion in the operated SME made up 0±0.03°. In the second group the range of motion was preserved throughout the experiment and averaged 15±1.3° that made up 78.9% of the preoperative range. In both groups the disc height at the fixation level was constant throughout the experiment and made up 0,3±0.003 cm pre- and postoperatively. Obtained roentgenologic and morphologic data indicated that posterior dynamic spine fixation with nitinol rods ensured more balanced distribution of loads on the supportive elements of the construction and enabled prevent the development of the adjacent segments degeneration. Based on the study results the criteria for the assessment of the degree of the facet joints and discs degradation were formulated.
Positioning of custommade acetabular components at revision hip arthroplasty: do they really match as “a key and a lock”?
Authors: Kovalenko Anton N. , Tikhilov R. M , Bilyk S. S , Shubnyakov I. I , Cherkasov M. A , Denisov A. O
Published: October 2020

Purposes are to determine 1) what frequency and what degree is of custom acetabular implants malposition in comparison with planned position, 2) what the reason of malposition is and 3) what the malposition consequences we can wait for. Patients and methods. The observation group included 20 patients (18 women and 2 men) with severe acetabular defects. Mean age of patients made up 53 (22-72) years. Position of the implants was compared with the parameters of preoperative planning using 5 postoperative CT indices (inclination, anteversion of semi- spherical part of the implant, spatial location of the rotation center in three axes). More than 10° deviation for inclination or anteversion and 5° dislocation of the rotation center in any axis was considered as a malposition of the component. Results. Only 5 of 20 constructions matched conditionally permissible limits by all the parameters. Most often excessive dislocation of the rotation center in lateral direction (10 cases) and excessive anteversion (9 cases) were observed. During 6 weeks follow up no complications related to the acetabular component position were recorded. Conclusion. It was shown that at revision arthroplasty with custom-made implants the probability of implant malposition as compared to the preoperative plan. The main reason could be the complexity of intraoperative orientation under conditions of abnormal hip anatomy. Malposition of the implants beyond the stated values did not result in complications within the early postoperative period. The longer follow up is required for the assessment of the long-term results.
Early treatment result in a patient with periprosthetic hip infection
Authors: Shubnyakov I. I , Bozhkova S. A , Artyukh Vasiliy A. , Liventsov V. N , Kochish A. A , Afanas’ev A. V
Published: October 2020

Typical errors in rendering specialized care to patients with chronic periprosthetic infection after total hip arthroplasty are demonstrated on the example of one patient. The role of patient examination with due regard for the complication risk factors, insufficient alertness in respect to postoperative infectious complications, absence of continuity at the steps of surgical treatment, complexity of eradication of infectious agent and need of multidisciplinary approach for rendering care to this group of patients is specially emphasized.
Prospective for the development of infectious complications prevention methods after large joints arthroplasty
Authors: Samokhin Aleksandr G. , Kozlova Yu. N , Fyodorov E. A , Pavlov V. V
Published: October 2020

The review gives the characteristics of the general status of the problem of infection in the zone of surgical intervention including the field of traumatology and orthopaedics. The shortcomings of antibiotic use and methods of their local delivery for surgical and orthopaedic needs are considered. The conception of local use of antibacterial agents and the requirements for the current “ideal” antibacterial agent are given. Classification of the local antibiotic delivery systems on the basis of their physicochemical properties is presented as well as the number of prospective methods for the prevention of microorganisms’ adhesion on the surface of the implanted devices and systems that could be used in traumatology and orthopaedics are examined.
Potentialities of endovascular surgery in traumatology and orthopaedics
Authors: Prozorov Sergey A. , Ivanov P. A
Published: October 2020

The review presents the main trends for the use of roentgen-endovascular surgery that allow to improve the treatment results in trauma and orthopaedic patients.
Potentialities of the total hip arthroplasty results evaluation
Authors: Cherkasov Magomed A. , Tikhilov R. M , Shubnyakov I. I , Kovalenko A. N , Rabadanov R. S
Published: October 2020

Since the 50th of the last century a great number of different systems for the evaluation of both short- and long term outcomes of total hip arthroplasty have been developed. The present paper covers different views and current trends towards the evaluation of arthroplasty outcomes.
Outcomes of rehabilitation treatment in patients with lumbar spine dorsopathies
Authors: Strel’nikova Anastasiya V. , Kiselyov A. S , Sadovoy M. A
Published: October 2020

The review presents the factors that influence the outcomes of rehabilitation treatment after decompressive- stabilizing operations on the lumbar spine