bluuebunny/crossref_metadata_2025 huggingface dataset:
The frequency of fractures of the proximal femur in urban residents of the Middle Volga region
Authors: Tseytlin O. Y.
Published: October 2020

The aim of the study was to assess the rate of proximal femur fractures in citizens, aged 50 years and over, from two towns of Samara region (Zhigulevsk and Novokujbyshevsk). In Novokujbyshevsk mean rate of proximal femur fractures for males and females was equal to 67.9 and for 72.7 per 100 000, respectively. In Zhigulevsk the same index for males and females was 93.4 and 104.5 per 100 000, respectively. The difference between rate of proximal femur fractures in female relative to male was insignificant. Increase of incidence of proximal femur fractures was detected in women over 65 years and in men over 70 years.
Evaluation of the results of treatment of injuries of the flexor tendons of the fingers
Authors: Fedoseev A. V. , Lapin V. V. , Lobanov D. S.
Published: October 2020

The system of evaluation of treatment outcomes of finger flexor tendons are presented. The system is based on the restoration of total range of active movement only in intrafalangeous joints taking into account the contractures in functionally disadvantageous position. Using this system it is possible to evaluate the treatment outcomes in case of simultaneous injury of superficial and deep flexor tendons, isolated injury of deep flexor tendons of II V fingers as well as long flexor tendon of the thumb.
A method for documenting the results of a tendon suture and the problem of assessing treatment outcomes
Authors: Zolotov A. S.
Published: October 2020

Absence of single generally accepted method for the assessment of the results of tendon suture of fingers flexors considerably hampers and even occasionally makes impossible the comparison of data presented by several authors. Under such conditions the registration of tendon suturing results is of great importance. For this purpose a simple and reliable procedure is suggested, i.e. configuration of fingers, that allows to assess the results by different techniques as well as to analyze and compare the assessment techniques.
Clinical and morphological features of coxarthrosis with cystic rearrangement and the quality of secondary fixation of cementless total endoprostheses
Authors: Nuzhdin V. I. , Berchenko G. N. , Kudinov O. A.
Published: October 2020

Clinical and roentgenologic as well as pathomorphologic peculiarities of IIIIV stage of coxarthrosis were studied in 254 patients who underwent surgery at the CITO department of joint replacement. Coxarthrosis with cystic alteration of the articular bone structure has been diagnosed in 56% of patients. Cystic alteration was more often detected in middle (II), the most common degree of articular dysplasia. In the absence of dysplasia or in its marginal degrees the noncystic type of coxarthrosis prevailed. It was shown that in patients with cystic coxarthrosis the progress of pathologic process was faster and such patients more often had concomitant diseases characterized by microcirculatory disturbance. Pathomorphologic examination also showed more marked changes of microcirculatory channel in cystic coxarthrosis bone structure. In 47 patients the comparison of roentgenologic indices of the quality of secondary implant fixation and peculiarities of coxarthrosis ( either with or without cystic alteration) performed 3 to 4 years after uncemented total hip replacement by ESI implant demonstrated reliably better quality and longer fixation of bone tissue to the structured surface of the implant in noncystic type of coxarthrosis.
A.I. Krupatkin. Clinical neuroangiophysiology of the extremities (perivascular innervation and nervous trophism). Nauchny Mir Publishing House, Moscow, 2003. 328 p.
Authors: Aleksandrov N. P.
Published: October 2020

In recent years, the activity of conducting clinical and fundamental research has noticeably decreased, including in the field of autonomic regulation and microcirculation disorders of the tissues of the musculoskeletal system. Therefore, the publication of a monograph, which for the first time summarizes modern aspects of the clinical physiology of perivascular innervation and neurovascular interconnections of the extremities, should be welcomed in every possible way.
Injury Severity Assessment: A Review of the Most Commonly Used Systems for Injury Severity Assessment in Trauma Patients
Authors: Karlbauer A. , Woidke R.
Published: October 2020

The most commonly used systems for the evaluation of injury severity in traumatologic patients are presented: Glasgo Coma Scale, Mangled Extremity Severity Score, Revised Trauma Score, Abbreviated Injury Scale, Injury Severity Score, Pediatric Trauma Score. Their advantages and disadvantages are given. At present Injury Severity Score is considered to be a Golden Standart.
Specialized Rehabilitation Center for Pediatric Orthopedics and Traumatology
Authors: Dudin M. G. , Falinskiy A. A. , Leonova S. F.
Published: October 2020

Issues of the organization of the work on the rehabilitation of children with loco-motor pathology are reviewed on the example of St. Petersburg Rehabilitation Center Ogonyok. The tasks of such centres include the conservative treatment of children with loco-motor system pathology with simultaneous provision of education process. The structure, list of members of staff as well as characteristics of the material and technical basis including therapeutic and diagnostic units are presented. The advantages of the rehabilitation centers over specialized health centers are shown.
Ultrasonographic evaluation of the state of the hip joints in newborns
Authors: Eskin H. A. , Mikhaylova L. K.
Published: October 2020

Two hundred fifty newborns (110 girls and 140 boys) were examined with ultrasonography. The method of acetabular index measurement was used to assess the hip joint status. High efficacy of sonography in differentiation of true and false-positive Marks-Ortholani symptom was noted. High correlation between sonography data and radiography ones was detected. Absence of irradiation, possibility of examination in real time and repeated examinations make sonography one of the main methods for hip joint screening.
Electrical stimulation of osteogenesis in the treatment of juvenile epiphysiolysis of the femoral head
Authors: Shein V. N.
Published: October 2020

In 11 children with juvenile femoral head epiphysiolysis complex treatment included electrostimulation of osteogenesis by 20 mA bipolar impulse current. It was noted that in all cases the pathologic process was stopped and normal bone structure was restored.
The use of new corsets in the treatment of patients with idiopathic scoliosis II-III degree
Authors: Skoblin A. A. , Alekseenko I. G.
Published: October 2020

At Federal Center of Invalid Expertize and Rehabilitation 175 adolescents with II-III degree idiopathic scoliosis were under the treatment. To increase the efficacy of conservative treatment new fixative-reclination corset with springing inserts as well as new functional corrective corset were worked out and those corsets were applied for the treatment of patients. In patients with II degree deformity correction of primary arch was from 37%o in thoracic to 80% in lumbar scoliosis. In patients with III degree deformity correction made up from 29% in thoracic to 61% in combined scoliosis. Those data were obtained at radiologic examination in terms under 3 years.
Features of the treatment of lower limb deformities in children with systemic diseases of the musculoskeletal system
Authors: Lapkin Y. A. , Konyukhov M. P.
Published: October 2020

The analysis of conservative and surgical treatment results of more than 200 children with systemic diseases of loco-motor system showed that complications and deformity recurrence were mainly caused by the inadequate treatment tactics as well as the use of traditional orthopaedic techniques with no account of the systemic nature of the pathology. The most common mistakes in conservative treatment included the prolonged use of plaster cast, attempts to petform one-step reposition ofjoint dislocations and underestimation of osteoporosis severity. In surgical treatment the typical mistakes were the attempts to restore the joint function to the detriment of the joint stability and weight bearing function of the extremity, use of tenoligamentocapsulotomy in cases when either correction of bone deformities or the application of Ilizarov device were indicated. The rate of complications was significantly lower when the deformity correction was followed by additional joint stabilization using transposition of muscles and plasty of ligamentous system.
Treatment of Proximal Femur Fractures on the Background of Osteoporosis
Authors: Lazarev A F , Solod E I , Ragozin A O , Kakabadze M G , Lazarev A F , Solod E I , Ragozin A O , Kakabadze M G
Published: October 2020

Analysis of treatment of 526 patients with proximal femur fractures (362 patients with femoral neck fractures and 164 patients with trochanteric zone fractures) was performed. Patients' age ranged from 34 to 92 (mean 67). Algorithm of differentiated choice of operative tactics depending on fracture characteristics and injury term was presented. Low invasive osteosynthesis of femoral neck with bundle of stressed V-shaped pins was suggested. Theoretical and practical ground of that technique was given. Stress within fixative-bone system created after osteosynthesis by V-shaped pins, provided stable fixation even in marked osteoporosis. The importance of bone mineral density evaluation for the choice of treatment tactics as well as the necessity of medicamental correction of the disturbed bone remodeling after surgical treatment was noted.
Comparative Analysis of Surgical Treatment of Peri- and Inraarticular Fractures and Fracture-Dislocations of Mortise Joint
Authors: Kallaev I O , Lyzhina E L , Kallaev T N , Kallaev N O , Lyzhina E L , Kallaev T N
Published: October 2020

Comparative analysis of the efficacy of transosseous compression osteosynthesis (110 patients --test group) and deep osteosynthesis with routine fixatives, i.e. screws, pins, plates, fighting bolts, etc. (206patients - control group) was performed. Technique of dynamic compression osteosynthesis (test group) provided firmness of fragment fixation in minimum operative trauma and preserved the movement in joint. In test group positive results were achieved in 94,3% of patients; in control group positive results were noted in 72,1% of cases.
Restoration of Knee Joint Stability with Cruciate Ligament Implants
Authors: Malygina M A , Gavryushenko N S , Okhotskiy V P , Filippov O P , Nevzorov A M , Kholyavkin D A , Malygina M A , Gavryushenko N S , Okhotskiy V P , Filippov O P , Nevzorov A M , Kholyavkin D A
Published: October 2020

At the Scientific Research Institute of Emergency Care named after N.V. Sklifosovskiy the modern cruciate ligament implants (France) have been successfully used since 1994. Physical mechanical and deformed characteristics of ligaments of human knee joint and synthetic prostheses of ligaments were tested by machine «Zwick-1464». New original endoprostheses of knee joint ligaments as well as instruments for optimization of the points of entrance and exit within condyles were elaborated. The methods for elimination of different types of knee joint instability in cruciate ligament injury using authors' endoprostheses were worked out. Authors proved that it could improve the functional results of treatment.
Stimulation of Blood Circulation in Extremity Tissues Using Repeated Osteoperforations (Experimental and Clinical Study)
Authors: Larionov A A , Rechkin M Yu , Shchurova E N , Filimonova T N , Kravchuk O A , Larionov A A , Rechkin M Yu , Shchyurova E N , Filimonova G N , Kravchyuk O A
Published: October 2020

The state ofperipheral blood circulation of lower extremities after repeated osteoperforations was conducted in experiment (28 dogs) and in clinic (24 patients with chronic ischemic disease) using modern methods. It was shown that simple and low invasive surgical intervention for the creation of multiple reparative regeneration and reactive hyperemia foci provides stable improvement of regional hemodynamic and tissue metabolism both in compensated and decompensated disturbances of blood circulation in extremities.
Evaluation of Analgetic Effect of Dexalginum 25 (Dexketoprofen) in Traumatology and Orthopaedics
Authors: Kavalerskiy G M , Silin L L , Garkavi A V , Sorokin A A , Kader Ali - , Kavalerskiy G M , Silin L L , Garkavi A V , Sorokin A A , Kader Ali
Published: October 2020

Clinical testing of analgetic effect and safety of nonsteroid anti-inflammatory drug dexalginum 25 was conducted in 45 patients with injuries and pathology of loco-motor system. Control group (49 patients with similar pathology and manifestation of pain syndrome) was treated by opium analgetic tramadol retard. It was shown that dexalgin 25 in therapeutic doses possessed analgetic effect in acute and chronic pains of various severity. The highest efficacy of the drug was noted in acute pains of medium and moderate severity. In patients with very severe pains dexalgin 25 allowed to decrease narcotic analgetics dose by 2 times. Dexalgimun 25 provided chronic pain relief only within the period of its use. Side effect were noted 2.7 times rarely in comparison to tramadol retard and such effect were less marked. Rate «favor-risk* of unsteroid anti-inflammatory drug dexalginum 25 was better than in opium analgetic tramadol retard.
Surgical Treatment the Sequelae of High Voltage Electrical Injury of Hand and Forearm
Authors: Zelenin V N , Popov I V , Borodacheva I A , Afanasov V A , Grigor'ev E G , Zelenin V N , Popov I V , Borodachyova I A , Afanasov V A , Grigor'ev E G
Published: October 2020

Ten patients with electrical injury (over 3000 V) of the forearm and hand were operated on during the period of 11.6±3.1 months after accident. Soft tissue plasty with free microsurgical flap and simultaneous tendon and nerve plasty with nonvascularized autograft was performed in eight patients. In two patients with extensive soft tissue defects microsurgical flap included musculus latissimus dorsi that was reinnervated using the anastomoses with anterior interosseous nerve. For the restoration of sensation along the palmar surface of the hand, transposition of ulnar nerve segment on a vascular pedicle from the arm to the forearm was performed. Although no severe postoperative complications developed all patients required tendolysis and transposition of tendons for the restoration of tendon function. Those additional interventions provided the restoration of the wrist grip and social rehabilitation of all patients.
Efficacy of Rehabilitation After Total Knee Replacement in Gonarthrosis
Authors: Golubev V G , Goncharov N G , Rimashevskiy D V , Khutyz T K , Pirozhenko S V , Golubev V G , Goncharov N G , Rimashevskiy D V , Khutyz Т К , Pirozhenko S V
Published: October 2020

The evaluation of the efficacy of rehabilitation program in patients with unilateral gonarthrosis after total knee replacement was performed at the orthopaedic department, Central Clinical Hospital of the Russian Academy of Science. The study included 44 patients who underwent primary total knee replacement with cement implants Osteonics 7000, USA, during the period from 1996 to 2000. After discharge all patients were recommended to take an outpatient rehabilitation course. Due to various reasons 26 patients refused and 18 patients completed the rehabilitation program. The results were assessed after the rehabilitation course completion (3 months after surgery), one year after surgery and at final examination ( 45,2 months average), In the post-rehabilitation group of patients statistically trustworthy improvement of knee joint function and strength of extensors were noted directly after completion of the rehabilitation program and 1 year after surgical intervention. Final examination did not show significant difference between the two groups.
Immune Status of Patients with Polytrauma During the Period of Acute Reaction and Early Clinical Manifestations of the Traumatic Disease
Authors: Agadzhanyan V V , Mendelenko M M , Semenikhina M V , Bikbaeva E F , Ivlev E V , Kravtsov S A , Pronskikh A A , Milyukov A Yu , Agadzhanyan V V , Mendelenko M M , Semenikhina M V , Bikbaeva E F , Ivlev E V , Kravtsov S A , Pronskikh A A , Milyukov A Yu
Published: October 2020

The dynamics of immunologic indices in the acute and early periods of the traumatic disease was analyzed in 30 patients (25-60 years) with polytrauma. Even during the period of early manifestations of the traumatic disease the signs of immune deficiency are already determined as a disturbance of T-lymphocytes differentiation, T-helpers in particular. The changes in the system of cellular immunity coincide by time with the occurrence of clinical signs of secondary posttraumatic immune deficiency, i.e. pneumonias, pleurities, purulent endobronchites. The obtained data are indicative of the fact that patients with polytrauma already require immunostimulation during the period of early manifestations of the traumatic disease.
Questionnaire for the Evaluation of Daily Life Activity in Patients with Wrist Pathology
Authors: Novikov A V , Belova A N , Shchedrina M A , Donchenko E V , Novikov A V , Belova A N , Chshedrina M A , Donchenko E V
Published: October 2020

The questionnaire for the evaluation of daily life activity in patients with wrist pathology is presented. This questionnaire has been elaborated taking into account social and cultural peculiarities of Russians life and includes 33 questions reflecting the possibilities of carrying out of personal every day activities (hygiene, dressing, putting on shoes, cooking, eating etc.). The functional activity of patients with various wrist pathology ( bone fractures, traumatic wrist and fingers avulsion, multicomponent wrist injuries, tendon injuries, Dupuytren's contracture) was assessed by that questionnaire. Analysis of data obtained showed the conformity of questionnaire to modern requirements of psychometry - high validity, sensitivity and reliability. This questionnaire should be used for the evaluation of rehabilitation efficacy of patients with wrist pathology.
Scintigraphy Peculiarities of Bone Solitary Cyst in Children and Adolescents
Authors: Bergaliev A P , Pozdeev A P , Bergaliev A N , Pozdeev A P
Published: October 2020

Study of blood circulation intensity and bone tissue functional activity was performed in 81 children bone cysts (including 10 children with cyst recurrence) using polyphasic scintigraphy. Most typical picture in presence or absence of pathologic fracture as well as in pathologic recurrence is described. Interrelation between the fracture and rate of cyst recurrence is detected. Scintigraphic criterion for prognosing of solitary bone cyst recurrence is suggested.
Dys-plastic Deformities of Intervertebral Joints in Mechanogenesis of Lumbar Intervertebral Disk Ex­trusion
Authors: Prodan A. I , Radchenko V. A , Kolesnochenko V. A
Published: October 2020

Dysplastic deformities of intervertebral joints (change of size of articular processes and dimen­sional configuration of articular facets, discrepancy of shape and size of the articular facets) alter the geometry of vertebral segment and this process is accompanied by redistribution of loads between joints and intervertebral disk. The elements of a disk are under the influence of additional torsion and shift forces that inevitably result in the development of dystrophic changes in the disk tissues.
Ultrasound Diagnosis of Tendon and Nerve Pathology
Authors: Mironov S. P , Es'kin N. A , Golubev V. G , Nasnikova I. Yu , Bogdashevskiy D. R , Pripisnova S. G , Fineshin A. I
Published: October 2020

Ultrasoumd image of tendons and peripheral nerves was described. Sonographic criteria of tendon injury and pathology: dislocation, degenerative changes, ruptures including intratendinous, i.e. longitudinal, partial, total as well as inflammation, tumors and postoperative complications was given. Sonographic peculiarities of diagnosis on injury, compression and constriction of nerve in tunnel osteofibrosis of extremity was presented. Presence of that pathology was confirmed by clinical and electophysiological examination and verified intraoperatively. Ultrasonography may be used for diagnosis of congenital abnormalies, nerve injury and neurogenic tumors. Authors emphasize the importance of participation of experi­enced examiner in interpretation of ultrasonograms.
Middle Term Results of Native Implant «ESI» Use in Primary Total Hip Ar­throplasty
Authors: Kagramanov S. V , Nuzhdin V. I
Published: October 2020

Middle term results of 886 primary total hip replacements using «ESI» implants (cementless fixation of components) have been analyzed. In 22 cases (2.48%) revision was required. When implants with «Chyrulen»-like high molecular polyethylene leaner and cobalt-chromium alloy head were used (718 operations) early aseptic loosening (excluding early dislocation, trauma­tic instability, etc.) developed in 1.11% of cases. Total number of unsatisfactory results did not exceed 5%. The causes for revision interventions have been considered in details.
Anatomic and Functional Characteristics of Muscles at Transosseous Distraction Osteosynthesis (clinics, experiment - facts, hypothesis)
Authors: Popkov A. V , Grebenyuk L. A , Filimonova G. N , Popkov D. A
Published: October 2020

Analysis of clinical and experimental data related to biomechanical, functional and morpholo­gical changes of skeletal muscles in surgical crus lengthening by transosseous distraction osteo­synthesis was presented. It was electrophysiological proved that muscle activity decreased starting from the first days of lengthening while muscle tonus significantly increased. Sonography showed that muscle bands reoriented parallel to distraction forces. In fixation period local thickening of muscle bands was detected. After device removal muscle structure and muscle conractivity of the lengthened segment restored. Morphological studies showed that during dis­traction the volumetrical density of connective tissue in muscles increased and simultaneously destruction and reparative regeneration of muscle fibers were noticed. It was shown that after single-step compression of bone regenerate, stroma-parenchyma relationship was shifted to parenchyma. Active training of muscles was stipulated because inner tension of the muscles prevented the development of destructive processes, stimulated regeneration of muscles fibers. All those processes made up the base for functional rehabilitation of loco-motor system both in patients with orthopaedic pathology and in healthy subjects at surgical increasing of height with cosmetic purpose.
Possible Tactics Variants of Total Hip Replacement in Dysplastic Coxarthrosis
Authors: Akhtyamov I F , Turenkov S V , Taranenko A D , Akhtyamov I F , Turenkov S V , Taranenko A D
Published: October 2020

Conception for the choice of total hip replacement variant in adult patients with dysplastic coxarthrosis is presented. Criteria for the choice are interrelation of hip joint elements that is evaluated according to the femoral head coverage index elaborated by the authors. The conception was used in 126 patients (136 joints). Advantages of two-steps treatment of dysplastic coxarthrosis were detected: correction of joint elements correlation (pelvic osteotomy by Hiarу) at early stages of pathologic process and subsequent joint replacement at the terminal stage.
In Vitro Investigation of Resistance to Wear of Human Knee Cartilage during Reciprocating Slipping
Authors: Gavryushenko N S , Kapranchuk V A , Malygina M A , Bulgakov V G , Gavryushenko N S , Kapranchuk V A , Maligina M A , Bulgakov V G
Published: October 2020

The resistance to wear of human knee cartilage was studied in «cartilage-cartilage» friction block during reciprocating clipping under pressure to assess the decrease of its thickness after loading and work. The tests were performed using vibrotribometer «Optimol SRV». Sinovial fluid obtained from the patient with posttraumatic knee synovitis and distilled water was used as lubrication. Dependence of the cartilage thickness decrease due to abrasion and deformity on pressure value in friction block was detected. It was shown that total disappearance of cartilage with 1.8 mm thickness under spontaneous change pressure within the range from 1.4 to 0.28 MPa occurred after 1.6 mln oscillations. Under constant 1.4 MPa pressure that corresponding to 990 N load on knee joint the total loss of cartilage was noted after 290000 oscillations, but under constant 3 MPa - after 207000 oscillations.
Theoretical Idea of Dysplastic Hereditary Predisposed Scoliosis (Conception Model)
Authors: Korzh A A , Simenach V I , Korzh A A , Simenach B I
Published: October 2020

Theoretical idea of dysplastic hereditary predisposed scoliosis has been found on the basis of integration principles using the methodology of the systemic approach taking into account authors' model of scoliosis. This pathology is stipulated by genetically determinant abnormalities of vertebra structure. These abnormalities predispose to the spine deformity development. Manifestation of scoliosis is possible only under conditions of the expositive effect of the environment factors (even the normal ones). Under their additional influence scoliotic deformity with compensative antideformities and all resulting consequences (disturbance of spinal tissues, deformity and disorder of chest and inner organs, etc.).
Possibilities of Transpedicular Osteosynthesis in Treatment of Thoracic and Lumbar Spine Injuries
Authors: Afaunov A A , Usikov V D , Afaunov A I , Afaunov A A , Usikov V D , Afaunov A I
Published: October 2020

Results of surgical treatment of 84 patients with thoracic and lumbar spine injuries using transpedicular osteosynthesis are presented. The patients were operated on within the terms from 2 days to 3.5 years after trauma. Different types of surgical reposition were used depending on the terms after injury and value of deformity. In 51 patients anterior corporodesis was performed. Average correction of local kyphosis was from 7.4° to 17.7° in different groups of patients. Vertical size of inured segments was restored up to 63.8-92%. Suggested method of intraoperative spine reposition enabled to increase the correction volume 1.7-2 times in late terms after injury. In severe deformities preliminary stage, i.e. transpedicular osteosynthesis using external fixation device with gradual correction over 35° was used. Complications - fracture of longitudinal rod (3 cases), partial destabilization of spine column in osteoporosis (2 cases), as well as loss of correction by 2-3° (9 cases) and 6-15° (3 cases) did not influence the outcomes significantly. In 48 patients the follow-up period was over 1 year. In 44 patients good results were achieved and satisfactory result was noted in 4 patients.
Use of «Lit-Ar» Material for the Substitution Long Bone Postosteomyelitic Defects
Authors: Krasnov A F , Glukhov V F , Liteynov S D , Kapishnikov A V , Krasnov A F , Glukhov V F , Litvinov S D , Kapishnikov A V
Published: October 2020

n 31 patients biodegradable collagen-apatite «Lit-Ar» was used for the substitution of 3-8 cm lone bone defects resulted from osteomyelitic resection. Roentgenologic control followed by computer analysis of roentgenograms was applied to evaluate the processes of material biodeg-radation and bone formation. Good results were achieved in 22 (71%) patients, satisfactory - in 4 (12.9%) and unsatisfactory - in 5 (16,1%) patients. It was shown that the recurrence of purulent-inflammatory process in the implant zone did not require «Lit-Ar» removal. Antibacterial therapy (general and local) was used without repeated surgical intervention and did not cause the rejection of implant. The study allows to conclude that taking into account both medical and economic indices composite material «Lit-Ar» could be used for the treatment of long bone defects
Clinical and Roentgenologic Semiotics of Long Bone Pathologic Fractures
Authors: Demichev N P , Tarasov A N , Demichev N P , Tarasov A N
Published: October 2020

During 1965-2002 one thousand two hundred thirty patients with bone tumors and tumor-like diseases were treated at Astrakhan Medical Academy, Clinic of Traumatology and Orthopaedics. Out of them 163 (13.3%) patients had pathologic fractures. One hundred eight fractures were localized within long bones: humerus (61), femur (37), tibia (29), fibula (6), radius (5). Long bones fractures were commonly resulted from destructive lesions: solitary bone cyst - 48 cases, fibrous dysplasia - 26, giant cell tumor - 24, aneurismal bone cyst - 18, metaphyseal fibrous defect -11. Clinical and roentgenologic semiotics was studied and complex of roentgenologic signs of long bone pathologic fractures was systematized. Peculiarities of fractures (injury mechanism, typical localization of pathologic process, pattern of destruction focus) in various nosologic forms of primary disease were detected. The data obtained simplify diagnosis and allow trustworthy making prehistologic diagnosis as well as to choose optimum treatment tactics.
Potentiality for Efficacy Increase in Treat­ment of Diaphysial Shin Fractures Based on Ilizarov Technique
Authors: Guseinov A. G
Published: October 2020

In treatment of 87 patients (main group) with diaphysial shin fractures new techniques and devices for optimization of transosseous extrafocal osteosynthesis by Ilizarov were applied. All techniques and devices, i.e. devices for the perfection of Ilizarov apparatus stability, for bone fragment reposition, console compression arrangement for extrafocal osteosynthesis in commi­nuted fractures, devices for damper compression of bone fragments, for prevention of lower extremity edema at extrafocal osteosynthesis, for provision of early axial loading in Ilizarov apparatus, for activization of osteogenesis using asymmetrical dynamic compression were elabo­rated by the author. Control group (108 patients) was treated by traditional Ilizarov technique. Treatment results were assessed at terms from 4 months to 2 years. Data of clinical, X-ray and functional examinations as well as terms of fracture healing, duration of hospitalization and terms of working ability restoration were better in the main group as compared to the control one. In the main group good results were achieved in 47.1%c, satisfactory — in 49.4%, poor — in 3.5% of cases, in control group — 30.6%, 63.0%, 6.4%, respectively. Author believes that further perfection of Ilizarov technique is reasonable.
Closed Compressive Osteosynthesis in Femoral Neck Frac­tures Using Authors' Technique
Authors: Belinov N. V , Bogomolov N. I , Ermakov V. S , Namokonov E. V
Published: October 2020

In 11 patients with femoral neck fractures closed compressive osteosynthesis was performed using the device designed by N. V. Belinov. Elaborated operative technique provides for insertion of pins, which branched off conically between the bone fragments under compression. Device design and technique of its application are described. At 1 year follow up 6 patients had good results (complete restoration of hip function), 4 patients — satisfactory and 1 patient — unsatisfactory.
Causes of Arthrofibrosis Development after Arthroscopic Knee Stabilization and Its Prevention
Authors: Lazishvili G. D , Dubrov V. E , Shekhter A. B , But-Gusaim A. B , Khramenkova I. V , Skoroglyadov P. A , Chelnokova N. V
Published: October 2020

Analysis of natural causes of knee arthrofibrosis development after arthroscopic ACL reconstruc­tion and its prevention is presented. Classification of arthrofibrosis basing on the arthroscopic, clinical and MRT examination results is given. Clinical-arthroscopic manifestations and mor­phologic picture of various forms of arthrofibrosis, particularly "infrapatellar contracture" and «cyclops» syndromes, are considered in details. Preventive recommendations are worked out.
Total Knee Ar­throplasty in Complex Treatment of Patients with Tuberculosis and 'Nonspecific Gonitis Sequelae
Authors: Alekhin A. I , Lavrov V. N , Goncharov N. G
Published: October 2020

Total knee arthroplasty in destructive sequelae of tuberculosis and nonspecific gonitis was performed in 51 patients. Indications to total knee arthroplasty were presented. Scheme of pre- and postoperative antibacterial therapy was elaborated. At 4.5 year follow up good and satisfac­tory results were achieved in 91.9% of cases.
Analge­tic and Anti-Inflammatory Therapy in Early Postoperative Period in Patients with Injuries and Diseases of Loco-Motor System
Authors: Silin L. L , Garkavi A. V , Pikhlak A. E , Mezhidov S. M
Published: October 2020

A protocol for gradual use of nonsteroid anti-inflammatory drugs with mainly analgetic action (Ketorol) and mainly anti-inflammatory action (Nise) are suggested for complex treatment after operations on loco-motor system. It is shown that the protocol (applied in 38 patients) allows to cup off both pain syndrome and local inflammatory reaction in the operation zone more effective as compared with the routine drug therapy (40 patients — control group).
Correlation between Clinical Radiologic Manifes­tation and Changes of Femoral Neck Bone Mass and Stabilometric Data in Coxarthrosis
Authors: Kotel'nikov G. P , Korolyuk L. P , Shekhtman A. G , Mostovoy L. Ya
Published: October 2020

Correlation between clinical radiologic manifestations and changes of stabilometric data and mineral density of bone tissue in proximal femur was studied. It was detected that displacement of median position of gravity center in frontal plane took place in healthy side and depended on the stage of coxarthrosis. DEXA showed that decrease of mineral density of bone tissue in femoral neck was more significant at the injured side.
Congenital Flat-Valgus Foot with Vertical Position of Talus in Children and Its Correction
Authors: Kuznechikhin E. P , Trubin I. V , Kuzin A. S , Kozlov A. S , Makhrov L. A , Moiseev S. N
Published: October 2020

Congenital vertical position of the talus is the main component of congenital flat-valgus foot deformity in children that determines the clinical manifestation of this pathology. The earlier the patient is hospitalized the better correction result is achieved. In spite of the diagnosis simplicity the patients are not timely referred for surgical correction. During the period from 1994 to 2003 eighteen patients, aged from 8 month to 14 years, with congenital flat-valgus foot were operated on (25 surgical intervention) at Russian Pediatric Clinical Hospital (Traumatologic and Ortho­paedic Department). Kumar-Cowell-Ramsey operation was performed in children under 5 years. In children aged 5-12 Coleman operation was used and in children over 12 triarticular arth­rodesis was performed. Long-term results were assessed in 15 patients (22 operations) at terms from 1 to 5 years. Good results were achieved in 68% of cases, satisfactory — in 28% and unsa­tisfactory — in 4% of cases.
New Possibili­ties for Prevention and Treatment of Iron Deficiency Posthemorrhagic Anemia after Traumatologic and Ortho­paedic Interventions in Children
Authors: Novozhilova T. A , Arzhakova N. I , Snetkov A. I
Published: October 2020

The aim of the study was to elaborate complex therapy for correction of intraoperative blood loss and posthemorrhagic anemia following trauma and orthopaedic surgery in children. Seventy-six patients with orthopaedic pathology, 1—18 aged, were operated on. Blood loss volume was over10% of CBV. In 46 patients (main group) reinfusion of washed erythrocytes was performed when planning operative blood loss exceeded 25% of CBV. In patients over 7(34 patients) preoperative stimulation of erythropoiesis by erythropoietin in combination with peroral ferric drugs as well as pre- and intraoperative blood intake with subsequent it utilization were carried out. At postoperative period all patients of main group took Venifor i.v. to correct ferric deficit. In control group (30 patients) intraoperative blood loss and postoperative anemia were corrected by infusion of donor blood. Use of complex measures directed to support the hemopoietic function and correct the number of functionally active erythrocytes (main group) allowed to stabilize oxy­genous blood volume and decrease the hemolysis degree in patients after surgical intervention.
Surgical Treatment of Patients with Dislocations of the Acromial End of the Clavicle
Authors: Kopysova Valentina Afanas'evna , Nysambaev S Z , Agishev R G , Egorov A G , Nevolin A S , Shcheglov O V , Kopysova V A , Nysambaev S Z , Agishev R G , Egorov A G , Nevolin A S , Shcheglov O V
Published: October 2020

Treatment results of 404 patients with dislocations and fracture-dislocations of the acromial end of the clavicle were analyzed. Depending on the severity and remoteness of ligamentous system injury the most rational methods for clavicle fixation using devices with shape memory effect were determined. In 158 (39.1%) patients with II degree of clavicle dislocation by Tossy transarticular fixation using devices with shape memory effect was performed. In 177 (43.8%) cases clavicular-coracoid fixator was used to stabilize the clavicle in sagittal plane. In 54 (13.4%) patients with old clavicular dislocations of II-III degree and in repeated interventions combined fixation by S-shaped clip with protective leg and clavicular-coracoid device was performed. Treatment results were assessed at terms 1 - 8 years. In patients with fresh clavicular acromial end dislocations of II degree the effective treatment method was the reconstruction of ligamentous system in combination with transarticular fixation of the clavicle by S-shaped tightening clip (89.7% of good results). In repeated interventions and clavicular acromial end dislocations of III degree the fixation with clavicular-coracoid device and combined fixation without plasty of the ligaments gave good results in 79.1% of cases.
Reconstruction of Deltoid Ligament Using Low Invasive Surgical Technique at Treatment of Ankle Joint Fractures
Authors: Kazantsev A B , Golubev V G , Chekeres Pavel Pavlovich , Putyatin S M , Kashurnikov Yu M , Sherstnev R A , Kazantsev A B , Golubev V G , Chekeres P P , Putyatin S M , Kashurnikov Yu M , Sherstyov P A
Published: October 2020

Comparative analysis of treatment results of 68 patients with malleolus fractures and injury of deltoid ligament was performed. Depending on the treatment technique all patients were subdivided into four groups. Main group - surgical treatment of fractures and reconstruction of deltoid ligament with Twinflix screw (n=30), comparative groups - surgical treatment of fractures with transcutaneous suturing of deltoid ligament (n=10) and ligament plasty with Р -shaped sutures (n=8); control group - conservative treatment of fractures and deltoid ligament injury (n=20). Follow-up time made up 6 months - 2 years. Evaluation of treatment results was performed by adopted scale of American Orthopaedic Foot and Ankle Society. Patients were examined using clinical and roentgenologic methods as well as ultrasound and rheovasography. In the main group excellent result was achieved in 23.1%, good result - in 65.3%, satisfactory - in 11.6% of patients. In control group they made up 16.8%, 61.2% and 19.5%, respectively, with poor result in 2.5% of patients. It was demonstrated that application of low invasive osteosynthesis in combination with reconstruction of deltoid ligament using Twinfix screw reduced considerably the probability of posttraumatic arthrosis development as well as provided for complete restoration of the ligament with preservation of its elastic properties and joint stability.
Algorithm for Early Diagnosis and Treatment Tactics of Diseases Accompanied by Coxalgia in Children
Authors: Lobov Il'ya L'vovich , Kul'banskaya S E , Uronova M A , Lobov I L , Kulbanskaya S E , Uronova M A
Published: October 2020

Examination and treatment of 524 children with coxalgia has been performed. Algorithm for early diagnosis of various hip joint diseases accompanied by coxalgia has been elaborated. The factors causing hip joint response resulting in different pathology including Leg-Calve-Perthes disease have been determined. In the majority of cases application of modified splint in combination with drug therapy enabled to normalize blood circulation in the affected joint and prevent the development of secondary deformities of the femoral head.
On Expediency of Lengthening of the Foot as Anatomical Segment
Authors: Tenilin Nikolay Aleksandrovich , Bogos'yan A B , Batalov O A , Vlasov M V , Tenilin N A , Bogosyan A B , Batalov O A , Vlasov M V
Published: October 2020

The work is based on the analysis of treatment results of 19 patients with 2 - 6 cm shortening of the foot. Foot lengthening was performed at the level of tarsal bones with Ilizarov apparatus. Due to great number of various complications (up to 4 per patient), which required additional surgical interventions as well as unsatisfactory short- and long-terms functional results, made the authors to conclude that lengthening of the foot as an entire anatomic segment was not expedient. Certain theoretical propositions in favor of higher functional suitability of the shor-tened foot in rigid ankle joint contracture adduced.
Formation of Bone and Foci of Ectopic Hemopoiesis at Joint Application of Calcium Scaffolds with Bone Marrow Cells or Cultivated Mesenchymal Stromal Cells
Authors: Shipunova Irina Nikolaevna , Svinareva D A , Petrova T V , Ryashentsev M M , Mamonov V E , Drize N I , Shipunova I N , Svinaryova D A , Petrova T V , Ryashentsev M M , Mamonov V E , Drize N I
Published: October 2020

Potential application of calcium scaffolds in combination with either bone marrow or adherent cell layers from long-term cultures containing mesenchymal stem cell for the induction of bone tissue growth was studied in mice. Two scaffolds, i.e. Osteoset® and Prodens® were tested on the model of ectopic grafting under the skin and renal capsule of mice. It was demonstrated that Prodens® and less effectively Osteoset® could be used for the induction of bone growth in combination with bone marrow cells but even more effectively in combination with cultivated mesenchymal stromal cells. Both the site of transplantation and preliminary induction of bone differentiation of stromal cells exerted a great influence upon the process of bone formation.
Functional and Psychoemotional Rehabilitation of Senile Patients with Proximal Femus Fracture after Bipolar Hip Hemiarthroplasty
Authors: Akhtyamov Il'dar Fuatovich , Zakirov R Kh , Moiseev M Yu , Zyatdinov B G , Akhtyamov I F , Zakirov R Kh , Moiseev M Yu , Zyatdinov B G
Published: October 2020

Ten years experience in treatment of senile patients with proximal femur fractures after hemiarthroplasty is presented. Data of clinical-functional and psychoemotional analysis show the efficacy of bipolar monoimplants application. Due to relatively high price bipolar hemiimplants are not widely used in native clinical practice however simplicity and low invasiveness of the intervention as well as good outcomes allow the authors to recommend more wide used of these implants.
Analysis of Implant Alignment and Early Functional Results of Total Knee Replacement Performed Using Computer Navigation System
Authors: Petukhov Aleksey Ivanovich , Kornilov N N , Kulyaba T A , Tikhilov R M , Selin A V , Kroitoru I I , Ignatenko V L , Saraev A V , Petukhov A I , Kornilov N N , Kulyaba T A , Tikhilov R M , Selin A V , Croitoru I I , Ignatenko V L , Saraev A V
Published: October 2020

Knee implant alignment analysis and comparative assessment of functional results of 47 total joint replacements with computer navigation system (main group) versus 50 conventional arthroplasties (control group) were performed. Computer assisted system improved the accuracy of limb alignment after knee arthroplasty and reduced the rate of deviations. The position of femoral component in frontal plane and tibial component in sagittal plane showed statistically reliable differences between two groups (p
Elbow Arthroplasty using «Endoservice» Elbow Endoprosthesis
Authors: Prokhorenko Valeriy Mikhaylovich , Chorniy S I , Shaternikov B N , Prokhorenko V M , Chorniy S I , Shaternikov B N
Published: October 2020

Taking into account anatomic and biomechanical peculiarities of elbow joint specialists of Novosibirsk SRITO with Endoservice Firm elaborated original elbow endoprosthesis and instruments for it implantation. The application of this endoprosthesis is permitted in Russian Federation. The implant characterizes higher reliability during functional load and rotative stability of elbow joint in provision with sufficient of motion volume. Indications and contra-indications to total elbow replacement, operative technique as well as protocol of postoperative management of patients are given. Treatment results of 18 patients at terms from 1 to 6 years are presented. Good result was achieved in 72%, satisfactory in 17% and unsatisfactory in 11% of patients.
Transcortical Combined Plasty of Pseudarthroses of Bones Extremities
Authors: Sklyanchuk Evgeniy Dmitrievich , Zorya V I , Gur'ev V V , Prosvirin A A , Sklyanchuk E D , Zopya V I , Gurev V V , Prosvirin A A
Published: October 2020

Authors elaborated method for surgical treatment of bones extremity including endostal decortication of fragments after marginal corticotomy, forming of fenestrated access into pseudarthrosis, plasty endostal cavity by collagenic materials (collost, collapan) and autogenic chip from the local tissue obtained during endostal decortication. That method was used during the treatment of 40 pseudarthroses in 37 patients. There were pseudarthroses of crus in 15 patients, forearm - in 9, femur - in 6, shoulder - in 4 and clavicular - in 3 patients. Healing of pseudarthroses were achieved in all cases in time similar to terms of bone fracture healing. However duration and traumatization of surgical intervention was reliably lower than in traditional bone-plastic operations.
Blood Saving Effect of Tranexame at Hip Joint Replacement
Authors: Arzhakova Nadezhda Ivanovna , Bernakevich A I , Shushpanova E V , Arzhakova N I , Bernakevich A I , Shushpanova E V
Published: October 2020

Study of the efficacy (by the results of blood saving action assessment) and application safety of tranexamic acid (home antifibrinolytic drug Tranexame) at hip arthroplasty was performed. Perioperative blood loss (intraoperative + postoperative blood loss by drainages during 24 hours), need in hemotransfusion, laboratory indices (hemoglobin, hematocrit, coagulograms) before and after operation were analyzed in 43 patients. Twenty patients received 4 g of Tranexame daily (main group) and 23 patients did not receive antifibrinolytic drugs. In the main group reliable decrease in blood loss as compared with control perioperative one, lower decrease of hemoglobin level and less need for donor plasma transfusion (in combination with autodonor blood and other blood savings methods) was noted. Safety of the drug was proved by the absence of thrombosis signs at ultrasonography of lower extremities vessels.
Bone-Plastic Reconstruction of Proximal Femur in Patients with Femoral Neck Fractures and Pseudarthroses
Authors: Kopysova Valentina Afanas'evna , Kaplun V A , Gorodilov V Z , Kutkov A A , Kaplun I V , Nysanbaev S Z , Kopysova V A , Kaplun V A , Gorodilov V Z , Kutkov A A , Kaplun I V , Nysanbaev S Z
Published: October 2020

Rehabilitation potential of medializing valgus osteotomy with formation of bone lock by Konforti-Ivanov and reconstructive bone-plastic operation by Luck was studied in 122 patients with femoral neck fractures and pseudarthroses. The guarantee of surgical intervention efficacy is differentiated approach to the choice of treatment technique with due regard for the peculiarities of proximal femur injuries, stable functional osteosynthesis in combination with dynamic compression of bone fragments by tightening bows with shape memory effect. Good treatment results with long lasting functional effect achieved in 104 (89.7%) patients allowed to recommend using organ saving reconstructive plastic operations as an alternative to joint replacement in patients without presence of coxarthrosis and pathologic femoral head transformation.