Vol 18, No 1 (2012)

ORIGINAL ARTICLES

USE OF TECHNOLOGIES OF PLASTIC AND RECONSTRUCTIVE MICROSURGERY IN TREATMENT OF PATIENTS WITH PATHOLOGY OF KNEE

Rodomanova L.A., Kochish A.Y., Kutyanov D.I., Ryabov V.A.

Abstract

Analysis of the results of surgical treatment of 63 patients with knee-joint pathology who were treated in Vreden’s Scientific-research Institute of traumatology and orthopaedics (Saint-Petersburg, Russia) within the period from 2000 to 2011. All the patients had pedicled flap transfer or free tissue transfer. 53 patients (84,1%) had additionally various orthopedic operations on the knee joint: 42 patients had primary or revision total knee arthroplasty, 6 patients had resections of bony tumors and total knee arthroplasty, 4 - knee arthrodesis, 1 - open reduction and internal fixation of patella. The results of treatment were estimated according to WOMAC knee score. 4 patients had total necrosis of flap what demanded repeated reconstructive microsurgical operation. 6 patients had knee arthroplasty surgical site infection, 1 patient had recidive of osteoblastic sarcoma and he was made leg amputation. 65,7% of patients had good results according to WOMAC knee score, 28,6% patients had satisfactory results. Microsurgical operations in patients with pathology of knee-joint mainly aim to correct various pathological changes of tissues located in this particular area. In cases of scarry deformations and defects of tissues located in the area of knee-joint microsurgical technologies increase the opportunities for fulfilling total knee arthroplasty and improve its results as well as results of other orthopedical operations. At the same time microsurgical technologies may be used as preparative operations, single-step maneuvers and operations fulfilled in case of development of local infectious complications.
Traumatology and Orthopedics of Russia. 2012;18(1):5-13
pages 5-13 views

THE LONG-TERM RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH ISTHMIC SPONDYLOLISTHESIS USING ANTERIOR LUMBAR INTERBODY FUSION

Shapovalov V.M., Nadulich K.A., Teremshonok A.V., Nagorny E.B., Yastrebkov N.M.

Abstract

The authors analyzed the long-term results of surgical treatment 47 patients with true spondylolisthesis. The follow up period ranged from 14 to 25 years. All patients underwent an isolated anterior interbody riving allograft fusion. The scales of VAS and ODI were used for subjective assessment of treatment outcomes; objective assessment was based on clinical and radiographic, CT and MRI outcomes. There were 42.6% (20 cases) patients with good, 31.9% (15 cases) with satisfactory and 25.5% (12 cases) unsatisfactory results in the long-term follow-up. The main reasons of poor outcome were: the continued high degree of displacement of the vertebral body (17.6%), instability (38.3%) and the disbalance of the lumbosacral spine (63.8%), persistent compression of neural structures (42.6%). Most patients had the combination of these factors that were existed against backdrop of progressive degenerative changes of the spine.
Traumatology and Orthopedics of Russia. 2012;18(1):14-21
pages 14-21 views

EXPERIENCE WITH MODULAR BLOCKS FOR REPLACEMENT OF MEDIAL CONDYLE BONE DEFECTS OF THE TIBIA IN PRIMARY KNEE ARTHROPLASTY

Kazemirsky A.V., Kazemirsky A.V., Preobrazhensky P.M.

Abstract

Experience of using modular metal blocks for knee replacement for the replacement of defects of the tibial condyles in the Russian NIITO named after R.R. Vreden is more than 9 years. Authors analyzed the results of the using of blocks that replace defect of the medial condyles tibia bone, from 2003 to 2009 years. There were three group of patients: two group - comparison group and one - control group (the first group consist of 100 patient without defect of the condyle tibia. This patients a standard knee replacement was performed; the second group consist of 28 patient with the defects of the medial condyles tibia bone. This patient was used knee replacement with the bone autoplasty defects of the medial condyles of tibia bone; the third group (control) consists of 56 patients with the defects of the medial condyles of tibia bone. This patients a knee replacement with the using of blocks that replace defect of the medial condyles tibia bone was performed. Periods of studies were from 2 years till 7 years. Scale KSS was applied for the evaluation of the results. Among the patients were women (114-66.3%), nearly one third (58-33.7%) - men, mean age - 68.4 years. Similar demographics were occurred in all groups, however, a comparative evaluation on the scale of the study and control groups in the preoperative period revealed significant differences. In the postoperative period results were similar in all groups. The applying of modular units for replacement of defects of the medial condyle of the tibia bone during knee replacement is a simple and effective method, shown with significant bone defects - more than V the area of the condyle, a depth of 10 mm, which is an alternative to bone grafting and allowing early activation of patients.
Traumatology and Orthopedics of Russia. 2012;18(1):22-29
pages 22-29 views

EFFICIENCY OF USING ULTRASONIC FOR REMOVING BONE CEMENT IN REVISION ARTHROPLASTY

Reznik L.B., Dzuba G.G., Novikov A.A.

Abstract

In the experiment on 5 dogs weighing from 6 to 10 kg the results of applying ultrasonic technology of polymer removal and treatment of bone mantle in revision total hip and knee arthroplasty were examined. As a source of high-amplitude low-frequency ultrasound an ultrasonic surgical apparatus «Tier», operating at 42 kHz, and provides the intensity of exposure at the end of the waveguide to 1200 W / cm2 was applied. The physical parameters of the influence of ultrasound on the bone were studied. The analysis of the rate of removal of the old plastic mantle was performed. The results of experimental and clinical studies proved that the use of ultrasound frequency of 42.5 kHz facilitates the removal of old bone cement in revision arthroplasty of large joints, reduces the duration and severity of the operation.
Traumatology and Orthopedics of Russia. 2012;18(1):30-35
pages 30-35 views

REGIONAL HEMODYNAMICS IN DIFFERENT TYPES OF SURGICAL TREATMENT OF DIAPHYSEAL FRACTURES OF THE SHIN BONE

Pisarev V.V., L’Vov S.E., Vasin I.V., Tikhomolova E.V.

Abstract

82 patients were examined with the tibia fractures. Osteosynthesis with the help of plates was executed by 40 patients, osteosynthesis with the help of hinges with blocking was executed by 42 patients. The methods of duplex scanning of vessels and reovazografic inspection were used for studying of the blood circulation in tibia. Researches were conducted on the 5th and the 10th days in 1, 2, 3 and 4 months after the operation. It was established that the surgical treatment of the tibia fractures without any difference in using various methods of the broken fragments fixation in the early postoperative period (first 10 days) leads to a decrease in the level of arterial blood flow as a result of the vessels hypotonia. The absence of postoperative immobilization and early loading lead to the more rapid restoration of the initial indices of hemodynamics. Blood flow changes are least expressed and more rapidly restored during the closed reposition osteosynthesis with the help of hinges. The reaction of the vascular system of periosteum in the process of the regeneration of the tibia tissues does not depend on the method of the surgical treatment.
Traumatology and Orthopedics of Russia. 2012;18(1):36-42
pages 36-42 views

THE USE OF PROLONGED BLOCK OF PLEXUS AXILLARIS IN CHILDREN WITH EXTENSION CONTRACTURES OF THE ELBOWS DUE TO ARTHROGRYPOSIS

Zabolotskiy D.V., Baindurashvili A.G., Agranovich O.E., Savenkov A.N., Trofimova S.I.

Abstract

Elbow deformities is one of the most widespread pathologies in patients with arthrogryposis. In the majority of the cases children have extension contractures. Most of the children have limitation of active and passive movements in elbow. The aim of this research was to establish the efficiency of prolonged block of plexus axillaris in children with extension contractures of the elbows due to arthrogryposis. From 2010 to 2011 we performed prolonged block of plexus axillaris in 23 children with arthrogryposis after mobilization of elbow. During catheterization of perineural space we use ultrasound navigation and neurostimulation. We carry out elbow capsulotomy and V-Y triceps lengthening with (or without) transposition muscles. Prolonged block of plexus axillaris after these operation helps to improve passive movements in the elbow (the average passive flexion was 80-50°, passive extension was 170-160°). The mean time of rehabilitation was 3 weeks. Combination of this method with physiotherapy helps to restore range of motion in elbow in patients with arthrogryposis.
Traumatology and Orthopedics of Russia. 2012;18(1):43-48
pages 43-48 views

PREDICTION OF THE DURATION OF DISTRACTION REGENERATED BONE MATURATION

Tushina N.V., Stogov M.V., Kononovich N.A., Yemanov A.A.

Abstract

Aim of the study the characteristics of changes of serum biochemical parameters in dogs with delayed maturation of the distraction regenerate after surgical lengthening the leg bones by Ilizarov. The comparative analysis of biochemical changes in blood serum of animals with delayed regenerated bone osteogenesis after surgical leg bone lengthening according to Ilizarov has been made in the work. The development of persistent and marked hypocalcemia, significant accumulation of blood serum nonoxidized degradation products during limb bone surgical lengthening according to Ilizarov have been revealed to be adverse signs evidencing of the high probability of the disorder of further formation of the regenerated bone and its subsequent maturation at the stage of fixation.
Traumatology and Orthopedics of Russia. 2012;18(1):49-54
pages 49-54 views

RESEARCH METHODS

CURRENT OPPORTUNITIES OF SONOGRAPHIC DIAGNOSTICS TIBIAL OSTEOCHONDROMAS

Tarasov A.N., Kroshkina V.A., Greenberg E.B.

Abstract

Osteochondroma is the most common tumor of the skeleton. Its frequency is more than 40% of benign and at least 20% of all human bone tumors. The objective of this study was to improve methods of diagnostics of shin bone osteochondromas with using of modern imaging techniques. There were treated 81 patients with primary tibia osteochondroma and one with a secondary chondrosarcoma during the period from 2000 to 2011 in the Clinic of Traumatology and Orthopedics of the Astrakhan Medical Academy Diagnostics was based on the data of anamnesis, physical examination, standard X-rays and computed tomography. We applied ultrasound studies of shin bones in 11 patients. The ultrasonography has allowed revealing two main forms of osteochondromas: “globular-shaped” and “hill-shaped”. The tumor goes into the third “cauliflower-shaped” form in the case of malignant transformation. The distribution of the cartilage on the osteochondroma surface is irregular and depends on the tumor shape. The indirectly malignant signs are the loss of sharpness and smoothness of the contour, hyperechoic inclusions in the cartilage cap.
Traumatology and Orthopedics of Russia. 2012;18(1):55-59
pages 55-59 views

CLINICALLY SIGNIFICANT PARAMETERS OF GAIT

Yefimov A.P.

Abstract

Researches of biomechanical parameters of gait are carried out at flatfoot, arthritis deformans and consequences of fractures of the lower extremities by an accelerography (study group consisted of 2988 persons). The method is applicable for studying push functions of the lower extremities - sharpness. Results are issued in the form of the table push the accelerations registered in various sites of a body in norm and at flatfoot. The gait accelerograms are presented in norm and at consequences of fractures and arthritis deformans. The analysis of results is carried out. The most informative biomechanics parameters of gait are allocated: angular speed for joints (hailstones/sek); acceleration angular and linear - for muscles (m/sek2); sharpness - for bones (m/sek3). Besides in conclusions amortization functions of the spring arch of foot and muscles of feet and a backbone are reflected, at a pathology directed on decrease push loadings on a head and a brain that is especially appreciable at expressed flatfoot. Thus the biomechanics of movements of a head integrity reflects all set compensative and the adaptive phenomena in locomotors system at a pathology and is an informative indicator of locomotion symmetry Locomotion character makes considerable impact on head and brain biomechanics in norm and at a pathology.
Traumatology and Orthopedics of Russia. 2012;18(1):60-65
pages 60-65 views

EXPERIENCE EXCHANGE

REVISION HIP ARTHROPLASTY WITH USE OF THE CEMENTLESS ZWEYMULLER ENDOPROSTHESIS COMPONENTS (BICON, SL AND SLR-PLUS)

Zagorordniy N.V., Kagramanov S.V., Chragyan G.A.

Abstract

108 revisions from 721 revision surgeries were performed with using BICON-PLUS cup and SL and SLR-PLUS stems in the arthroplasty department of CITO. Average age of patients was 57.2 years (24-77). 45 patients, whose underwent acetabular revision with use of BICON-PLUS cup, had type 1(1 patient), type 2 А-В (24 patients) and type 2С-3А (20patients) acetabular defects in according to W. Paprosky. 66 patients were revised with using of SL and SLR-PLUS stems. There were type 2 in 10 patients, type 3А (34 patients), type 3В (19 patients), type 4 (3 patients) femoral defects in according to W. Paprosky classification. Indications and contra-indications to implantation BICON-PLUS cup, surgical technique features and the bone grafting method of acetabular defects are described. Follow-up period ranges from 3 months till 10 years. There are received 1.8% excellent results, 45.4% good, 47.2% satisfactory and 5.5% unsatisfactory results with Harris’s Hip Score.
Traumatology and Orthopedics of Russia. 2012;18(1):66-72
pages 66-72 views

SURGICAL TREATMENT OF VERTICALLY UNSTABLE INJURIES OF THE PELVIS (TYPE C ACCORDING АО CLASSIFICATION)

Smirnov A.A.

Abstract

The study is based on the analysis of the results of surgery on 34 patients with vertically unstable injuries of the pelvis at the age 16-61 operated on the period 2006-2010. Two following major methods of operative treatment were used: external fixation and combination of external and internal fixation. According to characteristics of posterior part of pelvis injuries patient were distributed as following: 19 patients with rupture of sacro-iliac joint, 15 patients with fracture of sacrum. In 18 patients injuries were associated with neuropathy of plexus sacralis. Follow-up long term results were estimated by Majeed scale. In the group of patients with vertically unstable injuries excellent results were achieved in 15 (45%) cases, good - in 10 (30%), satisfactory - in 9 (25%) patients.
Traumatology and Orthopedics of Russia. 2012;18(1):73-76
pages 73-76 views

SOME ASPECTS OF SECONDARY DEFORMITIES DEVELOPMENT IN CHILDREN WITH POSTBURN SCARS, PRINCIPLES OF SURGICAL TREATMENT

Filippova O.V., Afonichev K.A., Baindurashvili A.G., Galyana S.I., Stepanova Y.V., Tsyplakova M.S.

Abstract

The authors determined the characteristics of secondary scar deformities in children depending on its localization and specificity of the primary injury. For the period from 2008 to 2010 we examined and treated 184 children with scar deformities of varying degrees of severity and location. The examination included: clinical methods including neurological examination, as well as rentgenography, electroneuromyography, ultrasound, CT and MRI, depending on indications. In addition, depending on the localization of a deformity were performed stabilographic and biomechanical studies. Surgical and medical treatment of cicatricial deformity in children depends on the anatomical and physiological characteristics of the affected segment. In planning the reconstruction of treatment, must be taken into account the conditions of local blood circulation, which can vary greatly depending on the duration of the existence the deformity and the etiology of the primary lesion. Basic principles of prophylactic clinical examination of pediatric patients at the stages of rehabilitation:
Traumatology and Orthopedics of Russia. 2012;18(1):77-84
pages 77-84 views

SYMPTOM COMPLEX OF CHRONICAL ATLANTOAXIAL SUBLUXATION IN PAEDIATRIC PATIENTS

Baindurashvili A.G., Ivanova N.E., Kobyzev A.E., Kononova E.L.

Abstract

The objective of this study is to determine the complex of symptoms, including both orthopedic and neurological changes that occur against the backdrop of long-existing disturbances of the atlanto-axial joint. The authors conducted in-depth analysis of the orthopedic and neurological examination of 58 children aged between 10 and 17 years with first diagnosed disturbances of relationship between C1 and C2 vertebrae. Complexes of symptoms are identified from the combination of clinical data obtained with in-depth orthopedic and neurological examinations that are pathognomonic for lateral and posterior atlanto-axial chronic subluxation. Rotational subluxation of C1-C2 vertebral-motor segment was associated with concomitant neurological disorders and additionally with the no gross structural deformity of the spine and the disturbed foot support function in all cases. Using of the study findings will allow to make an adequate diagnosis and to determine the correct choice of additional diagnostic and therapeutic methods for this category of patients on the stage of conventional examination of the patient in clinical practice.
Traumatology and Orthopedics of Russia. 2012;18(1):85-88
pages 85-88 views

SURGICAL TREATMENT OF CHILDREN WITH CONGENITAL IMPAIRED FORMATION OF VERTEBRAE IN THE LUMBAR SPINE

Vissarionov S.V., Kartavenko K.A., Golubev K.E., Batpenov N.D., Abdaliev S.S.

Abstract

A description of the surgical correction technology and the results of surgical treatment of 26 patients with an isolated violation of the vertebrae formation (lateral and posterolateral hemivertebra) at the lumbar spine in Russia and Kazakhstan are presented. The age of patients ranged from 1 year 6 months to 8 years 4 months. After instrumental correction of spinal deformity on the background of the lateral hemivertebrae scoliosis angle ranged from 0 to 6°. The degree of correction ranged from 94 to 100%. After extirpation of the posterolateral hemivertebrae the residual angle of scoliotic deformity ranged from 0 to 4° (average 2,5°), the degree of correction ranged from 95 to 100%, the kyphotic angle of the component from 9 to -6° (average 2,2°). Results were studied in terms from 2 to 7 years after surgery.
Traumatology and Orthopedics of Russia. 2012;18(1):89-93
pages 89-93 views

MONOLATERAL LOW-INVASIVE TREATMENT OF HUMERAL SHAFT FRACTURE IN CHILDREN

Kuzmin V.P., Tarasov S.O., Popov I.N., Mironov S.V., Voytenkov A.F., Kononir N.N., Krylova N.N.

Abstract

Humeral fractures in children are from 4 up to 10% of the general number of child fractures. Recently the trend is marked to expansion of indications to operative treatment despite of mainly conservative treatment of humeral shaft fractures. The experience of humeral shaft fractures operative treatment with use of Ender nails was analyzed. 8 humeral bones were treated with use of 2 nails, 15 humeral bones - with use of 1 nail only. The good and excellent results were received in both groups of patients. At the same time group with monolateral osteosynthesis (with 1 nail) had statistically significant (p<0,01) decreasing of surgery time (average difference 16 min), and also it had statistically significant (p <0,001) decreasing of X-ray exposition time (average difference 23 sec) in comparison with group where the osteosynthesis was done with use of 2 nails. The results received in study show necessity of the further work for this direction.
Traumatology and Orthopedics of Russia. 2012;18(1):94-97
pages 94-97 views

A PRIMARY TEST OF COMBINED THROMBOPROPHYLAXIS AT LOWER EXTREMITIES ARTHROPLASTY: ASPECTS AND VARIANTS OF USAGE

Akhtyamov I.P., Kolesnikov M.A., Shigaev E.S., Ziatdinov B.G., Gatina E.B., Korotkova O.S.

Abstract

Expansion of vein thrombosis and embolism remains a serious problem in traumatology and orthopedics up to the present day. Maintaining the balance between the efficiency of thromboprophylaxis and the danger of post operative hemorrhage can be achieved only when the prevention medication, its dose and the duration of use have been correctly chosen. An anticoagulant of the new generation (Pradaxa), per oral direct thrombin inhibitors dabigatran etexilate to the utmost complies with the above specified requirements that are why the authors decided in favor of its use in everyday clinical practice. A primary test for open use of dabigatran in 48 patients who underwent hip or knee arthroplasty has been carried out. Taking into account the highest risk of thromboembolic complications after large joints plasty, the method of mechanical prophylaxis DVT - electro neurostimulation of shin muscles has been introduced into clinical practice. According to the results of follow-up of the patients, who received different anticoagulants, the algorithm of an anticoagulant’s choice has been developed in various kinds of clinical situations with the possibility of changing injectable preparation to per oral forms. Convenience of per oral administration and predictability of dabigatran effect made it possible to provide consistency of hospital and out-patient stages of treatment, which also contributed to the reduction of thromboembolic complications, especially at an out-patient stage.
Traumatology and Orthopedics of Russia. 2012;18(1):98-103
pages 98-103 views

CASE REPORTS

PRIMARY SYNOVIAL CHONDROMATOSIS OF THE SHOULDER (CASE REPORT)

Tikhilov R.M., Dokolin S.Y., Vorobjev S.L., Dubovik V.V., Bazarov I.S.

Abstract

Primary synovial chondromatosis of a shoulder is quite rare in clinical practice. The diagnostics of this pathology has to include the histological examination of intraarticular material to detect the signs of tissue malignant transformation. Currently surgical intervention of this disease involves the removal of intra-articular cartilaginous bodies and local synovectomy of the affected joint by arthroscopic or open methods. The authors describe the clinical, histologic and arthroscopic features of primary synovial chondromatosis of the shoulder in order to assess the possibility of its minimally invasive correction. The clinical example of diagnostics and treatment of patient with this pathology was presented.
Traumatology and Orthopedics of Russia. 2012;18(1):104-108
pages 104-108 views

MODERN TECHNOLOGIES IN TRAUMATOLOGY AND ORTHOPEDICS

SURGICAL TREATMENT OF ADULT PATIENTS WITH CONGENITAL CLUBFOOT IN SEVERITY DEGREE

Mukhamadeev A.A., Norkin I.A., Koryshkov N.A., Balayan V.D., Kireev S.N., Ediev M.S.

Abstract

There were treated 48 patients (adolescents and adults) with severe congenital clubfoot in Saratov Research Institute of Traumatology and Orthopedics. 43 patients had the age ranged from 16 to 30, 5 patients had the age over 30. 19 patients had bilateral clubfoot, 29 patients had unilateral clubfoot including 19 on right side and 10 left side. To improve treatment results and to prevent deformity recurrence we developed two-staged surgery for congenital clubfoot treatment in adults. Cartilages of talo-navicular, talo-calcanean, cuneo-talar joints are deleted and deformity is corrected with external fixator on I stage. Surgeon performs external fixator resetting, autobone grafting of these joints with compressive arthrodesis on second stage. This method results in full foot reconstruction, good functional outcome, full weight-bearing and improves patient life’s quality.
Traumatology and Orthopedics of Russia. 2012;18(1):109-112
pages 109-112 views

REVIEWS

RECENT VIEW AT UNICOMPARTMENTAL KNEE ARTHROPLASTY AMONG OTHER SURGICAL APPROACHES TO PATIENTS WITH KNEE OSTEOARTHRITIS

Kornilov N.N., Kulyaba T.A., Phedorov R.E.

Abstract

In the article recent publications dedicated to unicompartmental knee arthroplasty are analyzed. Evolution of indications and contraindications, mid- and late term results, difference in functional outcomes in comparison with total knee arthroplasty are discussed. Taking into consideration all relevant information unicompartmental knee arthroplasty may be considered as effective and reliable method of treatment of patients with knee osteoarthrosis and osteonecrosis.
Traumatology and Orthopedics of Russia. 2012;18(1):113-120
pages 113-120 views

COXA-VERTEBRAL SYNDROME AND ITS SIGNIFICANCE IN HIP ARTHROPLASTY (REVIEW)

Denisov A.O., Shilnikov V.A., Barns S.A.

Abstract

Lumbosacral spine and hip joints is a complex physiological functions of the co-operation of a large number of anatomical structures. Lesions of the links in the system can mutually afflict each other. Combined pathology of the hip and lumbosacral spine is called hip-spine syndrome, or coxa-vertebral syndrome. Symptoms of the joint and spine are very similar and only a careful examination and clinical examination may find the differences. As the disease progresses the hip increases the restriction of movement, there is a contracture of the limbs in a vicious position, which leads to an increase in tilt of the pelvis, increased lumbar lordosis and to functional shortening of limbs on the affected side. This gives rise to functional impairment, and then strain the joints of his spine and disease - osteochondrosis and scoliosis. After the successful operation of total hip replacement is often progressive clinical lesions of vertebral segment, which is manifested pain and is often offset by the results of arthroplasty as the restoration of movement in the hip joint, and the change in length limb after arthroplasty leads to rupture formed a functional stereotype change in the mobility of the lumbar spine, pelvis regression bias that causes the dynamic compression spinal nerve root. Depending on the duration of the existence, severity and nature of changes in the pelvic girdle is suitable correction of equipment replacement surgery, including, for example, in some cases, deliberate shortening or lengthening the preservation of the lower extremity, offset change, etc.
Traumatology and Orthopedics of Russia. 2012;18(1):121-127
pages 121-127 views

OSTEOCYTIC REMODELING: QUESTION HISTORY MODERN REPRESENTATIONS AND POSSIBILITIES OF THE CLINICAL ESTIMATION

Avrunin A.S.

Abstract

The article discusses in a chronological order the terms used by different researchers during over 150 years to describe the phenomenon of osteocytic remodeling (halisteresis, oncosis with trypsis, Inseln von basophiler Substanz, zone of diffusion, intermediate resorption areas, sinus type of resorption, liquid bone, osteocytic osteolysis, osteocytes of osteoblastic type, osteocytes of osteoclastic type, resorption periosteocytaire, nid d’abeilles, calciolysis, cementolysis, osteocytic remodeling). According to the authors’ opinion a big step forward has been made in developing functional morphology of this phenomenon and defining the circle of problems, which being solved will allow further qualitative development of osteocytic remodeling concept. The time has come to systematize the known facts, and basing on its results to outline further directions of experimental-theoretical studies aimed at elaboration of methods of osteocytic remodeling and their implementation in clinical practice.
Traumatology and Orthopedics of Russia. 2012;18(1):128-134
pages 128-134 views

REVIEW of the monograph: A.P. Pozdeev, N. Chigvariya "Non-ossifying bone fibromas in children (clinic, diagnosis, treatment)” St.-Petersburg: Meredian, 2011

Marin I.

Abstract

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Traumatology and Orthopedics of Russia. 2012;18(1):135-136
pages 135-136 views

HISTORY OF MEDICINE

ALLEN BUCKNER KANAVELFOUNDER OF HAND SURGERY

Egiazaryan K.A., Magdiev D.A.

Abstract

Allen Bakner Kanavela's biography - the surgeon who has brought the invaluable contribution of a world scale in development of the general surgery and of hand surgery is presented.
Traumatology and Orthopedics of Russia. 2012;18(1):137-139
pages 137-139 views

JUBILEE

Hamula A. Umkhanov

Abstract

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Traumatology and Orthopedics of Russia. 2012;18(1):140-141
pages 140-141 views

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