Vol 17, No 2 (2011)

ORIGINAL ARTICLES

ARTHROSCOPY POSSIBILITIES IN TREATMENT OF INJURIES OF THE SHOULDER ROTATOR CUFF

Tikhilov R.M., Dokolin S.Y., Kuznetsov I.A., Trachuk A.P., Zaitsev R.V., Zabolotsky D.V., Artyukh V.A., Bazarov I.S., Trukhin K.S.

Abstract

The authors analyzed the results of arthroscopic treatment 58 patients with various injuries of rotator cuff. Follow-up was from 4 months to 3 years (average 18 ± 5,2 months) after surgery. The quantitative MRI characteristics allowing to define prognostically unfavorable variants of rotator cuff surgery are presented. The authors considered the ways out of such situations including the partial restoration of the rotator cuff structures by arthroscopic method and reverse shoulder arthroplasty.

Traumatology and Orthopedics of Russia. 2011;17(2):7-15
pages 7-15 views

SURGICAL APPROACHES DURING KNEE REVISION ARTHROPLASTY

Kulyaba T.A., Kornilov N.N., Selin A.V., Zasulsky P.Y., Razorenov V.L., Kroitoru I.I., Petukhov A.I., Kazemirsky A.V., Ignatenko V.L., Saraev A.V.

Abstract

The authors analyzed the results of different surgical approaches during 144 revision TKA. The need in extension of standard approach appeared in 24 (22,2%) patients: Coonse-Adams in 9 (8,3%), tibial tuberosity osteotomy in 6 (5,6%), quadriceps snip in 4 (3,7%) and combination of two lateral approaches to the distal femur and the knee in 5 (4,6%) patients with distal femur fracture for simultaneous osteosynthesis and implant revision. During revision TKA method of choice is the standard approach to the knee. Extensive approaches allow better visualization during surgery but may compromise knee function.

Traumatology and Orthopedics of Russia. 2011;17(2):16-21
pages 16-21 views

REVISION HIP ARTHROPLASTY USING CEMENTLESS FEMORAL COMPONENTS

Tikhilov R.M., Sementkovsky A.V., Sivkov V.S., Goncharov M.Y., Malygin R.V.

Abstract

The authors have analyzed the treatment outcomes of revision hip arthroplasty due to aseptic loosening in 85 patients. There was evaluation of both cementless revision systems as well as rectangular femoral components used for the initial hip replacement surgery. Average follow-up period was of 43,96 ± 18,81 months. Functional results and survival of rectangular femoral components used for the initial hip replacement were comparable with the results observed when cementless revision systems were used.

Traumatology and Orthopedics of Russia. 2011;17(2):22-29
pages 22-29 views

SYNDROME-PATHOGENETIC APPROACH TO MEDICAL REHABILITATION OF PATIENTS AFTER THE TOTAL HIP AND KNEE REPLACEMENT

Udartsev Y.Y.

Abstract

The results of treatment 103 patients in term of 4-6 months after total hip and knee replacement were examined. Established that in the operated limb disorders of regional blood flow in the form of chronic lympho-venous insufficiency and changes in the functional state of neuromuscular apparatus in the form of muscle dysfunction, autonomic dysfunction occured. According to detected characteristics the medical rehabilitation for patients of the 1st group (52 patients) was based on the combination of therapeutic factors complex usage, each of which exerts a specific effect on pathogenesis of a certain syndrome or their different combinations, and developing therapeutic factors are summarized and potentiated. That is why balneo-radon-kinesiotherapy, intermittent pneumocompression, low-frequency magnetotherapy, transcranial electroanalgesia, electrical myostimulation, pelotherapy, taking of central myorelexanat tizanidine were included in the treatment program. Among the patients of the 2nd group medical rehabilitation was based exclusively on motion state and bodily exercises. The analysis of treatment showed the advantage of syndrome-pathogenetic approach, applied for the 1st group of patients: joint range of motions increased by 33,1%, venous drainage increased by 24,4%, neuromuscular apparatus duty improved by 51,8%, involuntary nervous system balance normalized, functional outcome of the medical rehabilitation improved by 73,1%.

Traumatology and Orthopedics of Russia. 2011;17(2):30-36
pages 30-36 views

CHOICE OF SURGICAL APPROACH FOR ACETABULAR COMPONENT’S IMPLANTATION USING CURRENT CLASSIFICATION FOR ARTHRITIS FOLLOWING ACETABULAR FRACTURE

Tikhilov R.M., Shubnyakov I.I., Chiladze I.T., Pliev D.G., Shorustamov M.T., Artyukh V.A., Ambrosenkov A.V., Bliznyukov V.V., Myasoedov A.A.

Abstract

Degenerative-dystrophic changes in hip after treatment of acetabular fracture, over the time, develops about in 60% of affected people. In such cases, total hip replacement is used. Existing classifications (for example AO or Letournel) are good for fracture treatment, but not for arthritis following acetabular fracture. The group of patients, with post traumatic arthritis, is heterogeneous with severity of post traumatic anatomic changes. Basis for surgical approach, could be current classification for post traumatic changes – taking into account features of anatomic functional changes in hip and the bone defects of acetabulum. In this article is demonstrated X-ray and clinical basing for current classification.

Traumatology and Orthopedics of Russia. 2011;17(2):37-43
pages 37-43 views

MEDIUM-TERM RESULTS OF PRIMARY HIP JOINT REPLACEMENT WITH ZIMMER IMPLANTS, PROVIDING CEMENT-RETAINED RESTORATION AND CEMENT-FREE RESTORATION

Slobodskoy A.B., Lezhnev A.G., Badak I.S., Voronin I.V., Dunaev A.G., Bystryakov P.A.

Abstract

We observed 503 patients with various pathologies of hip joint. 555 interventions with total hip joint replacement were conducted. 52 patients were operated on both sides. Total number of male patients was 219; the number of female patients was 284. Age of patients varied from 18 to 82. 24 patients were under 25 y.o.; 117 patients were 26–40 y.o.; 232 patients were 41-60 y.o.; 130 patients were older than 60. Cement-free restoration of implants took place in 196 cases. Trilogy + VerSys ET combination was used in 156 cases; Trilogy + Alloclassic combination was applied in 40 cases. Hybrid restoration (ZCA + VerSys ET) was used on 297 patients; completely cement restoration (ZCA + CPT) was applied in 62 cases.

Traumatology and Orthopedics of Russia. 2011;17(2):44-49
pages 44-49 views

POSSIBILITY OF PHARMACOLOGICAL CORRECTION OF POSTMENOPAUSAL OSTEOPOROSIS IN PATIENTS WITH EXTRAARTICULAR FRACTURES OF THE PROXIMAL FEMUR

Kochish A.Y., Mironenko A.N., Lasunsky S.A., Stafeev D.V.

Abstract

A prospective metaanalysis of the proximal femur lateral fracture in patients with menopausal osteoporosis was performed. It’s found that expressed osteoporosis can be estimated as risk factor of the operative treatment of such fracture. Combined medicament treatment of systemic osteoporosis prevent decrease of mineral density of the bone in postoperative period. The better functional results are found in patients with complex, operative and pharmacological, treatment of the proximal femur lateral fracture in osteoporotic bone.

Traumatology and Orthopedics of Russia. 2011;17(2):50-56
pages 50-56 views

APPLICATION OF PLATELET-RICH PLASMA IN REDUCTION OF GREATER TROCHANTERIC PAIN SYNDROME

Bashkina A.S., Shirokova L.Y., Knyazeva T.S., Parulya O.M., Abrosimova E.B., Noskov S.M.

Abstract

The results of a comparative study of platelet-rich plasma (PRP) and glucocorticosteroids (GCS) for local treatment of greater trochanteric pain syndrome (GTPS) are presented. 40 patients with GTPS were randomized into groups of 20 persons. The condition of patients was analyzed on a scale of pain during the day (VAS) and index WOMAC. 40 women with GTPS at six months of observation show that the local injections of PRP is superior to therapy with corticosteroids. The data of the study allow to expand the scope of the PRP and the first to recommend this therapy for GTPS. Local PRP therapy is distinguished by the absence of undesirable reactions, and high efficiency in GTPS exceeding the glucocorticosteroids.

Traumatology and Orthopedics of Russia. 2011;17(2):57-61
pages 57-61 views

ANALYSIS OF INDEXES OF THE REFERENCE LINES AND ANGLES IN CHANGING THE LEGS FORM USING EXTERNAL OSTEOSYNTHESIS (PRELIMINARY REPORT)

Solomin L.N., Kulesh P.N.

Abstract

The analysis of correlation of reference lines and angles (RLA) of the lower extremities at 64 patients who have addressed with wishes about change of the form of legs is carried out. It has appeared that in all cases there was some kind of deviations from correlations accepted for norm. At correction of the form of legs the authors used original configuration of the external fixation apparatus allowing correction and as much as possible authentically to estimate the reached result. By means of the developed configurations the correction of the leg form in 34 patients is executed. The orthopedic correction, allowed to receive the form which has satisfied the patient, has been executed in two cases (6%). At 94% of patients esthetic reconstruction is executed. Esthetic correction (after surgery the values of all RLA remain within norm) hasn’t been executed in any case. Complications are registered in four patients (12%), 4% of which were infectious. It hasn’t affected the end result.

Traumatology and Orthopedics of Russia. 2011;17(2):62-69
pages 62-69 views

MODERN METHODS OF SURGICAL CORRECTION PES PLANOVALGUS WITH OS TIBIALE EXTERNUM

Tamoyev S.K., Zagorodny N.V., Protsko V.G., Sultanov E.M., Khamokov Z.K., Butayev B.G.

Abstract

From November 2007 to December 2010 on 25 patients with pes planovalgus accompanied by os tibiale externum were operated. Age of patients ranged from 16 to 35 years. In 80% of cases operations were performed on one foot, and 20% – at the same time on two feet. Treatment results were evaluated on a scale American Orthopaedic Society Foot and Ankle (AOFAS). The average pain scores improved from 14.3 to 29.0, the improvement of foot and heel functions – from 29.4 to 42.0, while the correct position has changed from the average value of 2,7 to 8,5. Radiography showed an average reduction of longitudinal arch angle to about 12.3, a decrease astragalocalcanean corner – at 8 on, the increase in height of the arch – on 5-8 mm. The study results confirmed the involvement of the presence of os tibiale externum to the development of planovalgus deformity. Treatment of such patients requires a comprehensive approach, the main stage of which is to remove the extra bone. Subtalar artroereisis in conjunction with plasty of tendon of posterior tibial muscle and transposition of the tendons of flexor digitorum longus is effective and modern methods of surgical correction of pes planovalgus with os tibiale externum.

Traumatology and Orthopedics of Russia. 2011;17(2):70-75
pages 70-75 views

DISC PUNCTURE FOR REFLEX PAIN SYNDROME OF CERVICAL OSTEOCHONDROSIS USING COBLATION AND CHEMICAL DENERVATION OF THE INTERVERTEBRAL DISC

Krutko A.V., Kudratov A.N., Evsukov A.V.

Abstract

Randomized prospective study was performed to compare the treatment results in patients with reflex pain syndromes caused by degenerative dystrophic disorder of the cervical spine using coblation and chemical denervation. Coblation, as well as chemical denervation of disc, is effective and safe method of the treatment for pain syndromes of cervical spine osteochondrosis providing good clinical results with minimal traumatization of surrounding tissues.

Traumatology and Orthopedics of Russia. 2011;17(2):76-81
pages 76-81 views

CLINICAL AND ROENTGENOLOGICAL FEATURE OF DISABLED CHILDREN WITH CONGENITAL ELBOW FLEXION CONTRACTURES IN CONJUNCTION WITH A LONGITUDINAL ECTROMELIA

Shvedovchenko I.V., Shaidaev E.Z., Koltsov A.A.

Abstract

The authors presented the results of own observations 38 patients with congenital flexion contractures of the elbow joint. The detailed anatomical and functional evaluation of 47 affected upper limbs were perfected. Based on the analysis of clinical and radiological data a working classification was developed, which identifies three forms of disease: typical, atypical and intermediate.

Traumatology and Orthopedics of Russia. 2011;17(2):82-86
pages 82-86 views

CLINICAL AND X-RAY CHARACTERISTIC OF CONGENITAL METACARPAL SYNOSTOSIS

Zaletina A.V.

Abstract

The clinical and X-ray symptoms of patients with congenital metacarpal synostosis were studied. Between 1991 and 2010, we had examined 63 children, who were treated at the department of reconstructive and hand surgery of the Turner Scientific and Research Institute for Children's Orthopedics. The different variant this rare congenital abnormality were diagnosed. On the basis of the clinical and X-ray characteristics the new classification of the anomaly is worked out.

Traumatology and Orthopedics of Russia. 2011;17(2):87-92
pages 87-92 views

DOPPLER SONOGRAPHY OF DIGITAL ARTERIES BY LENGTHENING OF FINGER PHALANGES WITH MINIFIXATORS

Dolganova T.I., Shabalin D.A., Shikhaleva N.G.

Abstract

The study of peripheral hemodynamics in the arteries and veins of the posttraumatic hand stumps of 67 patients was performed before and during traction of the tissues with a mini-fixator using electrothermometry and Doppler sonography.
Digital arteries before treatment in the conditions of reduced finger stumps motor activity show that all Doppler sonography recordings are decreased relative to the values of the unaffected fingers in the intact limb.
During transverse traction intended for skin stock growing in the interdigital webspaces there was no significant dynamics of the recorded Doppler sonography values in the digital arteries. The compensatory vascular response to metabolic query and oxygen need is registered in the lengthened tissue by longitudinal traction effect on the finger phalanges when the tissue can be grown by more than 100% of the initial stock, that results in a 1.5–2 fold increase of the linear and volumetric systolic blood flow velocity in the digital arteries and skin capillaries that is associated with the changes in the artery viscoelastisity which is of a vasoconstriction type.

Traumatology and Orthopedics of Russia. 2011;17(2):107-113
pages 107-113 views

THEORETICAL AND EXPERIMENTAL STUDIES

HIERARCHIC SKELETAL ORGANIZATION – A FACTOR REGULATING THE STRUCTURE OF FATIGUE INJURIES. PART III. MODELING THE INITIAL STAGE OF THEIR DEVELOPMENT

Avrunin A.S., Tikhilov R.M., Parshin I.K., Melnikov B.E.

Abstract

The authors describe general conditions of fatique injuries (FI) initiation and development, and discuss the conformity between hierarchic skeletal organization levels and spatial differentiation of the initial FI types – local discrete and local meshlike. The former includes “sacrificial bonds” disruption, shearing along the hydrate level of inter-crystalline complexes, destruction of bonds between crystalline complexes. This lesion type may go through a process of self-remedying after annihilation of forces and spatial approximation of the involved structures. The local mesh-like FI type is characterized by destruction of the majority of adjacent structures and spatial unification of injuries (structural “loosening”). This type of lesion increasing in its dimensions creates discrepancy areas within itself forming the basis for fissure formation. This structural state of a fatigue injury is considered as intermediate between a diffuse lesion and a crack.

Traumatology and Orthopedics of Russia. 2011;17(2):93-100
pages 93-100 views

EXPERIMENTAL ESTIMATION OF COMPOSITE MATERIAL CONTAINING THE PROTEIN-MINERAL COMPONENTS AND RECOMBINANT BONE MORPHOGENETIC PROTEIN-2 AS A COVERING OF TITANIUM IMPLANTS

Fedorova M.Z., Nadezhdin S.V., Semikhin A.S., Lazebnaya M.A., Khramov G.V., Kolobov Y.R., Gromov A.V., Bartov M.S., Lunin V.G., Karyagina A.S., Gunderov D.V.

Abstract

The influence of both, the composite material based on the protein-mineral components including the prolonged form of the recombinant human bone morphogenetic protein 2 (rhBMP-2) and the method of the titanium implant’s surface treatment, on the reparative osteogenesis and adhesion strength of the bone tissue – implant’s surface contact was evaluated. Covering of implants with the composite coating promotes significant acceleration of the bone tissue regeneration processes in the site of implants loading. The composition coating with prolonged form of the rhBMP-2 promoted increasing of the neogenic bone tissue’s adhesion with the implants, as compared with the coating without recombinant human bone morphogenetic protein. The implants treated with microarc oxidation demonstrated higher values of the breakout force during the separation of the implants from the bone than the implants treated with sandblasting method.

Traumatology and Orthopedics of Russia. 2011;17(2):101-106
pages 101-106 views

CASE REPORTS

EXTENSIVE BONY DEFECTS OF ELBOW: CONSIDERATIONS ON SURGICAL STRATEGY AND CLINICAL CASE REPORT

Rodomanova L.A., Kutyanov D.I., Voronkevich I.A., Afanas’ev A.O.

Abstract

The result of treatment of female patient with extensive bony defect of elbow, who was made elbow arthrodesis with the use of radial bone pedicle flap is shown. The treatment led to good result. We have made an analysis of scientific works observing the current status of this problem.

Traumatology and Orthopedics of Russia. 2011;17(2):147-152
pages 147-152 views

METHODS OF EXAMINATIONS

CHANGES FACETS JOINTS IN TRAUMA AND DEGENERATIVE DISEASES OF THE LUMBAR SPINE

Shchedrenok V.V., Sebelev K.I., Anikeev N.V., Tyulkin O.N., Kaurova T.A., Moguchaya O.V.

Abstract

Produced spondilometric measurements of the lumbosacral spine is normal (20 cases) and in patients with spinal cord injury and degenerative-dystrophic diseases of the spine (43 cases). The width of the facet joint space joints on both sides, its relation to the longitudinal axis of the body in degrees and another on the same level were studied. The width of the facet joint space at the lumbosacral level of 3.5–4.0 mm, the area of the intervertebral foramen varies from 96–132 mm2. Among the changes in the parameters of the vertebral-motor segment can distinguish moderate, marked and significant extent that is important in determining the amount of the alleged operation.

Traumatology and Orthopedics of Russia. 2011;17(2):114-117
pages 114-117 views

EXPERIENCE EXCHANGE

ARTHROSCOPIC RECONSTRUCTION OF THE KNEE POSTERIOR CRUCIATE LIGAMENT

Kuznetsov I.A., Volokhovsky N.N., Rybin A.V., Ryabinin M.V., Shulepov D.A.

Abstract

In this article there were published diagnostic and surgery principles and the clinical results of arthroscopic single bundle posterior cruciate ligament (PCL) reconstruction in patients with chronic PCL instability not responding to conservative treatment. There were treated 27 patients with PCL instability since 2006 till 2010. 10 of 27 patients were available for followup with an average elapsed time of 6,1 years between onset of injury and surgery and an average duration of 1,8 years between reconstruction and evaluation. Although there still is some controversy on the indication for treatment of PCL injury, we conclude on the basis of our findings that arthroscopic reconstruction of symptomatic chronic PCL instability can be greatly beneficial.

Traumatology and Orthopedics of Russia. 2011;17(2):118-124
pages 118-124 views

СOMPLEX TREATMENT OF CHILDREN OF OLDER AGE GROUP WITH CONGENITAL CLUBFOOT

Klychkova I.Y.

Abstract

The results of treatment of 100 patients in age from 13 to 18 years who were in the institution for reconstruction of foot deformities were analyzed. The complex treatment of children with recurrent clubfoot and secondary foot deformities in adolescence consists in reconstruction of tendon-ligamentous and bony structures of the foot with the use, if it is indicated, of external fixation devices with simultaneous intensive physiotherapy aimed at improving of microcirculation and bone formation as well as correction of mineral metabolism.

Traumatology and Orthopedics of Russia. 2011;17(2):125-131
pages 125-131 views

TARSAL COALITIONS IN CHILDREN: DIAGNOSTICS AND TREATMENT

Kenis V.M.

Abstract

The incidence of this condition in general and pediatric population is up to 13%. Conservative and surgical correction of this type of deformity is widely discussed in literature. In the series of 35 patients with tarsal coalition the results of treatment are observed. Differentiated approach to nonsurgical and surgical treatment is described and discussed.

Traumatology and Orthopedics of Russia. 2011;17(2):132-136
pages 132-136 views

MODERN TECHNOLOGIES IN TRAUMATOLOGY AND ORTHOPEDICS

PLATE FOR SURGICAL TREATMENT FOUR-FRAGMENTAL FRACTURES OF THE PROXIMAL HUMERUS

Linnik S.A., Rankov M.M., Parfeev S.G., Shcheglov O.V., Boychenko A.V.

Abstract

We performed the analysis of proximal humerus fracture surgical treatment results. Reasons of unsatisfactory results of multifragmental fractures surgical reduction revealed. The new construction for multifragmental fractures fixation invented and patented. Our experiments proved this construction to increase the stability of humerus multifragmental fractures fixation.

Traumatology and Orthopedics of Russia. 2011;17(2):137-140
pages 137-140 views

A METHOD FOR REPLACING EXTENSIVE DEFECTS OF THE RADIUS IN CHILDREN

Govorov A.V., Golyana S.I., Kochish A.Y., Pozdeyev A.P., Chigvariya N.G.

Abstract

Applied topographic and anatomic studies on 12 lower limbs of seven premature stillborn children have allowed to substantiate the possibility of formation and free transplantation in children of the epimethadiaphyseal fibula graft with two blood supply sources. In view of the obtained data, it has been developed and successfully tested clinically the original reconstructive microsurgical operation, which allows to replace in children simultaneously extensive (more than 50% of length) defects of the distal radius with preservation of function of the growth plate of the transplanted bone.

Traumatology and Orthopedics of Russia. 2011;17(2):141-146
pages 141-146 views

TRAUMA AND ORTHOPEDIC CARE

QUALITY OF HIP REGISTER OF THE RUSSIAN RESEARCH INSTITUTE OF TRAUMATOLOGY AND ORTHOPAEDICS NAMED AFTER R.R. VREDEN

Tikhilov R.M., Goncharov M.Y., Drozdova P.V., Sivkov V.S., Sementkovsky A.V., Malygin R.V.

Abstract

Authors analyzed the information entered in the register of hip arthroplasty of the Russian Research Institute of Traumatology and Orthopaedics named after R. R. Vreden in the period from 2007 to 2010. The audit was conducted on the data completeness and quality. Audited for completeness and quality of data entered in the register by checking the documentation of medical departments and the formation of SQL-queries in the database. The share register is made in cases of total hip replacement was for four years on average 86,1±4,52%. Authors identified three types of errors that may further alter the conclusions of the statistical analysis. Eliminating these errors is one of the steps to improve the register. Despite the shortcomings of the register, the systematic introduction of information into the database will make a further qualitative assessment of hip arthroplasty in the RRITO named after R. R. Vreden.

Traumatology and Orthopedics of Russia. 2011;17(2):153-159
pages 153-159 views

COMPLEX CLINICAL-STATISTICAL ANALYSIS OF THE LOCOMOTOR SYSTEM TRAUMAS

Grechukhin I.V.

Abstract

Complex clinico-statistical study of the rate, structure, dynamics and conditions of the locomotor apparatus traumas in ambulatoris patients (82207 children, 20351adolescents and 293798 adults), hospitalized ones (2359 children and 5796 adults) and 439 died during 1998-2008 in Astrakhan has been cassied out. Age – sex groups of highes risk in getting traumas, most of whom are in the household and in streets under falling, due to antilaw actions and accidents have been formed. Possibility of getting injuries for adults increases in January and July, for children – in May and September, for adolescents – in April and October. Wide range of modem computer and telecommunication technologies as the new forms of preventive activity should be recommended.

Traumatology and Orthopedics of Russia. 2011;17(2):160-163
pages 160-163 views

REVIEWS

POSSIBILITIES OF MODERN TECHNIQUES OF PLASTIC AND RECONSTRUCTIVE SURGERY IN THE TREATMENT OF PATIENTS WITH MAJOR POSTTRAUMATIC DEFECTS OF EXTREMITIES (REVIEW)

Tikhilov R.M., Kochish A.Y., Rodomanova L.A., Kutyanov D.I., Afanas’ev A.O.

Abstract

Relying on studies of scientific publications we have analyzed possibilities and effectiveness of using various modern techniques of replacement of major posttraumatic defects of tissues of extremities and we have worked out the main lines of improving the treatment of this category of patients.

Traumatology and Orthopedics of Russia. 2011;17(2):164-170
pages 164-170 views

BIRTH PALSY OF UPPER EXTREMITIES IN CHILDREN (REVIEW)

Baindurashvili A.G., Naumochkina N.A., Ovsyankin N.A.

Abstract

This article reports about actual questions of integrated treatment of children with ancestral paralysis of upper extremities. Analysis of domestic and foreign literary sources concerning the development of orthopedists’ view on the nature of this pathology, the reason of its origin, its early diagnostics and its early conservative and operative therapy was carried out. The character of operative intervention on the segment of upper extremities depending on the age of an infant, severity of evident pathology and results of treatment is presented.

Traumatology and Orthopedics of Russia. 2011;17(2):171-178
pages 171-178 views

DEVELOPMENT HISTORY AND MODERN CONCERN OF PROBLEM OF EXTREMITY INJURIES BY EXTERNAL FIXATION (REVIEW)

Tyulyaev N.V., Vorontsova T.N., Solomin L.N., Skomoroshko P.V.

Abstract

The article deals with history, development and modern status of method of external fixation. The review presents both positive and negative experience of different authors who used this method in clinical practice which describes it’s advantages and disadvantages. Their analysis helped to ground new directions of clinical and epidemiologic investigations.

Traumatology and Orthopedics of Russia. 2011;17(2):179-190
pages 179-190 views

PROBLEMS OF CLASSIFICATION AND TERMINOLOGY OF OPEN HAND INJURIES (REVIEW)

Matveiew R.P., Petrushin A.L.

Abstract

The review of the most meaningful classifications and the terms used in treatment of open injuries of the hand is presented. The presented classifications nominally are divided into three groups: the classifications constructed on descriptive signs, constructed by a scale principle and constructed by the mixed principles.
Characteristics of the most used terms of the open damages of a brush, such as combined damages, a severe trauma of a hand, traumatic amputations, etc., and their interpretation by various authors are given.

Traumatology and Orthopedics of Russia. 2011;17(2):191-198
pages 191-198 views

SURGICAL TREATMENT OF SPONDYLOLIS SPONDYLOLISTHESIS: HISTORY AND CURRENT STATUS OF THE PROBLEM (REVIEW)

Rott A.N., Kurnosenkov V.V.

Abstract

Based on the scientific literature analysis the authors highlight the etiology and the existing classifications of spondylolisis spondylolisthesis, the historical stages of surgical treatment of this disease. The advantages and shortcomings of current methods and ways of treatment, possible complications are described.

Traumatology and Orthopedics of Russia. 2011;17(2):199-205
pages 199-205 views

HISTORY OF MEDICINE

FAMILY OF THE BRITISH ORTHOPEDISTS

Bashurov Z.K.

Abstract

The history of the British orthopedics of the XIX–XX centuries on an example of one Liverpool family in which some generations of the bonesetters who did not have special medical education were. Last two representatives of this family had university education (Robert Johns and Redzhinald Watson-Johns) and in due time headed the British orthopedic association.

Traumatology and Orthopedics of Russia. 2011;17(2):206-211
pages 206-211 views

JUBILEE

ГЕННАДИЙ ЕВГЕНЬЕВИЧ АФИНОГЕНОВ

.

Abstract

К 70-ЛЕТИЮ СО ДНЯ РОЖДЕНИЯ
Traumatology and Orthopedics of Russia. 2011;17(2):214-215
pages 214-215 views

OBITUARIES

ЛИМБЕРГ АЛЛА АЛЕКСАНДРОВНА

.

Abstract

ЛИМБЕРГ АЛЛА АЛЕКСАНДРОВНА
(3.09.1930 –19.05.2011)

Traumatology and Orthopedics of Russia. 2011;17(2):216
pages 216 views

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