Vol 16, No 4 (2010)

ORIGINAL ARTICLES

USING RECTANGULAR FEMORAL COMPONENT IN REVISION SURGERY AFTER THA FAILURE RESULTING FROM ASEPTIC LOOSENING

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

Abstract

The authors analyzed the treatment outcomes in 34 patients who underwent femoral revision surgery with cementless rectangular femoral components. In all cases the indication for the surgery was THA failure resulting from aseptic loosening. Average follow-up time was 23,8 months. There were no cases of aseptic loosening after the revision surgery. The treatment results were evaluated as excellent or good in (85%) 29 patients.
Traumatology and Orthopedics of Russia. 2010;16(4):5-10
pages 5-10 views

FEATURES OF SURGICAL TREATMENT OF PATIENTS WITH THE EXTRAARTICULAR HIP FRACTURES

Dulaev A.K., Tsed A.N., Radysh V.G., Bobrin M.I., Djusoev I.G.

Abstract

The authors considered the results of surgical treatment of 73 patients with different types of pertrochanteric fractures according AO-ASIF classification. There were used identical implants for every group of patients. The authors concluded that intramedullary fixation methods preferably for the type A2 and A3 fractures. Bipolar cemented hip arthroplasty is possible for the type A1 fractures.
Traumatology and Orthopedics of Russia. 2010;16(4):11-17
pages 11-17 views

SURGICAL TREATMENT OF ANKLE AND FOOT TUMORS

Zasulsky P.Y., Zaytseva M.Y., Emelyanov V.G., Privalov A.M.

Abstract

The experience of treatment and follow-up 47 patients with tumors of ankle and foot is described. The tumors of this anatomic zone are occurred relatively rarely, they are extremely polymorphic that requires carefully observation of patients with this pathology. Correct maintenance the observation algorithm allows in the most of cases (91,5%) to perform the appropriate organopreserving surgical treatment and achieve good and satisfactory results.
Traumatology and Orthopedics of Russia. 2010;16(4):18-24
pages 18-24 views

TREATMENT OF POSTTRAUMATIC ISCHEMIC CONTRACTURES OF THE THUMB

Melikhov K.S., Rodomanova L.A., Kutyanov D.I.

Abstract

Results of surgical treatment of 21 patients with posttraumatic ischemic contractures of the first finger of a hand were analyzed. The working classification in which there are three degrees of a contracture depending on size of deficiency of a dermal cord of the first interdigital interval was offered. Advanced tactics of surgical treatment of such pathology was developed. Thus, during the first stage we carried out abduction of the first finger by the elimination of cicatrical, muscle and arthrogenic contracture components. At the second stage of treatment, if it was necessary, active opposition of the first finger was restored.
Traumatology and Orthopedics of Russia. 2010;16(4):25-29
pages 25-29 views

HYSTOMORPHOLOGIC CHANGES IN INJURED MENISCI IN CHILDREN

Bogatov V.B., Belonogov V.N., Matveeva O.V.

Abstract

The purpose of the work was studying histological changes in the injured menisci in children. The histological evaluation of injured menisci received during arthroscopy was performed. The prescription of injury varied from several days till 3 years. It was shown that injured fragment of the meniscus is viable up to 3 months since trauma. It was also obvious that active migration of the meniscus cells occur in the injured fragment and microvessels are seen in 50% of the meniscus tissues.
Traumatology and Orthopedics of Russia. 2010;16(4):30-36
pages 30-36 views

RESEARCH METHODS

SOME ASPECTS OF DIFFERENTIAL DIAGNOSTICS OF GIANT-CELL TUMOUR, OSTEOCYSTOMA AND OSTEOSARCOMA

Pavlenko N.N., Korshunov G.V., Muromtsev V.A., Kesov L.A., Maksyushina T.D., Matveeva O.V., Shakhmartova S.G.

Abstract

The problems of timeliness and correctness of diagnostics of bone tumours, as well as therapeutic decision deserve the most careful consideration. The present research concerns the detection of criteria of differential diagnostics of giant-cell tumours, osteocystoma and osteosarcoma (according to the literary data). According to the literature the study of clinical and radiologic diagnostics, allowed to work out differential and diagnostic tables of signs and algorithms of diagnostics of giant-cell tumours, osteocystoma and osteosarcoma. It enabled to detect a therapeutic and diagnostic approach to patients with bone tumours.
Traumatology and Orthopedics of Russia. 2010;16(4):37-40
pages 37-40 views

THE USE OF COLOR-CODED DOPPLER TECHNIQUE IN DIAGNOSTICS OF BENIGN AND MALIGNANT TUMORS IN LOWER EXTREMITIES

Pugacheva E.N., Kholin A.V.

Abstract

The authors presented results of blood flow examination in soft and bone tissues masses of lower extremities. Qualitative and quantitative blood flow indices were studied compared and systematized using color-coded Doppler technique and spectral dopplerography.
Traumatology and Orthopedics of Russia. 2010;16(4):41-44
pages 41-44 views

STATIC SPINAL DEFORMITY SECONDARY TO PELVIC TILT IN CHILDREN AND ADOLESCENTS: DIAGNOSTICS AND METHODS OF CORRECTION

Gaiduk A.A.

Abstract

For the purpose of the diagnostics of spinal deformity 2,300 children and adolescents were observed by computer optical topography, tilts of the pelvis were identified in 800 of them. As a result of the evaluation of the initial state of the spine and pelvis, performed by computer optical topography diagnostics 5 types of static deformations of spine and pelvis were defined. The criteria for evaluating distortions of the pelvis, frontal deformation and inclination of spine axis were described. Instrumental study with computer optical topography diagnostics in conjunction with clinical examination reveals various kinds of disturbances of posture, feet condition and functional biomechanical changes in the pelvic region.
Traumatology and Orthopedics of Russia. 2010;16(4):45-49
pages 45-49 views

EXPERIENCE EXCHANGE

DEFORMATIONS OF THE PROXIMAL FEMUR CONSEQUENTLY BENIGN TUMORS IN CHILDREN AND ADOLESCENTS

Shpilevsky I.E., Sokolovsky O.A., Pashkevich L.A.

Abstract

Benign tumors are affecting the proximal part of the femur in 19% of all cases. Their distinctive feature is the relatively late diagnosis, which requiring the necessity, in addition to removing the tumor and bone grafting, to solve the problem of deformations correction. We have discovered the reasons of deformity appearance of the 31 patients aged 3-16 years. The following types of deformation were defined: ductile (12), after pathological fracture (12) and as a result of growth plate dysfunction (7). The correction of deformation, along with the tumour removing was performed at 15 patients: 3 - Oilier disease, 6 - fibrous dysplasia, 4 - bone cysts, 2 - exostotic chondrodysplasia. In 2 cases the correction of deformity was supposed unreasonable by its severity and accompanying pathology, and in 14 - the deformities were considered as permissible, that not required operative adjustment.
Traumatology and Orthopedics of Russia. 2010;16(4):50-58
pages 50-58 views

DIAGNOSTICS AND TREATMENT OF DISTAL RADIOULNAR JOINT INJURIES

Skoroglyadov A.V., Magdiev D.A., Es'kin N.A., Chulovskaya I.G., Egiazaryan K.A.

Abstract

We present the experience of treatment of 169 patients with distal radioulnar joint injuries, operated in specialized hand surgery department of the Clinic of traumatology and orthopedics of Russian State Medical University on the base of Moscow city clinical hospital № 4. We have carried out the following operations: closed osteoclasia of the distal epimetaphys fractures, osteotomy of the radius with the external fixator application in 97 (57,4%) patients, percutaneous 2 Kirschner wires fixation of the ulna head to the radius after reposition of dislocation - 38 (22,5%) patients, lavsanoplasty of DRUJ ligaments - 12 (7,1%), fixation of the ulna head to the radius by pin - 7 (4,1%), open reposition of dislocation of the ulna head and K-wire fixation - 8 (4,8%), osteotomy of synostosis of forearm bones, W. Darrach and Sauve-Kapandji operations - 7 (4,1%). Complications were observed in 13 (7,7%) cases. Postponed results (1 year after operation) were studied in 110 patients. We got good results in 95 (86,4%) cases, satisfactory - in 12 (10,9%) cases, unsatisfactory - in 3 (2,7%) cases.
Traumatology and Orthopedics of Russia. 2010;16(4):59-65
pages 59-65 views

TREATMENT OF OPEN FEMUR FRACTURES USING INTERNAL OSTEOSINTESIS

Klyuchevsky V.V., Smetanin S.M., Soloviev I.N., Khudaibergenov M.A., Shakola S.K.

Abstract

The experience of treatment of open femur fractures is discribed. In 113 (77,40%) cases the diaphyseal fracture were diagnosed, in 32 (21,92%) - fractures of distal femur; 90,63% of fractures were intraarticular. The results of the primary, delayed internal fixation of open fractures of the femur and external fixation.
Traumatology and Orthopedics of Russia. 2010;16(4):66-69
pages 66-69 views

MODERN TECHNOLOGIES IN TRAUMATOLOGY AND ORTHOPEDICS

Z-APPROACH USAGE IN SURGICAL TREATMENT OF ACHILLES TENDON RUPTURES

Gritsyuk A.A., Sementsov V.A., Sereda A.P.

Abstract

The authors worked out and checked out rational Z-approach to the Achilles tendon with taking into consideration anatomical, physiological and biomechanical features of this region. Entrance allowed trustworthy reduce frequency and area of postoperative wound rim necrosis, and allowed statistic trustworthy reduce number of complications after surgical treatment of Achilles tendon ruptures.
Traumatology and Orthopedics of Russia. 2010;16(4):70-72
pages 70-72 views

THE METHOD OF OSTEOSYNTHESIS OF SEGMENTAL HUMERAL FRACTURE BY ROD APPARATUS

Kupkenov D.E.

Abstract

The results of surgical treatment 12 patients with humeral segmental fractures using external fixation by rod apparatuses with reduction nodes, developed by author are analyzed. Good results were achieved in 11 (91,7%) patients, satisfactory - in 1 (8,3%) in time 1-3 years since the operation. Proposed method of osteosynthesis allows to perform an exact closed reduction of bone fragments and to obtain the stable fixation using the whole period of treatment.
Traumatology and Orthopedics of Russia. 2010;16(4):73-77
pages 73-77 views

METHOD OF TREATMENT OF DISTAL RADUIS POSTTRAUMATIC DEFORMITY

Semenkin O.M., Izmalkov S.N.

Abstract

A new method for correcting malunions of the distal metaepiphysis of radial bone using cortical-cancellous autologous transplant from its diaphyseal part. The correcting osteotomy with bone autotransplantation of the proposed method and osteosynthesis of radius using plates with angular stability were performed in 8 patients. Treatment results were evaluated according to the scheme Cooney-Krimmer, «DASH»-questionnaire, as well as the scheme developed by the authors. The union of bone fragments obtained after an average of 2,7 + 0,3 months. In a year after surgery excellent results were obtained in 3 patients, good results - in 5.
Traumatology and Orthopedics of Russia. 2010;16(4):78-83
pages 78-83 views

REVIEWS

SURGICAL TREATMENT OF PATIENTS WITH LOCAL DEFECTS OF JOINT SURFACE OF FEMUR CONDYLES (REVIEW)

Bryanskaya A.I., Tikhilov R.M., Kulyaba T.A., Kornilov N.N.

Abstract

The article provides an overview of the clinical application of basic treatment techniques of local knee cartilage defects: marrow stimulation techniques and autologous osteochondral mosaicplasty. Particular attention authors give the most progressive methods, intensively developing in recent years: the use of cultures of cells capable of chondrogenesis: chondrocytes and mesenchymal stem cells.
Traumatology and Orthopedics of Russia. 2010;16(4):84-92
pages 84-92 views

THE MODERN CAPABILITIES OF X-RAY DIAGNOSTICS OF WRIST LIGAMENT INJURIES (REVIEW)

Kadubovskaya E.A.

Abstract

The author articulates the notion of carpal joint, describes its functional anatomy. Particular attention is given to the importance of external and internal ligaments providing the dynamic stability of the radiocarpal joint and wrist. All the main ray methods and techniques of X-ray diagnosis of pathological changes in ligaments of this region were characterized. The main role of MRI-studies in the diagnosis of ligament injuries and carpal instability is proved. The authors has drawn conclusion about the need to continue to explore the potential of MRI in the diagnosis of ligamentous injuries of structures wrist and wrist.
Traumatology and Orthopedics of Russia. 2010;16(4):93-101
pages 93-101 views

MEMORIAL DATES

THE N.I. PIROGOV'S CONTRIBUTION TO THE SURGERY OF MUSCULOSKELETAL SYSTEM (ON THE OCCASION OF THE 200-th ANNIVERSARY OF THE BIRTH)

Tikhilov R.M., Kochish A.Y., Fomin N.F.

Abstract

Based on the analysis of the scientific heritage the authors presented the contribution of the great Russian surgeon N.I. Pirogov in the development of surgery of the locomotor system. Discussed in detail next lines of activity of N.I. Pirogov being of interest of trauma and orthopedic surgeons, in particular the: anatomical and physiological approach to studying the issues of surgery of extremities, development of scientific and organizational bases in the domestic military-field surgery, the Pirogov's ideas in the field of reconstructive surgery of the extremities, as well as its contribution to the reforming of surgical education in Russia and improvement of the domestic surgical instruments.
Traumatology and Orthopedics of Russia. 2010;16(4):102-110
pages 102-110 views

HISTORY OF MEDICINE

FRIEDRICH TRENDELENBURG AND TRENDELENBURG'S SYMPTOM

Bashurov Z.K.

Abstract

In 1895 German surgeon Frederic Trendelenburg has described the symptom of failure of gluteus medius and gluteus minimus muscles at congenital hip dislocation which named after him today. There is full translation of this article, the picture and the Trendelenburg's portrait cited in this report.
Traumatology and Orthopedics of Russia. 2010;16(4):111-115
pages 111-115 views

JUBILEE

Nikolay A. Ovsyankin

Abstract

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Traumatology and Orthopedics of Russia. 2010;16(4):116
pages 116 views

Aleksandr P. Pozdeev

Abstract

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Traumatology and Orthopedics of Russia. 2010;16(4):117
pages 117 views

Zot K. Bashurov

Abstract

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Traumatology and Orthopedics of Russia. 2010;16(4):118
pages 118 views

OBITUARIES

Eduadr G. Gryaznukhin

Abstract

5.05.1937 - 24.11.2010

Traumatology and Orthopedics of Russia. 2010;16(4):119
pages 119 views

ARTICLES

Published in 2010 Articles' list

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Traumatology and Orthopedics of Russia. 2010;16(4):120-124
pages 120-124 views

Authors published in 2010

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Traumatology and Orthopedics of Russia. 2010;16(4):125-126
pages 125-126 views

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