No 3 (2009)

ARTICLES

NESVOBODNAYa KOSTNAYa PLASTIKA V LEChENII BOL'NYKh S NARUShENIYaMI ATsII PERELOMOV LAD'EVIDNOY KOSTI ZAPYaST'Ya

Shapovalov V.M., Kochish A.Y., Gubochkin N.G., Tkachenko M.V., Kudyashev A.L.

Abstract

The appropriateness of united donor site selection on dorsal wrist and hand suitable for formation and transfer of five different island bone grafts to navicular bone was grounded in the course of topographic-anatomic study using 25 upper extremities of 13 adult wandering cadavers. The study results were confirmed during 28 successful surgeries using such autografts performed at Army Medical College in 28 patients at the age of 15-50. The comparative analysis of results of treatment these patients operated with developed and traditional methods revealed the great effectiveness proposed surgical procedures.
Traumatology and Orthopedics of Russia. 2009;(3):7-15
pages 7-15 views

INTERNAL compression plating at proximal humeral fractures

Kopysova V.A., Kaplun I.V., Zhukov A.E., Nysambaev R.S., Zaharov V.A., Nevolin A.S.

Abstract

At 65 patients with bifocal extra-articular fractures of humerus proximal segment (type B) and splintered intra-articular fractures (type C) osteosynthesis using shape memory effect constructions was used. Osseous defects have been replaced by porous implants. At patients with humerus rotatory cuff damage and fracture-dislocations the access through acromion was applied. Good functional results of a treatment were achived in 81,8-85,7% of cases. Results of humerus proximal segment reconstruction after inconsistent osteosynthesis were considerably worse. Complete restoration of shoulder joint function was reached just in 5 (55,6%) of 9 patients.
Traumatology and Orthopedics of Russia. 2009;(3):16-19
pages 16-19 views

Differentiated pathogenetic approach to the selection of rehabilitation facilities for the patients with the posttraumatic knee and ankle osteoarthrosis

Udartsev Y.Y., Chantsev A.V., Raspopova Y.A.

Abstract

The authors examined two groups of patients with the total number of 417. In the first group (215 people) they applied a methodological approach based on the discrimination of the main clinical syndromes on every stage of osteoarthrosis and in the process of rehabilitation such means and methods that influence the pathogenesis disturbances diagnosed were used. In the second group of patients rehabilitation was conducted with regards of inflammatory process activity in the joint, irrespective of the stage of osteoarthrosis and peculiarities of clinical disease course. The advantages of new practice of rehabilitation process planning of the patients from the first group are shown with the help of special methods of. Therewith the more definite them an second group patients regression of the inflammation changes of the joints is revealed: reduction of thermal skewness, reduction of exudates amount and thickness of synovial membrane, normalization of synovial epithelium analysis, growth of anti-inflammatory cytokines amount. At the same time the decrease of the destruction processes activity in the joint cavity is marked (the decrease of tissue cellular elements in the synovial membrane liquid, the growth of the sickness of the joint cartilage) and, improvement of the synovial homeostasis and regional blood circulation. As a result of these positive changes the decrease of the pain syndrome intensity was revealed and also the improvement of the functional state of the joints, and the increase of the amount of movement within them.
Traumatology and Orthopedics of Russia. 2009;(3):20-27
pages 20-27 views

the combined physio-functional therapy using selective photochromotherapy of patients with vertebral lumbosacral osteochondrosis attended by reflectory syndromes

Vasilkin A.K., Zhirnov V.A., Kiryanova V.V., Zhulyov N.M., Guzalov P.I.

Abstract

The effect of the selective photochromotherapy (blue light with 480 нм wave-length) on reflectory syndromes at vertebral lumbosacral osteochondrosis was studied. The authors revealed that its application allows to improve the results of combined physio-functional therapy, particularly to stop the pain syndrome more quickly, to restore spine functions, to increase the motor activity and remission periods, to reduce the number of exacerbations. Good and satisfactory results of the combined physio-functional therapy including selective photochromotherapy were achieved in 93,3% of patients whereas the same treatment without blue light allows to attain the similar results only in 85,7%.
Traumatology and Orthopedics of Russia. 2009;(3):28-32
pages 28-32 views

Combined low-frequency electrotherapy, magnitotherapy and infrared laser-therapy of the damages of muscles of lower extremities in professional athletes

Pleshkov P.S., Ponomarenko G.N.

Abstract

Combined low-frequency electro-, magnetotherapy and infrared laser-therapy causes the regress of the clinical manifestations at the damages of lower extremities muscle, improves its function and can be effective as the base method of rehabilitation therapy in the treatment of sportsmen with the injuries of the muscular system of the lower extremities of the mild-to-moderate degree.
Traumatology and Orthopedics of Russia. 2009;(3):33-38
pages 33-38 views

surgical treatment of isolated congenital malformation of lumbar and thoracolumbar spine in younger children

Vissarionov S.V.
Traumatology and Orthopedics of Russia. 2009;(3):39-44
pages 39-44 views

Neuromuscular and vascular affection in lower limbs in children with paralytic foot deformities in diastematomyelia 1 type of lumbosacral localization

Degtyareva E.I., Baindurashvili A.G., Konyukhov M.P.

Abstract

The complex study of 7 children with diastematomyelia of the lumbosacral spine of age 1.5-4 years was performed using electromyograpy, electroneuromyograpfy and Doppler ultrasonography. The authors revealed the changes in muscular tissue electrogenesis in low extremity, changes in the vascular bed of the affected extremity and disturbances in the neurological status.
Traumatology and Orthopedics of Russia. 2009;(3):45-49
pages 45-49 views

HIERARCHIC ORGANIZATION OF THE SKELETON - A FACTOR REGULATING THE STRUCTURE OF FATIGUE INJURIES. I. THEORETICAL FOUNDATION

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

Abstract

Is suggested a theoretical foundation for the concept in accordance with which hierarchic organization of the skeleton should be regarded as a factor regulating the structure of fatigue injuries, taking into account the known morphological markers of fatigue destruction of osseous structures, peculiarities of hierarchic organization of the skeleton, laws of the science of materials. The authors present the history of the question, literature findings about the density of fatigue microinjuries in vivo, modern knowledge concerning the mechanisms of microinjuries marking and development of local predisposition to their formation.
Traumatology and Orthopedics of Russia. 2009;(3):50-58
pages 50-58 views

Intramedullary osteosynthesis of A1 type tibial fractures

Litvinov I.I., Razankov A.G.

Abstract

Authors analyzed results of osteosynthesis by locking and not-locking nails in treatment of 64 patients with diaphyseal extra-isthmal A1 type tibial fractures. Patients were divided into two clinical groups. The first group consisted of 20 patients with juxta-isthmal fractures, the second - 44 patients with juxta-metaphyseal fractures. The obtained data show that the use of locking nails and rectangular section nails produced good results at juxta-isthmal fractures. In cases of juxta-metaphyseal fracture the use of rectangular section nails was associated with a greater risk of complications compared to locking nails.
Traumatology and Orthopedics of Russia. 2009;(3):59-63
pages 59-63 views

Surgery treatment of patients with injuries of pelvic ring

Shlykov I.L., Kuznetsova N.L., Agalakov M.V.

Abstract

The author's methods of surgical treatment of bilateral pelvic injuries are described. The results from 6 to 12 months after surgery are presented. The excellent and good results were achieved in 77% of patients with injury class B3 and C2.
Traumatology and Orthopedics of Russia. 2009;(3):64-69
pages 64-69 views

Dynamics of basic levels of temporary labor disability due to injuries and musculoskeletal diseases in population of Leningrad-St-Petersburg (overall results of 30-year monitoring held since 1976 to 2008)

Tikhilov R.M., Vorontsova T.N., Luchaninov S.S.

Abstract

On the basis of statistical findings, received by monitoring of levels of temporary labor disability happened as the result of injuries, poisonings and musculoskeletal diseases in adult population of Leningrad - St. Petersburg, the analysis of dynamics of basic temporary labor disability levels was done. The article introduces with basic findings gained in 30-year investigation. The level of temporary labor disability due to injuries and musculoskeletal diseases for better obviousness was calculated separately for each age group.
Traumatology and Orthopedics of Russia. 2009;(3):70-77
pages 70-77 views

The use of low-invasive surgery in treatment of degenerative dystrophic spine diseases

Usikov V.D., Ptashnikov D.A., Mikhailov D.A.

Abstract

The authors described the history of low-invasive spine surgery developing; positive and negative aspects of every method. The aetiology and pathogenesis of degenerative dystrophic spine diseases are also shown. The modern percutaneous punctural methods of treatment of these diseases are considered.
Traumatology and Orthopedics of Russia. 2009;(3):78-84
pages 78-84 views

High pressure injection injuries of the hand

Matveev R.P., Petrushin A.L.
Traumatology and Orthopedics of Russia. 2009;(3):85-92
pages 85-92 views

The methods of the surgical correction of the mobile equino-plano-valgus deformation feet in the children with cerebral palsy: the crux of the matter according to the literature data

Umnov D.V.

Abstract

Based on the literature data, the author analyses the effectiveness of the main operative methods of the mobile correction of the equino-plano-valgus foot deformation (EPVDF) in children with infantile cerebral palsy (CP). The main aspects of the etiopathology and clinical presentations of the pathology and methods of its diagnosis are highlighted. Based on the lot of literature sources, the author makes a conclusion about the lack of surgical methods, that permit to carry out the correction all the EPVDF components in the patients with CP without arthrodesis of the any foot joint, transarticular osteotomy or devices implantation. The development of the operative interventions without any anatomy disturbing or joint functions of the numerous patients and possessing reconstructive opportunities is one of the most perspective directions in surgery of the foot pathology of the children with spastic EPVDF.
Traumatology and Orthopedics of Russia. 2009;(3):93-100
pages 93-100 views

Modern conception of degenerative spine disease pathology and imaging

Kholin A.V.

Abstract

Pathology, classification and imaging the degenerative diseases of the spine are discussed. The etiology of pain and myelopathy at degenerative disease is cascade process. Imaging features and clinical correlates in pain and syndromes are presented. The role of imaging is to provide accurate morphologic information, root entrapment at first. MRI is the preferred examination in the assessment of disc herniation, although it has some limitations. Decision making should be based on imaging and clinical manifestations.
Traumatology and Orthopedics of Russia. 2009;(3):101-107
pages 101-107 views

To a question on early diagnostics of pathology of the musculoskeletal system at newborns

Baindurashvili A.G., Kenis V.M., Chukhraeva I.Y.

Abstract

Article is devoted pressing question of children's traumatology and orthopedy - early diagnostics diseases of the musculoskeletal system at children. In it short-lived results of orthopedic screening of newborns are presented.
Traumatology and Orthopedics of Russia. 2009;(3):108-110
pages 108-110 views

Arthroplasty is the most effective method of rehabilitation of patients with gunshot injuries of the hip joint

Akhmedov B.A., Tikhilov R.M., Shubnyakov I.I., Ataev A.R.
Traumatology and Orthopedics of Russia. 2009;(3):111-115
pages 111-115 views

Prophylaxis of the early hip arthroplasty in patients with epiphyseal aseptic necrosis of upper end of femur

Akhtyamov A.I., Anisimov O.G., Kovalenko A.N., Guryleva M.E., Budyak Y.V.
Traumatology and Orthopedics of Russia. 2009;(3):116-118
pages 116-118 views

Features of primary and revision cementless implantation of the pelvic component in the dysplastic coxarthrosis

Volokitina E.A., Kolotygin D.A.
Traumatology and Orthopedics of Russia. 2009;(3):119-121
pages 119-121 views

Periprothesis fractures of the proximal femur during hip replacement in FGU "32 TSVMKG"

Gritsyuk A.A., Sereda A.P., Kostritsa A.N., Chervyakov A.V., Tolstukhin A.N., Lukyanov S.V., Stolyarov A.A.
Traumatology and Orthopedics of Russia. 2009;(3):122-124
pages 122-124 views

Prevention radiating pain after hip replacement

Denisov A.O., Shilnikov V.A., Baiborodov A.B., Yarmilko A.V.
Traumatology and Orthopedics of Russia. 2009;(3):125-126
pages 125-126 views

Current approaches to implement the first stage of the revision hip arthroplasty in the late infectious complications

Dzyuba G.G., Reznik L.B.
Traumatology and Orthopedics of Russia. 2009;(3):127-129
pages 127-129 views

Acetabulum alloplasty at the primary and revision hip replacement 130

Dianov S.V., Tarasov A.N.
Traumatology and Orthopedics of Russia. 2009;(3):130-132
pages 130-132 views

Objective assessment of intravascular thrombotic complications in the hip replacement

Ezhov I.Y., Zagrekov V.I., Korytkin A.A., Levin G.Y., Shebashev A.V., Belousov B.Y.
Traumatology and Orthopedics of Russia. 2009;(3):133-135
pages 133-135 views

Dislocations after total hip replacement: risk factors, treatment techniques

Klyuchevsky V.V., Danilyak V.V., Belov M.V., Gilfanov S.I., Konev D.E., Klyuchevsky I.V., Molodov M.A.
Traumatology and Orthopedics of Russia. 2009;(3):136-137
pages 136-137 views

The method of reconstruction of the acetabulum in revision arthroplasty

Kagramanov S.V.
Traumatology and Orthopedics of Russia. 2009;(3):138-140
pages 138-140 views

Features of the removal of the endoprosthesis SLPS "Altimed"

Kaminsky A.V., Volokitina E.A., Gorbunov E.V.
Traumatology and Orthopedics of Russia. 2009;(3):141-143
pages 141-143 views

The effectiveness of total replacement of large joints of lower extremities in patients with rheumatoid arthritis according to the biomechanical and electromyographic studies

Kroitoru I.I., Tikhilov R.M., Bely K.P., Kulyaba T.A., Kornilov N.N., Selin A.V., Petukhov A.V., Kazemirsky A.V., Ignatenko V.L., Saraev A.V.
Traumatology and Orthopedics of Russia. 2009;(3):144-147
pages 144-147 views

Bone alloplasty in revision knee arthroplasty

Kulyaba T.A., Kornilov N.N., Tikhilov R.M., Selin A.V., Kroitoru I.I., Petukhov A.I., Zasulsky P.Y., Kazemirsky A.V.
Traumatology and Orthopedics of Russia. 2009;(3):148-150
pages 148-150 views

Early two-stage revision hip and knee joint replacement after a deep suppuration

Linnik S.A., Romashov P.P., Novoselov K.A., Khaimin V.V., Kharitonov A.A., Markovichenko V.A., Petrov V.A.
Traumatology and Orthopedics of Russia. 2009;(3):151-154
pages 151-154 views

The use of OSTEOSET for filling bone cavities

Linnik S.A., Romashov P.P., Novoselov K.A., Khaimin V.V., Kharitonov A.A., Markovichenko V.A., Petrov V.A., Kravtsov A.G., Nesterov N.N., Kosov D.A., Shcheglov O.V., Nikitin G.D.
Traumatology and Orthopedics of Russia. 2009;(3):155-156
pages 155-156 views

The influence of the relationship the center of rotation of the head and a large trochanter on the kinematic balance of the hip joint

Minasov B.S., Rakhmatullin R.N., Minasov T.B.
Traumatology and Orthopedics of Russia. 2009;(3):157-158
pages 157-158 views

Hip and knee joints arthroplasty in patients with the consequences of pulmonary tuberculosis and osteo-articular system

Peretsmanas E.O., Alatortsev A.V., Zubikov V.S.
Traumatology and Orthopedics of Russia. 2009;(3):159-160
pages 159-160 views

Complications in the use of computer navigation during total knee arthroplasty

Petukhov A.V., Kornilov N.N., Kulyaba T.A., Tikhilov R.M., Selin A.V., Kroitoru I.I., Ignatenko V.L., Saraev A.V., Muranchik Y.I.
Traumatology and Orthopedics of Russia. 2009;(3):161-163
pages 161-163 views

The system of hip replacement registration in FGU "32 TSVMKG"

Sereda A.P., Gritsyuk A.A., Kostritsa A.N., Cherviakov A.V., Tolstukhin A.N., Lukyanov S.V., Stolyarov A.A.
Traumatology and Orthopedics of Russia. 2009;(3):164-166
pages 164-166 views

Hip arthroplasty for fractures of the proximal femur in patients over age group

Slobodskoi A.B., Lezhnev A.G., Badak I.S., Voronin I.V., Dunaev A.G., Bystryakov P.A.
Traumatology and Orthopedics of Russia. 2009;(3):167-170
pages 167-170 views

The variants of acetabular plasty and the method the joint replacement at deformations and defects of the proximal femur

Shilnikov V.A., Denisov A.O., Baiborodov A.B., Yarmilko A.V.
Traumatology and Orthopedics of Russia. 2009;(3):171-172
pages 171-172 views

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