Traumatology and Orthopedics of Russia

Ежеквартальный рецензируемый научно-практический журнал



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О журнале

Журнал издается с 1993 года и является первым в современной России периодическим изданием, в котором всесторонне освещаются актуальные проблемы травматологии и ортопедии. 

Миссия журнала заключается в продвижении результатов исследований в клиническую практику для улучшения и совершенствования травматолого-ортопедической помощи пациентам. При содействии ведущих клиницистов и исследователей мы стремимся стать ведущим журналом России, предоставляющим отечественные и международные исследования, основанные на принципах доказательной медицины и расширяющим знания о костно-мышечной системе.

Цели и задачи журнала:

  • информирование российских и зарубежных читателей о новых экспериментальных и клинических исследованиях в области травматологии и ортопедии;
  • предоставление платформы для научных дискуссий и достижения консенсуса по спорным аспектам диагностики и лечения заболеваний опорно-двигательной системы у взрослых и детей;
  • содействие расширению сотрудничества российских и зарубежных специалистов в области травматологии и ортопедии для формирования современной травматолого-ортопедической практики.


ВАК: с 2001 года журнал «Травматология и ортопедия России» входит в список ведущих периодических изданий, рекомендованных Высшей аттестационной комиссией РФ для публикации основных научных результатов диссертаций на соискание учёной степени доктора и кандидата наук.


  • на русском и английском языке;
  • ежеквартально (4 выпуска в год);
  • на сайте журнала в режиме Online First;
  • бесплатно для авторов;
  • в открытом доступе (Open Access), распространяются на условиях открытой лицензии Creative Commons Attribution 4.0 International (CC BY 4.0).


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Current Issue

Vol 29, No 1 (2023)


Variants of Acetabular Deformity in Developmental Dysplasia of the Hip in Young Children
Bortulev P.I., Baskaeva T.V., Vissarionov S.V., Barsukov D.B., Pozdnikin I.Y., Poznovich M.S.

Background. The choice of pelvic reconstruction technique in children with developmental dysplasia of the hip (DDH) has been the subject of discussion for many years and is often determined by personal preferences of a surgeon rather than by X-ray anatomical state of the acetabulum. The variants of its anatomy structure have still not been reflected in the available scientific literature.

Aim of the study — to identify the most typical variants of acetabular deformation in children with varying severity of DDH, based on the X-ray anatomical analysis of structure of the acetabulum.

Methods. The study was based on the results of examination of 200 patients (200 hip joints) aged 2 to 4 years (3.1±0.45) with Tönnis grade II-IV DDH. All patients underwent conventional clinical and radiological examination. The latter consisted of hip radiography in several views and computed tomography. We took the values of acetabular index, the extent of acetabulum arch and the presence or the absence of bone oriel as criteria for determination of the most typical variants of acetabular deformation.

Results. X-ray analysis of anatomical structure of the acetabulum in young children with varying severity of DDH revealed 3 most common variants of acetabular deformity: 1 — moderate underdevelopment of the acetabulum arch (AI ≤ 35°), its shortening and the presence of bone oriel; 2 — pronounced underdevelopment of the acetabulum arch (AI > 35°), its shortening and the presence of bone oriel; 3 — pronounced underdevelopment of the acetabulum arch (AI > 35°), its sufficient length and the absence of bone oriel.

Conclusion. Suggested supplements to existing Tönnis DDH classification might become basic for choosing the surgical correction technique of the acetabulum in children with different severity of DDH.

Traumatology and Orthopedics of Russia. 2023;29(1):5-16
pages 5-16 views
Functional Outcome of Preoperative Exercises on Range of Movements Following TKA: A Prospective Comparative Study
Pavith J., Pothuri R., Praveen N., Surya Sri Karun C.

Background. The range of motion prior to total knee arthroplasty (TKA) is a key determinant of the postoperative range of motion. The chance that the accompanying stiffness of the extensor mechanism may lead to limited flexion following surgery increases with how restricted the preoperative range of motion was. It would make sense to enhance knee ROM before surgery in order to optimize flexion following TKA. Final flexion following TKA is affected by a number of factors, although preoperative range of motion is the most important.

The aim of the study — to evaluate the functional performance and efficacy of the preoperative exercise programme on the osteoarthritic knee during the exercise period, following arthroplasty, during immediate postoperative recovery, and at 1, 3, 6 and 12 months after surgery.

Methods. For the study, 156 patients with knee arthritis were collected over a period of one and a half years. In this prospective study, they were divided into a treatment group and a control group. Preoperative knee exercise was given to 78 patients for at least one month. Prior to and following the treatment group’s workouts, all patients were observed. The time in days before reaching 90° of knee flexion and the length of the hospital stay were the data that were gathered. At 4 weeks, 3 months, 6 months, and 1 year, each subject had their knee ROM and KSS reevaluated.

Results. Knee workouts were unquestionably helpful in achieving early knee flexion up to 90° in comparison to that of the control group. When the treatment group was compared to the control group, knee flexion to about 90° and more was attained in about 4 weeks; this difference was statistically significant (p<0.01). However, there were no appreciable variations in the knee range of motion achieved on long-term follow-up for 6 months and a year.

Conclusion. In conclusion, prehabilitation significantly improves the KSS for the treatment group both before surgery and three months after surgery. Exercises done before to surgery help patients recover more quickly from TKA and may speed up the process of achieving a good flexion and extension range of motion. However there is no significant difference in functional outcome after one year post surgery in both groups.

Traumatology and Orthopedics of Russia. 2023;29(1):17-24
pages 17-24 views


Properties of Calcium Phosphate/Hydrogel Bone Grafting Composite on the Model of Diaphyseal Rat Femur’s Defect: Experimental Study
Shcherbakov I.M., Klimashina E.S., Evdokimov P.V., Tikhonov A.A., Putlayev V.I., Shipunov G.A., Zatsepin V.A., Dubrov V.E., Danilova N.V., Malkov P.G.

Background. The problem of bone defects replacement is relevant nowadays, that is why many scientists create new synthetic bone substitutes, but the «ideal» material has not been found so far.

The aims of the study: 1) to determine the suitability of the monocortical defect model in the rat femur diaphysis with additional prophylactic reinforcement with a bone plate for assessing the biological properties of implanted materials using the commercially available ChronOS® material as an example; 2) to assess of the osteoconductive properties of composite materials based on poly(ethylene glycol)diacrylate and octacalcium phosphate with architecture Kelvin and gyroid types on the developed model.

Methods. A prospective study, level of evidence II. A monocortical defect of the rat femoral diaphysis (length 7 mm) was produced under anaesthesia in aseptic conditions and fixed with a polyetheretherketone plate and six titanium screws. In the control group, the defect was left empty. In other groups, blocks of one of three materials were implanted — сhronOS and composites of poly(ethylene glycol)diacrylate and octacalcium phosphate with 3D-printed Kelvin and gyroid architectures. After 3 and 6 weeks, the rats were sacrificed, and histological examination of the defect zone was performed. The amount of newly formed bone tissue was histometricly assessed, followed by statistical processing of the results.

Results. All rats have reached the planned endpoint, and there were no infectious complications or loss of fixation. Histological examination of the defect zone revealed minimal bone growth in the Control group, rather slow bone formation in the Gyroid group, and statistically significantly more pronounced bone formation in the pores of the materials in the Kelvin and Chronos groups.

Conclusions. Bone defect in this model was not spontaneously filled with bone tissue and allowed us to study the biological properties of bone substitutes (the ability to biodegrade and osteoconductive properties). The osteoconductive properties of a composite material based on poly(ethylene glycol)diacrylate and octacalcium phosphate with a Kelvin architecture are higher than with a gyroid architecture and are comparable to that of the сhronOS.

Traumatology and Orthopedics of Russia. 2023;29(1):25-35
pages 25-35 views
Perifocal Soft Tissue Reactions in Response to Contaminated Implants With a Composite Antibacterial Coating: Experimental Study
Savchuk O.P., Tapalski D.V., Zinovkin D.A., Nikolaev V.I., Yarmolenko M.A., Rogachev A.A.

Background. Protection against microbial colonization of surface fixators for metal osteosynthesis can reduce the number of infectious complications.

The aim of the study was to experimentally assess early perifocal tissue reactions to metal implants with a composite antibacterial coating under microbial load.

Methods. Fragments of steel pins for osteosynthesis (diameter 1 mm) with a four-component antibacterial coating based on polylactide, polyurethane, ciprofloxacin and silver nanoparticles were contaminated by methicillin-resistant S. aureus (MRSA) 43431. They were implanted in rats within the quadriceps femoris. Contaminated uncoated pins were used as a control. The animals were withdrawn from the experiment on the 2nd, 4th, 7th day after implantation. Histopathological specimens from tissue around implants were prepared. A semiquantitative assessment of reactions was performed.

Results. The microbial load before implantation was (1.12±0.26)×106 S. aureus cells for the control implants and (0.86±0.31)×106 cells for implants with antibacterial coating. Tissue inflammatory reactions on the second day of implantation were equally evident in the control and investigated groups. There was a significant reduction in the number of immune cells and necrotic detritus, as well as increased growth of connective tissue and neoangiogenesis in the experimental group by the 4th day. The appearance of a less pronounced well-vascularized fibrous capsule around the experimental implants was noted by the 7th day. It indicates a more favorable healing of soft tissues in comparison with the control.

Conclusion. Weak morphological manifestations of tissue reactions in response to the fitting of contaminated implants with an antibacterial coating can be associated with both the direct antimicrobial effect of the coating components and the anti-inflammatory activity of silver nanoparticles and ciprofloxacin included in its composition.

Traumatology and Orthopedics of Russia. 2023;29(1):36-45
pages 36-45 views
Deproteinized Bone Tissue as a Matrix for Tissue-Engineered Construction: Experimental Study
Anastasieva E.A., Cherdantseva L.A., Tolstikova T.G., Kirilova I.A.

Background. At present, for a number of reasons the complete bone defect replacement with autogenous bone is not always possible. Bone substitute materials are used as an alternative to autogenous bone tissue and can be of either biological or non-biological origin. One of the ways of development of reconstructive technologies is the use of tissue-engineered constructs that fully imitate autogenous bone tissue in the required volume.

Aim of study — to define in vivo the possibility of using deproteinized human cancellous bone tissue as a matrix for creating tissue-engineered constructs.

Methods. An in vivo study was carried out on NZW rabbits. To create a construct, we used the fragments of deproteinized cancellous bone tissue of the human femoral head and stromal vascular fraction of rabbit adipose tissue as a matrix. Bone defect modeling with its subsequent replacement was performed to evaluate the efficacy of reparative osteogenesis during bone defects’ reconstruction. Study groups were defined: group 1 (control) — surgical modeling of a bone defect of the femur without its reconstruction; group 2 — surgical modeling of a bone defect of the femur with its reconstruction using fragments of deproteinized cancellous bone matrix; group 3 — surgical modeling of a bone defect of the femur with its reconstruction using fragments of deproteinized cancellous bone matrix in combination with stromal vascular fraction of adipose tissue (according to ACP SVF technology).

Results. Comparative analysis of reparative processes in case of applying tissue-engineered constructs based on deproteinized human cancellous bone matrix in combination with adipose tissue-derived stromal vascular fraction on in vivo experimental model revealed that the use of these bone substitute materials contributes not only to an early activation of reparative regeneration of main structural elements of the bone tissue in the area of the bone defect replacement, but also to its well-timed differentiation. This determines the restoration of structural and functional viability of the bone tissue at the damage site without developing discernible reactive inflammation. Moreover, the effect of the selected tissue-engineered construct with the combined influence of several factors (ACP SVF) in its composition turned out to be more effective in stimulating bone tissue repair and differentiation.

Conclusion. Combination of SVF and deproteinized bone matrix for creating tissue-engineered constructs enables to engage several regeneration mechanisms and accelerate the process of bone defect replacement in comparison with isolated deproteinized bone matrix without bone defect reconstruction.

Traumatology and Orthopedics of Russia. 2023;29(1):46-59
pages 46-59 views


Follow-Up After Hip and Knee Arthroplasty: a Review of the Literature and a Report on a Pilot Project at the Vreden National Medical Research Center of Traumatology and Orthopedics
Sereda A.P., Dzhavadov A.A., Cherny A.A., Bilyk S.S., Denisov A.O., Shubnyakov I.I., Kornilov N.N., Avdeev A.I., Stolyarov A.А., Demin A.S., Tikhilov R.M.

Background. Today in our country, the follow-up of patients after arthroplasty is carried out in accordance with clinical guidelines, the wording of which is based on monographs from 2006, 2008, and 2014, in addition, clinical guidelines for follow-up do not take into account the results of treatment assessed by the patient himself.

The purpose of this study was to examine existing systems and develop a proprietary follow-up system for patients after hip and knee arthroplasty.

Results. A review of the literature revealed that follow-up of patients after arthroplasty is an unsolved problem, within which there is low coverage, reluctance or forgetfulness of the asymptomatic patient, the problem of accessibility of medical examinations, and an excessive financial burden on the health care system. Since 2022, fixed recommendations for follow-up after arthroplasty have been used in the clinical practice of our center in discharge epicrisis. Recommendations for the frequency of follow-up were formulated by experts based on a comprehensive review of the literature and their own experience. In the first three months, 221 hip and 235 knee evaluation questionnaires were collected through the proposed mechanism, with a progressive increase in the number of questionnaires based on weekly monitoring data.

Conclusion. Unfortunately, the outpatient clinic system is not always able to provide qualitative monitoring of patients after arthroplasty due to various reasons, therefore, in our opinion, the implementation of the mechanism of remote monitoring of patients will allow detecting various complications at the stage of early diagnosis, which will contribute to prompt solution of these problems. The remote monitoring system is also an important source of scientific data.

Traumatology and Orthopedics of Russia. 2023;29(1):60-72
pages 60-72 views
The State of Hip Arthroscopy in Russia: Assessment Based on a Sociological Survey of Doctors
Gerasimov S.A., Zykin A.A., Morozova E.A.

Background. Hip arthroscopy is a minimally invasive surgical technique most commonly performed to correct femoroacetabular impingement (FAI). Currently, it is widely used by worldwide; in addition, there are a significant number of english-language publications on this topic. The number of hip arthroscopy performed in Russia is unknown. Information about this surgical technique is also very limited in our country.

The aim of the study was to assess the level of hip arthroscopy in Russia.

Methods. A total sociological survey of orthopaedic surgeon with experience in performing hip arthroscopy was conducted. The questionnaire was posted on the Google Forms platform and consisted of 13 questions of closed, semi-closed and open types. The survey included 54 surgeons from Russian clinics, 45 people filled out the questionnaire.

Results. Among the respondents, doctors with experience in performing arthroscopic operations on the knee and shoulder joints predominated (100.00±0.00% and 93.30±0.03%, respectively). The majority of specialists (73.30±0.06%) were trained in hip arthroscopy during the primary course in one of the clinics in Russia. More than half of the respondents (68.80±0.06%) are currently engaged in this surgical area, however, in 45.16±0.07% of them, the number of operations does not exceed 5 per year. For surgeons who have completed two or more training courses, the volume of operations performed is higher (p<0.05); 51.11±0.07% of doctors perform arthroscopy using an alternative technique. There are 2.5 time more specialists doing just bone resection, than surgeons who apply any kind of reconstruction technique while treating FAI (p<0.05). Fifteen respondents (48.39±0.08%) perform debridement as an attempt to delay arthroplasty. The most common difficulties faced by surgeon are problems with the diagnosis of FAI (no patients) (40.00±0.02%), lack of the necessary tools (40.00±0.02%) and sufficient time to master the technique (33.30±0.07%). Only three (6.60±0.07%) respondents believe that they manage to achieve the planned results of the operation, 93.30±0.03% of surgeons said that it is not always possible to achieve the desired outcomes.

Conclusion. Hip arthroscopy in Russia is not very common, the volume of such interventions is insignificant. Doctors with minimal skills in arthroscopic hip surgery predominate. Factors that impede the development of this area in our country are related to teaching methods, problems with FAI diagnostics, the lack of necessary instruments for performing operations, and the lack of time for specialists to master surgical techniques.

Traumatology and Orthopedics of Russia. 2023;29(1):73-83
pages 73-83 views


Stenotrophomonas maltophilia Infection in Trauma and Orthopedic Patients: Clinical Experience and Review
Kasimova A.R., Gordina E.M., Toropov S.S., Bozhkova S.A.

Background. Stenotrophomonas maltophilia (S. maltophilia) is a gram-negative non-fermenting bacillus and is a rare pathogen of orthopedic infection. Due to the relatively low virulence of S. maltophilia, many clinicians are still faced with the question of whether this bacterial species is simply a colonizing agent or the true cause of infection.

Aim of the study — to raise the awareness of practitioners about S. maltophilia as a rare pathogen of orthopedic infection.

Methods. A retrospective analysis was performed concerning the frequency of S. maltophilia isolation from patients treated at the Vreden Center for periprosthetic infection and/or osteomyelitis from January 1, 2009 to October 31, 2022. The literature search by keywords was carried out in the PubMed/MEDLINE, Scopus, eLIBRARY, and Cyberleninka databases. The search retrieved 587 articles published in Russian or English over the period from 2012 to November 2022.

Results. During the study period, 9 cases of orthopedic monoinfection with S. maltophilia were identified in 9 patients aged 36 to 83 years. At the time of admission, no leukocytosis was detected in patients, and only 2 of 9 patients had elevated C-reactive protein level. S. maltophilia is naturally resistant to many broad-spectrum antibiotics. Co-trimoxazole is considered the drug of choice for the treatment of S. maltophilia infection. The limited choice of drugs for targeted therapy, the presence of multiple determinants of antibiotic resistance, the existence of microbial associations and patient risks including implantation, chronic nature of infection, elderly age, as well as the presence of significant concomitant somatic pathology can lead to the ineffectiveness of the ongoing treatment of infections caused by S. maltophilia. Our experience shows that in the case of sensitivity of S. maltophilia strain to co-trimoxazole it is possible to prescribe this drug for a long course as monotherapy, provided that the radical surgical treatment of the focus is performed.

Traumatology and Orthopedics of Russia. 2023;29(1):84-94
pages 84-94 views

Case Reports

Revision Reconstruction of the Cervical Spine in a Patient With Early Deep Surgical Site Infection Complicated by Angular Kyphosis: Case Report and Review
Naumov D.G., Tkach S.G., Ladygin A.A., Shchelkunov M.M., Karpushin A.A.

Background. Deep surgical site infection (DSSI) is one of the most severe complications in spinal surgery. The timing and nature of DSSI are the determining criteria in the choice of treatment tactics. The uniqueness of the clinical observation is the combination of early DSSI, epidural abscess and angular kyphotic deformity formed after a course of conservative antibacterial therapy in a patient who underwent surgery for degenerative-dystrophic disease of the cervical spine. Correction of angular kyphosis, removal of fractured vertebrae, interbody implants and three-column cervical reconstruction were performed in one surgical session.

Case presentation. A 57-year-old patient was admitted to the clinic after staged surgical interventions on the cervical spine for multilevel degenerative stenosis of the spinal canal. The primary surgical interventions were complicated by DSSI in the early period after the second surgery with formation of angular kyphosis of the cervical spine. The patient underwent revision one-stage reconstructive intervention to correct the deformity, decompress the spinal canal, and three-column reconstruction of C3-7 segments. Long-term follow-up showed persistent reduction of pain syndrome, improved quality of life and absence of recurrence of DSSI.

Conclusion. The presented case illustrates the possibilities of one-stage revision three-column cervical spine reconstruction for correction of sagittal profile, decompression of intracanal neural structures and ensuring stability of operated segments. Use of DSSI treatment algorithms based on Prinz V. and Vajkoczy P. classification contributes to the selection of the optimal tactics of patient management.

Traumatology and Orthopedics of Russia. 2023;29(1):95-103
pages 95-103 views
Reconstruction of Traumatic Medial Malleolus Loss With a Free Iliac Crest Autograft: Case Report
Mursalov A.K., Kositsyn G.M., Dzyuba A.M.

Background. In the world literature only a few cases of medial ankle reconstruction after its traumatic loss were described. The authors have not found similar cases in the Russian-language literature.

The aim of the study is to show a rare clinical case of a patient with a traumatic defect of the medial ankle and to describe the method of its reconstruction.

Case presentation. A 52-year-old patient suffered a motorcycle injury resulting in an open fracture of the medial ankle with bone fragment loss. The patient was taken to a medical facility where he underwent primary surgical treatment with wound suturing. Three months later, the reconstruction of the medial ankle with a free iliac crest autograft, medial ankle osteosynthesis and deltoid ligament plasty were carried out at N.N. Priorov National Medical Research Center of Traumatology and Orthopedics. In the postoperative period, immobilization of the ankle joint was performed for 4 weeks followed by the active development of motions and partial weight bearing 8 weeks after the surgery. The AOFAS score 12 months after the reconstruction was 93 points. According to CT scans, complete autograft integration was achieved and no signs of instability of the ankle joint were observed. The patient was satisfied with the performed surgical treatment.

Conclusion. The most optimal method of treatment in case of traumatic defect of the medial ankle is its reconstruction with a free iliac crest autograft. This allows us to form a graft of required parameters and shape, minimizing the risk of postoperative complications.

Traumatology and Orthopedics of Russia. 2023;29(1):104-110
pages 104-110 views


Posterolateral Rotational Knee Instability: Evolution and Current Trends in Surgical Treatment
Shulepov D.A., Sorokin E.P., Konovalchuk N.S., Pashkova E.A., Demyanova K.A.

Background. Diagnostics and treatment of patients with chronic posterior and posterolateral instability of the knee is one of the most understudied problems of modern orthopedics. This is due to rather low frequency of this pathology, as well as to complex anatomy of tendoligamentous structures of the posterolateral part of the knee joint. Steadily increasing number of foreign publications dedicated to this topic say that there is no common approach to the tactics of surgical treatment of patients of this category at the moment.

Aim of review — to evaluate the main trends of surgical treatment of this pathology according to the stage of involvement of various anatomical structures responsible for posterolateral rotational instability in the pathologic process.

Results. Despite a large number of methods of surgical treatment of posterolateral corner injuries, when analyzing modern publications, several main trends concerning posterolateral instability of the knee joint can be identified. In case of type 1 posterolateral instability, an isolated arthroscopic posterior cruciate ligament plasty is the most optimal. As for types 3 and 4, today such anatomical techniques as Larson and LaPrade have completely replaced the methods of non-anatomical reconstruction of the posterolateral corner. In addition, a large number of publications have recently appeared concerning arthroscopic techniques of these surgeries. The most important problem concerns the extent and the methods of surgical intervention in case of type 2 instability. Authors of the article consider that an arthroscopic posterior cruciate ligament plasty combined with popliteal tendon plasty is the most optimal for such category of patients.

Conclusion. The actual problem is the question of the method of surgical treatment in case of type 2 instability. The optimal technique for such patients is arthroscopic posterior cruciate ligament plasty combined with popliteal tendon plasty.

Traumatology and Orthopedics of Russia. 2023;29(1):111-122
pages 111-122 views
Cervical Spine in Scheuermann’s Disease: Review
Mikhaylovskiy M.V., Sergunin A.Y.

Background. The state of the cervical spine in patients with Scheuermann’s disease has still not been studied enough. This concerns the magnitude of cervical lordosis in the norm and in juvenile kyphosis in both pre- and postoperative periods, as well as the relationship of these changes with the spinopelvic parameters. There is almost no information on the correlation between the state of cervical lordosis and the development of proximal transitional kyphosis.

Aim of the study. To determine the features of the cervical spine in patients with Scheuermann’s disease in the pre- and postoperative periods by analyzing the literature data.

Results. The literature data do not allow us to clearly define the limits of normal in the quantitative assessment of cervical lordosis. The only thing all researchers agree on is that the cervical lordosis should be considered discretely, namely at the C1-C2 and C2-C7 levels. The most commonly used parameters of the cervical-thoracic junction are T1 slope, thoracic inlet angle (TIA) and position of the sagittal vertical axis (SVA).

The magnitude of cervical lordosis in Scheuermann’s disease varies from 4° to 35°, i.e., thoracic kyphosis increase is not always accompanied by the development of compensatory cervical hyperlordosis. In thoracic deformities (the apex is at the level of T10 and cranial), the magnitude of cervical lordosis is significantly greater than that in thoracolumbar deformities (the apex is at the level of T11 and caudal). In the first case, the cervical lordosis (C2-C7) is 19.4-26.2°, while in the second one — 4.7-8.5°.

Very few literature data demonstrate that in terms of cervical lordosis dynamics, patients with Scheuermann’s disease do not represent a homogeneous group. The only pattern is that the cervical lordosis increases slightly in the long–term postoperative period. The spinopelvic parameters in patients with Scheuermann’s disease differ little from the normal ones and almost do not change after corrective interventions. We could not find any publications attempting to relate the risk of PJK to cervical-thoracic junction parameters (T1, TIA, SVA).

Conclusion. The state of the cervical spine in patients with severe forms of Scheuermann’s disease, subject to surgical correction, has not been studied enough. This concerns the magnitude of cervical lordosis, its dynamics in the postoperative period, its relationship with spinopelvic parameters, as well as the correlation between parameters of transitional cervical-thoracic spine and development of proximal transitional kyphoses. Further studies of this problem are needed.

Traumatology and Orthopedics of Russia. 2023;29(1):123-134
pages 123-134 views
Options in Tendon Transfers for Anterior-Superior Rotator Cuff Tears: Review
Shershnev A.M., Dokolin S.Y., Kuzmina V.I., Kutuzov M.O., Yarets E.V.

Background. Irreparable anterior-superior rotator cuff tears can cause significant shoulder dysfunction due to the failure of normal biomechanics of the joint, because of the loss of compressive effect of the rotator cuff on the humeral head. Muscle-tendon transfers are an alternative to standard surgical treatment options: debridement of injured tendons, arthroscopic anchor suture, and reverse shoulder arthroplasty. Currently, several options of muscle-tendon transfers are described in the foreign literature, and there is an active discussion over the results of the already proposed techniques, and their improvements, while these techniques are practically not covered in the domestic literature.

The aim — to describe modern surgical technique options of the muscle-tendon transfers for the treatment of patients with anterior-superior rotator cuff tears based on a review of foreign literature sources.

Methods. The search for publications from 1988 to 2022 was carried out in the PubMed/MEDLINE and Google Scholar databases.

Results. Nowadays, the most common muscle-tendon transfers options for patients with anterior-superior rotator cuff tears are the sternocostal portion of the of pectoralis major tendon transfer and the latissimus dorsi tendon transfer. A review of foreign literature showed that muscle-tendon transfers are a well-described alternative to standard methods of treating profile patients with a predictable result.

Conclusion. Currently, there is no consensus on clear indications for certain types of muscle-tendon transfers in case of anterior-superior rotator cuff tears, there is a lack of data on long-term results. This determines the need of study of the long-term clinical results of use of these methods and develop an algorithm for choosing the tactics of surgical treatment of relevant patients.

Traumatology and Orthopedics of Russia. 2023;29(1):135-142
pages 135-142 views


Sergei S. Tkachenko. To the 100th Anniversary of the Birthko.
Khominets V.V.

July 18, 2023 marks the 100th anniversary of the birth of an outstanding orthopedic traumatologist, scientist, teacher, organizer of military healthcare, Doctor of Medical Sciences, professor, laureate of the USSR State Prize, corresponding member of the Academy of Medical Sciences of the USSR, Major General of the medical service Sergei Stepanovich Tkachenko.

Traumatology and Orthopedics of Russia. 2023;29(1):143-146
pages 143-146 views

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