Vol 16, No 4 (2010)
- Year: 2010
- Articles: 22
- URL: https://journals.rcsi.science/2311-2905/issue/view/6558
- DOI: https://doi.org/10.21823/2311-2905-2010-0-4
Original Study Articles
USING RECTANGULAR FEMORAL COMPONENT IN REVISION SURGERY AFTER THA FAILURE RESULTING FROM ASEPTIC LOOSENING
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
5-10
FEATURES OF SURGICAL TREATMENT OF PATIENTS WITH THE EXTRAARTICULAR HIP FRACTURES
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
11-17
SURGICAL TREATMENT OF ANKLE AND FOOT TUMORS
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
18-24
TREATMENT OF POSTTRAUMATIC ISCHEMIC CONTRACTURES OF THE THUMB
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
25-29
HYSTOMORPHOLOGIC CHANGES IN INJURED MENISCI IN CHILDREN
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
30-36
RESEARCH METHODS
SOME ASPECTS OF DIFFERENTIAL DIAGNOSTICS OF GIANT-CELL TUMOUR, OSTEOCYSTOMA AND OSTEOSARCOMA
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
37-40
THE USE OF COLOR-CODED DOPPLER TECHNIQUE IN DIAGNOSTICS OF BENIGN AND MALIGNANT TUMORS IN LOWER EXTREMITIES
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
41-44
STATIC SPINAL DEFORMITY SECONDARY TO PELVIC TILT IN CHILDREN AND ADOLESCENTS: DIAGNOSTICS AND METHODS OF CORRECTION
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
45-49
EXPERIENCE EXCHANGE
DEFORMATIONS OF THE PROXIMAL FEMUR CONSEQUENTLY BENIGN TUMORS IN CHILDREN AND ADOLESCENTS
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
50-58
DIAGNOSTICS AND TREATMENT OF DISTAL RADIOULNAR JOINT INJURIES
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
59-65
TREATMENT OF OPEN FEMUR FRACTURES USING INTERNAL OSTEOSINTESIS
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
66-69
NEW TECHNIQUES IN TRAUMATOLOGY AND ORTHOPEDICS
Z-APPROACH USAGE IN SURGICAL TREATMENT OF ACHILLES TENDON RUPTURES
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
70-72
THE METHOD OF OSTEOSYNTHESIS OF SEGMENTAL HUMERAL FRACTURE BY ROD APPARATUS
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
73-77
METHOD OF TREATMENT OF DISTAL RADUIS POSTTRAUMATIC DEFORMITY
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
78-83
Anniversaries
116
117
118
Obituaries
119
History of medicine
FRIEDRICH TRENDELENBURG AND TRENDELENBURG'S SYMPTOM
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
111-115
ARTICLES
120-124
125-126
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)
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
102-110