V. A. Novikov, Alina M. Khodorovskaya, V. V. Umnov, E. Melchenko, Dmitriy V. Umnov
BACKGROUND: Neurogenic heterotopic ossification is characterized by the formation of bone tissue in the soft tissues of the body caused by severe brain or spinal cord injury of various etiologies. In neurogenic heterotopic ossification, the hip joints are most often affected. AIM: To analyze publications on the instrumental diagnosis, surgical and nonsurgical methods of treatment, and prevention of neurogenic heterotopic ossification of the hip joints. MATERIALS AND METHODS: In the second part of our review, we analyzed the literature on modern diagnostics, surgical and conservative methods of treatment, prevention of the formation and recurrence of neurogenic heterotopic ossification of the hip joints. Data were searched in scientific literature databases, namely, PubMed, Google Scholar, Cochrane Library, CrossRef, and eLibrary, without language restrictions. RESULTS: Modern diagnostic methods allow the screening of hip neurogenic heterotopic ossification in patients at high risk of their formation, with further verification of the diagnosis by computed tomography or magnetic resonance imaging. Despite the lack of consensus on the timing of hip neurogenic heterotopic ossification removal at present, surgical treatment is the most effective method, which allows the removal or reduction of the volume of neurogenic heterotopic ossification. Most cases require controlling the pain syndrome and improving the quality of life of the patients. Despite the common etiologic factor (damage to the central nervous system), nonsurgical methods of the prevention and treatment of patients with neurogenic heterotopic ossification of the hip joints have different effectiveness because of spinal cord injury, cerebral trauma, and cerebral palsy. CONCLUSIONS: Randomized controlled trials will help to establish the efficacy of conservative treatment methods to prevent the formation and recurrence of hip joint neurogenic heterotopic ossification, taking into account the cause of central nervous system lesions.
{"title":"Neurogenic heterotopic ossification: A review. Part 2","authors":"V. A. Novikov, Alina M. Khodorovskaya, V. V. Umnov, E. Melchenko, Dmitriy V. Umnov","doi":"10.17816/ptors569165","DOIUrl":"https://doi.org/10.17816/ptors569165","url":null,"abstract":"BACKGROUND: Neurogenic heterotopic ossification is characterized by the formation of bone tissue in the soft tissues of the body caused by severe brain or spinal cord injury of various etiologies. In neurogenic heterotopic ossification, the hip joints are most often affected. \u0000AIM: To analyze publications on the instrumental diagnosis, surgical and nonsurgical methods of treatment, and prevention of neurogenic heterotopic ossification of the hip joints. \u0000MATERIALS AND METHODS: In the second part of our review, we analyzed the literature on modern diagnostics, surgical and conservative methods of treatment, prevention of the formation and recurrence of neurogenic heterotopic ossification of the hip joints. Data were searched in scientific literature databases, namely, PubMed, Google Scholar, Cochrane Library, CrossRef, and eLibrary, without language restrictions. \u0000RESULTS: Modern diagnostic methods allow the screening of hip neurogenic heterotopic ossification in patients at high risk of their formation, with further verification of the diagnosis by computed tomography or magnetic resonance imaging. Despite the lack of consensus on the timing of hip neurogenic heterotopic ossification removal at present, surgical treatment is the most effective method, which allows the removal or reduction of the volume of neurogenic heterotopic ossification. Most cases require controlling the pain syndrome and improving the quality of life of the patients. Despite the common etiologic factor (damage to the central nervous system), nonsurgical methods of the prevention and treatment of patients with neurogenic heterotopic ossification of the hip joints have different effectiveness because of spinal cord injury, cerebral trauma, and cerebral palsy. \u0000CONCLUSIONS: Randomized controlled trials will help to establish the efficacy of conservative treatment methods to prevent the formation and recurrence of hip joint neurogenic heterotopic ossification, taking into account the cause of central nervous system lesions.","PeriodicalId":37631,"journal":{"name":"Pediatric Traumatology, Orthopaedics and Reconstructive Surgery","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138960948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Nikityuk, Sofia A. Botsarova, Mikhail G. Semenov, T. Murashko, S. Vissarionov
BACKGROUND: In the presence of mandibular malformations and malocclusion, an abnormal morphology of the cervical spine is often detected. Latent neurological abnormalities in patients with possible disorders of spinal cord conduction function are promising in assessing the degree of postural balance impairment, which is well diagnosed by stabilometry. AIM: To evaluate the dynamics of postural stability in adolescents with the mesial ratio of dentition, with and without congenital cervical spine abnormalities, before and after reconstructive operations on the jaws with a constructive bite. MATERIALS AND METHODS: Clinical, radiographic, and two-platform stabilometric studies were conducted in 31 patients aged 15–17 years with combined dentomaxillofacial anomalies, having a mesial ratio of dentition. The main group included 10 adolescents with various congenital cervical spine abnormalities detected by multispiral computed tomography (CT). The control group included 21 patients who did not have CT signs of cervical spine abnormalities. The stabilometric parameters of the movement of the general body pressure center and the pressure centers of the contralateral lower extremities were evaluated in these patients before surgical correction of the bite and from 1 month to 1 year after it. RESULTS: In the main group, postural balance impairment was noted, which was more pronounced before surgical treatment than those in the control group. This was manifested by frontal–sagittal violations of postural stability, pathological increase in the areas of statokinesiograms, linear velocities of the centers of pressure, and abnormally severe asymmetry of stabilometric parameters between the contralateral lower extremities. After the surgical correction of the bite, signs of postural balance deterioration were recorded in the control group: a significant increase in the coefficient, i.e., a sharp change in the direction of movement of the general center of pressure from 18% [15%–20%] to 23% [15%–31%], and the asymmetry of the linear velocities of the centers of pressure of the contralateral lower extremities significantly increased from 0.9 [0.3–1.6] to 2.2 [0.9–4.4] mm/s. In the main group, a positive trend was observed—a change in these parameters toward normalization: that is, a tendency to decrease the coefficient and a significant decrease in the rate of the centers of pressure. CONCLUSIONS: To improve the quality of comprehensive diagnostics and medical rehabilitation of adolescents with congenital and combined dentomaxillofacial anomalies, additional radiographic examination of the cervical spine in combination with stabilometric and kinematic assessment of posture is necessary.
{"title":"Postural balance impairment of the trunk in adolescents with mesial ratio of dentition before and after surgical treatment in the presence and absence of congenital cervical spine abnormalities","authors":"I. Nikityuk, Sofia A. Botsarova, Mikhail G. Semenov, T. Murashko, S. Vissarionov","doi":"10.17816/ptors606640","DOIUrl":"https://doi.org/10.17816/ptors606640","url":null,"abstract":"BACKGROUND: In the presence of mandibular malformations and malocclusion, an abnormal morphology of the cervical spine is often detected. Latent neurological abnormalities in patients with possible disorders of spinal cord conduction function are promising in assessing the degree of postural balance impairment, which is well diagnosed by stabilometry. \u0000AIM: To evaluate the dynamics of postural stability in adolescents with the mesial ratio of dentition, with and without congenital cervical spine abnormalities, before and after reconstructive operations on the jaws with a constructive bite. \u0000MATERIALS AND METHODS: Clinical, radiographic, and two-platform stabilometric studies were conducted in 31 patients aged 15–17 years with combined dentomaxillofacial anomalies, having a mesial ratio of dentition. The main group included 10 adolescents with various congenital cervical spine abnormalities detected by multispiral computed tomography (CT). The control group included 21 patients who did not have CT signs of cervical spine abnormalities. The stabilometric parameters of the movement of the general body pressure center and the pressure centers of the contralateral lower extremities were evaluated in these patients before surgical correction of the bite and from 1 month to 1 year after it. \u0000RESULTS: In the main group, postural balance impairment was noted, which was more pronounced before surgical treatment than those in the control group. This was manifested by frontal–sagittal violations of postural stability, pathological increase in the areas of statokinesiograms, linear velocities of the centers of pressure, and abnormally severe asymmetry of stabilometric parameters between the contralateral lower extremities. After the surgical correction of the bite, signs of postural balance deterioration were recorded in the control group: a significant increase in the coefficient, i.e., a sharp change in the direction of movement of the general center of pressure from 18% [15%–20%] to 23% [15%–31%], and the asymmetry of the linear velocities of the centers of pressure of the contralateral lower extremities significantly increased from 0.9 [0.3–1.6] to 2.2 [0.9–4.4] mm/s. In the main group, a positive trend was observed—a change in these parameters toward normalization: that is, a tendency to decrease the coefficient and a significant decrease in the rate of the centers of pressure. \u0000CONCLUSIONS: To improve the quality of comprehensive diagnostics and medical rehabilitation of adolescents with congenital and combined dentomaxillofacial anomalies, additional radiographic examination of the cervical spine in combination with stabilometric and kinematic assessment of posture is necessary.","PeriodicalId":37631,"journal":{"name":"Pediatric Traumatology, Orthopaedics and Reconstructive Surgery","volume":" 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138961692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: After surgical treatment of proximal femoral deformities in children, secondary deformities can often develop. They can be corrected successfully by epiphysiodesis — a method of working with growth zones. AIM: To analyze the literature about the development of epiphysiodesis, a proximal femoral technique, and the results of its use in pediatric patients with hip joint pathologies. MATERIALS AND METHODS: The results of using epiphysiodesis for treating secondary deformities in children with hip joint pathologies were analyzed. The literature search was performed in open electronic scientific databases eLibrary and PubMed for the period from 1933 to 2022. RESULTS: Most authors reported good and satisfactory results in the correction of secondary proximal femoral deformities in children. They also suggested that the development of these deformities could be prevented by epiphysiodesis in time frames, which should be chosen correctly. However, no consensus has been established on the timing of surgical intervention and methods of its implementation. CONCLUSIONS: Proximal femoral deformities in children, such as valgus deformity of the femoral neck and its recurrence, consequences of Kalamchi type II avascular necrosis, and hypertrophy of the greater trochanter, were corrected for a long time by a complex surgical intervention–intertrochanteric osteotomy of the femur. Improvement in examination methods and a deeper understanding of the growth zone functioning of the proximal femur allow orthopedists to introduce into practice less invasive and less traumatic but effective methods for correcting these proximal femoral deformities by controlled blocking of the growth zones.
{"title":"Correction of proximal femoral deformities in children by a guided growth technique: A review","authors":"Anatoly S. Kuznetsov, O. Kozhevnikov, S. Kralina","doi":"10.17816/ptors321663","DOIUrl":"https://doi.org/10.17816/ptors321663","url":null,"abstract":"BACKGROUND: After surgical treatment of proximal femoral deformities in children, secondary deformities can often develop. They can be corrected successfully by epiphysiodesis — a method of working with growth zones. \u0000AIM: To analyze the literature about the development of epiphysiodesis, a proximal femoral technique, and the results of its use in pediatric patients with hip joint pathologies. \u0000MATERIALS AND METHODS: The results of using epiphysiodesis for treating secondary deformities in children with hip joint pathologies were analyzed. The literature search was performed in open electronic scientific databases eLibrary and PubMed for the period from 1933 to 2022. \u0000RESULTS: Most authors reported good and satisfactory results in the correction of secondary proximal femoral deformities in children. They also suggested that the development of these deformities could be prevented by epiphysiodesis in time frames, which should be chosen correctly. However, no consensus has been established on the timing of surgical intervention and methods of its implementation. \u0000CONCLUSIONS: Proximal femoral deformities in children, such as valgus deformity of the femoral neck and its recurrence, consequences of Kalamchi type II avascular necrosis, and hypertrophy of the greater trochanter, were corrected for a long time by a complex surgical intervention–intertrochanteric osteotomy of the femur. Improvement in examination methods and a deeper understanding of the growth zone functioning of the proximal femur allow orthopedists to introduce into practice less invasive and less traumatic but effective methods for correcting these proximal femoral deformities by controlled blocking of the growth zones.","PeriodicalId":37631,"journal":{"name":"Pediatric Traumatology, Orthopaedics and Reconstructive Surgery","volume":"120 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138959382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Avdeychik, S. I. Golyana, D. Grankin, Alexander D. Nilov, Varvara V. Chernyavskaya-Haukka
BACKGROUND: Osteoid osteoma is a benign neoplasm of bones with a diameter of up to 1.5 cm. It is most common in children in the second decade of life and at the age of 20–30 years, predominantly in men. In large neoplasms (1.5 cm) with a histological study identical to osteoid osteoma, the pathological process is regarded as osteoblastoma or giant osteoid osteoma. The tumor is most often located in long tubular bones and on the hand in 5%–15% of the patients. Differential diagnosis is carried out with rheumatoid arthritis, inflammation, and other neoplasms. Various options for the treatment of osteoid osteoma, both conservative and operative, have been proposed. CLINICAL CASE: A 17-year-old patient underwent surgical treatment for trapezium bone neoplasm and pronounced chronic pain syndrome. DISCUSSION: The identification and treatment of osteoid osteoma remain challenging, which is associated with the similarity of clinical symptoms and ineffectiveness (in the initial stages of its development) of X-ray examination. Thus, computed tomography is necessary to identify a pathological structure. If a formation on the hand is detected, surgery (tumor resection) is advised; if necessary, bone grafting of the defect is performed. After surgical treatment, relapse may occur within 7 months, which is associated with incomplete tumor removal. To confirm the diagnosis, a pathomorphological study is necessary. CONCLUSIONS: Chronic pain syndrome requires a thorough examination of the patient and a differential diagnosis. Surgical treatment allows the restoration of hand functions and alleviates the tumor-associated pain syndrome.
{"title":"Osteoid-osteoma of trapezium bone in a child (clinical case)","authors":"N. Avdeychik, S. I. Golyana, D. Grankin, Alexander D. Nilov, Varvara V. Chernyavskaya-Haukka","doi":"10.17816/ptors568182","DOIUrl":"https://doi.org/10.17816/ptors568182","url":null,"abstract":"BACKGROUND: Osteoid osteoma is a benign neoplasm of bones with a diameter of up to 1.5 cm. It is most common in children in the second decade of life and at the age of 20–30 years, predominantly in men. In large neoplasms (1.5 cm) with a histological study identical to osteoid osteoma, the pathological process is regarded as osteoblastoma or giant osteoid osteoma. The tumor is most often located in long tubular bones and on the hand in 5%–15% of the patients. Differential diagnosis is carried out with rheumatoid arthritis, inflammation, and other neoplasms. Various options for the treatment of osteoid osteoma, both conservative and operative, have been proposed. \u0000CLINICAL CASE: A 17-year-old patient underwent surgical treatment for trapezium bone neoplasm and pronounced chronic pain syndrome. \u0000DISCUSSION: The identification and treatment of osteoid osteoma remain challenging, which is associated with the similarity of clinical symptoms and ineffectiveness (in the initial stages of its development) of X-ray examination. Thus, computed tomography is necessary to identify a pathological structure. If a formation on the hand is detected, surgery (tumor resection) is advised; if necessary, bone grafting of the defect is performed. After surgical treatment, relapse may occur within 7 months, which is associated with incomplete tumor removal. To confirm the diagnosis, a pathomorphological study is necessary. \u0000CONCLUSIONS: Chronic pain syndrome requires a thorough examination of the patient and a differential diagnosis. Surgical treatment allows the restoration of hand functions and alleviates the tumor-associated pain syndrome.","PeriodicalId":37631,"journal":{"name":"Pediatric Traumatology, Orthopaedics and Reconstructive Surgery","volume":"198 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138962820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Baskov, S. Vissarionov, Maria S. Filippova, V. Kenis, P. Bortulev
BACKGROUND:Early diagnostics of hip dysplasia in newborns are important medical and social problems because untimely treatment of these children leads to severe irreversible pathological disorders of the hip joint, dysplastic coxarthrosis, and consequently disability. Anamnesis data of patients from the Department of Hip Pathology of H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery show that late diagnoses of the dysplastic pathology of the hip joint are not rare, which does not tend to decrease in number. AIM:To identify and analyze the causes of the late diagnosis of dysplastic hip joint pathology in newborns in the Russian Federation. MATERIALS AND METHODS:Statistical data from 64 regions of the Russian Federation were collected and analyzed to study the causes of untimely diagnosis of dysplastic hip joint pathology in newborns. RESULTS:According to the information received, 3,456,207 children were born in 64 regions of the Russian Federation between 2019 and 2021. Of these children, 108,737 (3.1%) were diagnosed with hip dysplastic pathology of varying severity (acetabular dysplasia, subluxation, and dislocation), and 3,943 cases (3.6%) had untimely diagnosis. CONCLUSIONS: Late diagnosis is primarily caused by the untimely appearance of patients for ultrasound screening and initial examination by an orthopedist. The secondary reason is the understaffing of medical organizations with specialists–orthopedists and specialists in Doppler ultrasound examination. To reduce the number of cases of late diagnosed or missed dysplastic hip pathologies and improve the quality of orthopedic care for children in the Russian Federation, strengthening health education must be recommended among parents and staff of medical organizations with orthopedic and ultrasound specialists.
{"title":"Current issues in the diagnostics of hip dysplasia in newborns in the regions of the Russian Federation","authors":"V. Baskov, S. Vissarionov, Maria S. Filippova, V. Kenis, P. Bortulev","doi":"10.17816/ptors603050","DOIUrl":"https://doi.org/10.17816/ptors603050","url":null,"abstract":"BACKGROUND:Early diagnostics of hip dysplasia in newborns are important medical and social problems because untimely treatment of these children leads to severe irreversible pathological disorders of the hip joint, dysplastic coxarthrosis, and consequently disability. Anamnesis data of patients from the Department of Hip Pathology of H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery show that late diagnoses of the dysplastic pathology of the hip joint are not rare, which does not tend to decrease in number. \u0000AIM:To identify and analyze the causes of the late diagnosis of dysplastic hip joint pathology in newborns in the Russian Federation. \u0000MATERIALS AND METHODS:Statistical data from 64 regions of the Russian Federation were collected and analyzed to study the causes of untimely diagnosis of dysplastic hip joint pathology in newborns. \u0000RESULTS:According to the information received, 3,456,207 children were born in 64 regions of the Russian Federation between 2019 and 2021. Of these children, 108,737 (3.1%) were diagnosed with hip dysplastic pathology of varying severity (acetabular dysplasia, subluxation, and dislocation), and 3,943 cases (3.6%) had untimely diagnosis. \u0000CONCLUSIONS: Late diagnosis is primarily caused by the untimely appearance of patients for ultrasound screening and initial examination by an orthopedist. The secondary reason is the understaffing of medical organizations with specialists–orthopedists and specialists in Doppler ultrasound examination. To reduce the number of cases of late diagnosed or missed dysplastic hip pathologies and improve the quality of orthopedic care for children in the Russian Federation, strengthening health education must be recommended among parents and staff of medical organizations with orthopedic and ultrasound specialists.","PeriodicalId":37631,"journal":{"name":"Pediatric Traumatology, Orthopaedics and Reconstructive Surgery","volume":"118 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138959575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexey G. Baindurashvili, Mikhail M. Soloviev, Karina S. Solovyova, Galina V. Pyatakova, Ivan A. Zharuk, Anna M. Solovyova, Anna A. Baindurashvili
BACKGROUND: A complex biopsychosocial approach to the diagnosis and treatment of patients of different ages and pathologies is a doctrine of modern medicine. However, this approach is slowly being implemented in practical healthcare, and a biomedical orientation and approach remains the dominant model.
AIM: To demonstrate the possibility of using the primary express diagnostics of PSAF autodesadaptation as the first unifying step to realize the biopsychosocial approach in the examination of adolescents and young adult patients with orthopedic pathology and traumatic injuries.
MATERIALS AND METHODS: The article presents the analysis of literary sources to substantiate the relevance of the biopsychosocial approach in medicine. Clinical examples and preliminary analysis of the express diagnostics of PSAF autodesadaptation in seven inpatients were also presented.
RESULTS: The expression and structure of patients complaints were obtained. Thus, individual-oriented recommendations for the treatment and rehabilitation of these patients were developed.
CONCLUSIONS: Further development and refinement of the technique of the primary express diagnostics of PSAF autodesadaptation, given its simplicity and accessibility, can allow its use during admission in a specialized hospital and outpatient admission when carrying out rehabilitation measures.
{"title":"Possibility of a systemic biopsychosocial approach to the examination of adolescent orthopedic patients using the data of primary express-diagnostics of PSAF autodesadaptation","authors":"Alexey G. Baindurashvili, Mikhail M. Soloviev, Karina S. Solovyova, Galina V. Pyatakova, Ivan A. Zharuk, Anna M. Solovyova, Anna A. Baindurashvili","doi":"10.17816/ptors471287","DOIUrl":"https://doi.org/10.17816/ptors471287","url":null,"abstract":"BACKGROUND: A complex biopsychosocial approach to the diagnosis and treatment of patients of different ages and pathologies is a doctrine of modern medicine. However, this approach is slowly being implemented in practical healthcare, and a biomedical orientation and approach remains the dominant model.
 AIM: To demonstrate the possibility of using the primary express diagnostics of PSAF autodesadaptation as the first unifying step to realize the biopsychosocial approach in the examination of adolescents and young adult patients with orthopedic pathology and traumatic injuries.
 MATERIALS AND METHODS: The article presents the analysis of literary sources to substantiate the relevance of the biopsychosocial approach in medicine. Clinical examples and preliminary analysis of the express diagnostics of PSAF autodesadaptation in seven inpatients were also presented.
 RESULTS: The expression and structure of patients complaints were obtained. Thus, individual-oriented recommendations for the treatment and rehabilitation of these patients were developed.
 CONCLUSIONS: Further development and refinement of the technique of the primary express diagnostics of PSAF autodesadaptation, given its simplicity and accessibility, can allow its use during admission in a specialized hospital and outpatient admission when carrying out rehabilitation measures.","PeriodicalId":37631,"journal":{"name":"Pediatric Traumatology, Orthopaedics and Reconstructive Surgery","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135198785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ten years ago, the first issue of the journal Pediatric Traumatology, Orthopaedics and Reconstructive Surgery was published in September 2013. During this time, the journal has become a worthy scientific edition and earned popularity and authority among scientists in Russia and the world. We express our gratitude to all members of the editorial board, authors, and readers! We congratulate the journal on its anniversary and wish further development and new achievements!
{"title":"The journal <i>Pediatric Traumatology, Orthopaedics and Reconstructive Surgery</i> is 10 years old!","authors":"Alexey G. Baindurashvili","doi":"10.17816/ptors562743","DOIUrl":"https://doi.org/10.17816/ptors562743","url":null,"abstract":"Ten years ago, the first issue of the journal Pediatric Traumatology, Orthopaedics and Reconstructive Surgery was published in September 2013. During this time, the journal has become a worthy scientific edition and earned popularity and authority among scientists in Russia and the world. We express our gratitude to all members of the editorial board, authors, and readers! We congratulate the journal on its anniversary and wish further development and new achievements!","PeriodicalId":37631,"journal":{"name":"Pediatric Traumatology, Orthopaedics and Reconstructive Surgery","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135198220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ivan Yu. Pozdnikin, Pavel I. Bortulev, Sergei V. Vissarionov, Dmitriy B. Barsukov, Tamila V. Baskaeva
BACKGROUND: Alteration in the anatomical shape and structure of the proximal femur is a common orthopedic problem in children. In most cases, this is accompanied by a high position of the large trochanter, which leads not only to the development of extraarticular impingement syndrome and the progression of coxarthrosis, but also to impaired vertebralpelvic relations.
AIM: To evaluate the effect of the transposition of the large trochanter in children on changes in the radiological parameters of sagittal vertebralpelvic ratios.
MATERIALS AND METHODS: The study included 20 patients (20 hip joints) aged 915 years with deformity of the proximal femur, which was accompanied by a high position of the large trochanter. The patients underwent clinical and X-ray examination before and after surgical treatment, i.e., transposition of the large trochanter according to original methods. The pelvic angle, lumbar lordosis, thoracic kyphosis, pelvic deviation angle, sacral tilt, and sagittal vertical axis (SVA) were evaluated. The obtained data were analyzed statistically.
RESULTS: Excessive pelvic anteversion and vertical posture of the hyperlordotic type are characteristics of the patients analyzed. These signs were manifested as a significant increase in global lumbar lordosis and the angle of inclination of the sacrum and a decrease in the angle of inclination of the pelvis, in combination with a negative imbalance in SVA. The surgery made it possible to normalize the articulotrochanteric distance index and increase the angle of inclination of the pelvis while reducing the sacral slope, which improved global lumbar lordosis.
CONCLUSIONS: After the surgical intervention, in addition to restoring normal ratios in the hip joint and eliminating the extraarticular femoroacetabular impingement syndrome, the hyperlordotic type of vertical posture transformed toward the normal one in accordance with the classification of R. Rousully, which resulted in the prevention of the development of degenerative and dystrophic changes in the lumbar spine.
{"title":"Changes in sagittal vertebral–pelvic ratios in children with a high position of the large trochanter after surgical treatment","authors":"Ivan Yu. Pozdnikin, Pavel I. Bortulev, Sergei V. Vissarionov, Dmitriy B. Barsukov, Tamila V. Baskaeva","doi":"10.17816/ptors472122","DOIUrl":"https://doi.org/10.17816/ptors472122","url":null,"abstract":"BACKGROUND: Alteration in the anatomical shape and structure of the proximal femur is a common orthopedic problem in children. In most cases, this is accompanied by a high position of the large trochanter, which leads not only to the development of extraarticular impingement syndrome and the progression of coxarthrosis, but also to impaired vertebralpelvic relations.
 AIM: To evaluate the effect of the transposition of the large trochanter in children on changes in the radiological parameters of sagittal vertebralpelvic ratios.
 MATERIALS AND METHODS: The study included 20 patients (20 hip joints) aged 915 years with deformity of the proximal femur, which was accompanied by a high position of the large trochanter. The patients underwent clinical and X-ray examination before and after surgical treatment, i.e., transposition of the large trochanter according to original methods. The pelvic angle, lumbar lordosis, thoracic kyphosis, pelvic deviation angle, sacral tilt, and sagittal vertical axis (SVA) were evaluated. The obtained data were analyzed statistically.
 RESULTS: Excessive pelvic anteversion and vertical posture of the hyperlordotic type are characteristics of the patients analyzed. These signs were manifested as a significant increase in global lumbar lordosis and the angle of inclination of the sacrum and a decrease in the angle of inclination of the pelvis, in combination with a negative imbalance in SVA. The surgery made it possible to normalize the articulotrochanteric distance index and increase the angle of inclination of the pelvis while reducing the sacral slope, which improved global lumbar lordosis.
 CONCLUSIONS: After the surgical intervention, in addition to restoring normal ratios in the hip joint and eliminating the extraarticular femoroacetabular impingement syndrome, the hyperlordotic type of vertical posture transformed toward the normal one in accordance with the classification of R. Rousully, which resulted in the prevention of the development of degenerative and dystrophic changes in the lumbar spine.","PeriodicalId":37631,"journal":{"name":"Pediatric Traumatology, Orthopaedics and Reconstructive Surgery","volume":"53 74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135198452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vakhtang G. Toriya, Sergei V. Vissarionov, Margarita V. Savina, Alexey G. Baindurashvili, Polina A. Pershina
BACKGROUND: A spinal cord injury can lead to paralysis of the respiratory muscles, resulting in a significant reduction in breathing ability. People with a spinal cord injury face an increased risk of developing various respiratory complications. To date, existing effective technologies positively affect the long-term recovery of respiratory function and create conditions for neuroplasticity in the injured spinal cord. The high relevance and lack of systematization of these techniques in the world literature served as the basis for describing a topical approach in electrostimulation for the correction of respiratory disorders in patients with traumatic spinal cord injuries.
AIM: To formulate an algorithm for topical electrostimulation of the spinal cord and respiratory muscles to correct respiratory dysfunction in patients with spinal cord injury based on the latest scientific literature.
MATERIALS AND METHODS: This article presents the results of the analysis of peer-reviewed articles that investigated the effects of various electrostimulation techniques on respiratory function in patients with spinal cord injury. Searches were performed on ScienceDirect, Google Scholar, and PubMed for the period from 2000 to 2022.
RESULTS: A spinal cord and muscle electrostimulation algorithm was formulated to personalize the treatment approach for patients with spinal cord injury depending on the level and period of traumatic spinal cord injury.
CONCLUSIONS: Electrostimulation techniques were found to be effective in the treatment of spinal cord injuries, particularly for the correction of respiratory disorders. The choice of the appropriate neurostimulation technique depends on the severity, injury level, and period of injury. Noninvasive techniques, such as FES and TSSM, can be used from the acute period to the chronic period, whereas invasive techniques, such as epidural stimulation and respiratory pacemaker placement, are appropriate in the chronic period. Despite the positive results of these techniques, further research is needed to develop effective treatment plans and improve their effectiveness and long-term outcomes.
{"title":"Topical electrostimulation for correction of respiratory disorders in spinal cord injury: A review","authors":"Vakhtang G. Toriya, Sergei V. Vissarionov, Margarita V. Savina, Alexey G. Baindurashvili, Polina A. Pershina","doi":"10.17816/ptors322843","DOIUrl":"https://doi.org/10.17816/ptors322843","url":null,"abstract":"BACKGROUND: A spinal cord injury can lead to paralysis of the respiratory muscles, resulting in a significant reduction in breathing ability. People with a spinal cord injury face an increased risk of developing various respiratory complications. To date, existing effective technologies positively affect the long-term recovery of respiratory function and create conditions for neuroplasticity in the injured spinal cord. The high relevance and lack of systematization of these techniques in the world literature served as the basis for describing a topical approach in electrostimulation for the correction of respiratory disorders in patients with traumatic spinal cord injuries.
 AIM: To formulate an algorithm for topical electrostimulation of the spinal cord and respiratory muscles to correct respiratory dysfunction in patients with spinal cord injury based on the latest scientific literature.
 MATERIALS AND METHODS: This article presents the results of the analysis of peer-reviewed articles that investigated the effects of various electrostimulation techniques on respiratory function in patients with spinal cord injury. Searches were performed on ScienceDirect, Google Scholar, and PubMed for the period from 2000 to 2022.
 RESULTS: A spinal cord and muscle electrostimulation algorithm was formulated to personalize the treatment approach for patients with spinal cord injury depending on the level and period of traumatic spinal cord injury.
 CONCLUSIONS: Electrostimulation techniques were found to be effective in the treatment of spinal cord injuries, particularly for the correction of respiratory disorders. The choice of the appropriate neurostimulation technique depends on the severity, injury level, and period of injury. Noninvasive techniques, such as FES and TSSM, can be used from the acute period to the chronic period, whereas invasive techniques, such as epidural stimulation and respiratory pacemaker placement, are appropriate in the chronic period. Despite the positive results of these techniques, further research is needed to develop effective treatment plans and improve their effectiveness and long-term outcomes.","PeriodicalId":37631,"journal":{"name":"Pediatric Traumatology, Orthopaedics and Reconstructive Surgery","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135198224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexander S. Vasyura, Aleksei V. Buzunov, Vitaliy L. Lukinov, Albert L. Khanaev, Vyacheslav V. Novikov
BACKGROUND: Predicting the results of the surgical treatment of idiopathic scoliosis is important, as the role of communication between the doctor and the patient increases in discussing possible outcomes of treatment and developing a plan for surgical intervention.
AIM: To create a multivariate model for predicting the surgical results of juvenile idiopathic scoliosis based on the identification of predictors that affect the quantity of the main scoliotic curve primary correction and postoperative progression.
MATERIALS AND METHODS: The surgical results of 922 patients with juvenile idiopathic thoracic scoliosis who underwent surgery from 1999 to 2019 were analyzed. The mean age was 14.6 1.2 years (men, 16.8%; women, 83.1%). The patients were divided into four groups according to the types of surgical interventions: group I included 247 patients (26.8%) who received correction using laminar fixation and anterior stage; group II, 450 patients (48.8%) who underwent correction using hybrid fixation; group III, 80 (8.7%) patients who had correction using hybrid fixation and anterior stage; and group IV, 145 (15.7%) patients who underwent correction with total transpedicular fixation. Clinical and radiological data were analyzed in the preoperative, postoperative, and late postoperative periods. Predictors of undercorrection and postoperative progression (loss of achieved correction) were identified by constructing univariate and multivariate logistic regression models.
RESULTS: The greatest correction of the thoracic scoliotic curve (74.3%) was noted in group IV. In patients with spinal deformity of 80 and mobility of 25%, the smallest correction (44.8%) was noted in group III. Postoperative progression of 10 was observed in groups I and II. Multiplicative predictors of insufficient correction of the main scoliotic curve of 50% and postoperative progression of 10 were identified. The sensitivity and specificity to predict undercorrection were 75.2% and 82.6% and for postoperative progression were 68.6% and 66.8%, respectively (p 0.05).
CONCLUSIONS: The identification of multiplicative predictors of insufficient correction and postoperative progression makes it possible to predict the risk of insufficient correction with an accuracy of 75% and the risk of postoperative progression with an accuracy of 68.6%. If transpedicular fixation to correct the main scoliotic curve is impossible, additional anterior intervention may be performed to prevent postoperative progression.
{"title":"Primary correction results in the prediction of the basic scoliotic curves and postoperative progression in patients with youth idiopathic scoliosis of the thoracic localization surgical treatment","authors":"Alexander S. Vasyura, Aleksei V. Buzunov, Vitaliy L. Lukinov, Albert L. Khanaev, Vyacheslav V. Novikov","doi":"10.17816/ptors112011","DOIUrl":"https://doi.org/10.17816/ptors112011","url":null,"abstract":"BACKGROUND: Predicting the results of the surgical treatment of idiopathic scoliosis is important, as the role of communication between the doctor and the patient increases in discussing possible outcomes of treatment and developing a plan for surgical intervention.
 AIM: To create a multivariate model for predicting the surgical results of juvenile idiopathic scoliosis based on the identification of predictors that affect the quantity of the main scoliotic curve primary correction and postoperative progression.
 MATERIALS AND METHODS: The surgical results of 922 patients with juvenile idiopathic thoracic scoliosis who underwent surgery from 1999 to 2019 were analyzed. The mean age was 14.6 1.2 years (men, 16.8%; women, 83.1%). The patients were divided into four groups according to the types of surgical interventions: group I included 247 patients (26.8%) who received correction using laminar fixation and anterior stage; group II, 450 patients (48.8%) who underwent correction using hybrid fixation; group III, 80 (8.7%) patients who had correction using hybrid fixation and anterior stage; and group IV, 145 (15.7%) patients who underwent correction with total transpedicular fixation. Clinical and radiological data were analyzed in the preoperative, postoperative, and late postoperative periods. Predictors of undercorrection and postoperative progression (loss of achieved correction) were identified by constructing univariate and multivariate logistic regression models.
 RESULTS: The greatest correction of the thoracic scoliotic curve (74.3%) was noted in group IV. In patients with spinal deformity of 80 and mobility of 25%, the smallest correction (44.8%) was noted in group III. Postoperative progression of 10 was observed in groups I and II. Multiplicative predictors of insufficient correction of the main scoliotic curve of 50% and postoperative progression of 10 were identified. The sensitivity and specificity to predict undercorrection were 75.2% and 82.6% and for postoperative progression were 68.6% and 66.8%, respectively (p 0.05).
 CONCLUSIONS: The identification of multiplicative predictors of insufficient correction and postoperative progression makes it possible to predict the risk of insufficient correction with an accuracy of 75% and the risk of postoperative progression with an accuracy of 68.6%. If transpedicular fixation to correct the main scoliotic curve is impossible, additional anterior intervention may be performed to prevent postoperative progression.","PeriodicalId":37631,"journal":{"name":"Pediatric Traumatology, Orthopaedics and Reconstructive Surgery","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135198450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：