Pub Date : 2012-12-30DOI: 10.21823/2311-2905-2012--4-120-125
З. К. Башуров
The most complete information about the medicine in Ancient Egypt two papyrus provided: a large medical papyrus of G. Ebers and papyrus about the surgery of E. Smith. Smith’s papyrus is of particular interest as it contains the information on the status of surgery in Ancient Egypt. Papyrus consists of descriptions of the clinical cases. To the present time, 48 cases have survived; it is arranged in order of location - from the head down to the feet. Orthopedic deformities were reflected in the figures on the walls of the pyramids and temples as well as the description of the mummies and archaeological finds.
{"title":"Лечение переломов в Древнем Египте","authors":"З. К. Башуров","doi":"10.21823/2311-2905-2012--4-120-125","DOIUrl":"https://doi.org/10.21823/2311-2905-2012--4-120-125","url":null,"abstract":"The most complete information about the medicine in Ancient Egypt two papyrus provided: a large medical papyrus of G. Ebers and papyrus about the surgery of E. Smith. Smith’s papyrus is of particular interest as it contains the information on the status of surgery in Ancient Egypt. Papyrus consists of descriptions of the clinical cases. To the present time, 48 cases have survived; it is arranged in order of location - from the head down to the feet. Orthopedic deformities were reflected in the figures on the walls of the pyramids and temples as well as the description of the mummies and archaeological finds.","PeriodicalId":43463,"journal":{"name":"Travmatologiya i ortopediya Rossii","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2012-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68391346","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}
Pub Date : 2012-12-30DOI: 10.21823/2311-2905-2012--4-5-16
R. M. Tikhilov, I. I. Shubnyakov, A. N. Kovalenko, A. V. Tsybin, A. V. Sementkovskiy, A. S. Karpukhin, O. A. Bashinskiy
The revision rate of total hip arthroplasty (THA) is increasing with growth of number primary THA. The problems of revision procedures are associated with high technical demands and high incidence of poor results. Besides of medical problems the cost of revisions has impact on health care system even in developed countries. With improving of funding Russian Health Care System there is significant growth of number of total hip arthroplasties in Russia. Hence it is interesting to find out about world experience, forecasts of experts involved in the issue and current trends in revision hip arthroplasty.
{"title":"СОВРЕМЕННЫЕ ТЕНДЕНЦИИ В ОРТОПЕДИИ: РЕВИЗИИ ВЕРТЛУЖНОГО И БЕДРЕННОГО КОМПОНЕНТОВ","authors":"R. M. Tikhilov, I. I. Shubnyakov, A. N. Kovalenko, A. V. Tsybin, A. V. Sementkovskiy, A. S. Karpukhin, O. A. Bashinskiy","doi":"10.21823/2311-2905-2012--4-5-16","DOIUrl":"https://doi.org/10.21823/2311-2905-2012--4-5-16","url":null,"abstract":"The revision rate of total hip arthroplasty (THA) is increasing with growth of number primary THA. The problems of revision procedures are associated with high technical demands and high incidence of poor results. Besides of medical problems the cost of revisions has impact on health care system even in developed countries. With improving of funding Russian Health Care System there is significant growth of number of total hip arthroplasties in Russia. Hence it is interesting to find out about world experience, forecasts of experts involved in the issue and current trends in revision hip arthroplasty.","PeriodicalId":43463,"journal":{"name":"Travmatologiya i ortopediya Rossii","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2012-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68391430","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}
Pub Date : 2012-09-30DOI: 10.21823/2311-2905-2012--3-89-94
V. F. Blandinskiy, M. A. Vavilov, I. V. Gromov
The article outlines Dobbs’ method in the treatment of children having heavy vertical talus. The results of 23 clinical observations of children with congenital planovalgus deformity of 38 feet during 11 years are examined. The age of patients ranged from 1 month to 13 years. 40 operations were performed on these patients. The analysis shows that the best results were achieved in the treatment of children (17 feet), who were previously treated with Dobbs’ method, which included step-wise plastering combined with minimally invasive surgical procedures and subsequent orthopedic regime of "life in braces". With the introduction of the method the frequency of open reduction of the talus in this group of patients in our clinic has substantially declined, so Kumar et al. and Coleman et al. surgical interventions are reserved for the treatment of children, whose feet deformities were detected too late or recurred due to lack of effectiveness of the Dobbs’ method.
{"title":"Метод Доббса в лечении детей с тяжелыми врождёнными плоско-вальгусными деформациями стоп","authors":"V. F. Blandinskiy, M. A. Vavilov, I. V. Gromov","doi":"10.21823/2311-2905-2012--3-89-94","DOIUrl":"https://doi.org/10.21823/2311-2905-2012--3-89-94","url":null,"abstract":"The article outlines Dobbs’ method in the treatment of children having heavy vertical talus. The results of 23 clinical observations of children with congenital planovalgus deformity of 38 feet during 11 years are examined. The age of patients ranged from 1 month to 13 years. 40 operations were performed on these patients. The analysis shows that the best results were achieved in the treatment of children (17 feet), who were previously treated with Dobbs’ method, which included step-wise plastering combined with minimally invasive surgical procedures and subsequent orthopedic regime of \"life in braces\". With the introduction of the method the frequency of open reduction of the talus in this group of patients in our clinic has substantially declined, so Kumar et al. and Coleman et al. surgical interventions are reserved for the treatment of children, whose feet deformities were detected too late or recurred due to lack of effectiveness of the Dobbs’ method.","PeriodicalId":43463,"journal":{"name":"Travmatologiya i ortopediya Rossii","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2012-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68391232","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}
Pub Date : 2012-01-01DOI: 10.21823/2311-2905-2012-0-1-58-64
A. N. Tarasov, V. Kroshkina, E. B. Greenberg
Остеохондрома – самая распространенная опухоль скелета, частота которой составляет более 40% доброкачественных и не менее 20% всех костных новообразований человека. Цель данного исследования – усовершенствование методики диагностики остеохондром костей голени путем применения современных методов визуализации. В клинике травматологии и ортопедии Астраханской медицинской академии за период с 2000 по 2011 г. находился на лечении 81 человек с остеохондромами костей голени и 1 – с вторичной хондросаркомой. Диагностику проводили на основании анамнеза, данных осмотра, стандартной рентгенографии, компьютерной томографии. Ультразвуковое исследование костей голени было выполнено 11 больным. По данным сонографии определяются 2 основные формы остеохондром: шаровидная и холмовидная. При озлокачествлении процесса происходит трансформация опухоли в третью форму – цветной капусты. Хрящевой компонент по поверхности остеохондромы распределяется неравномерно и зависит от ее формы. Потеря четкости, ровности контура, гиперэхогенные включения в хрящевой шапочке косвенно говорят о злокачественности процесса.
{"title":"CURRENT OPPORTUNITIES OF SONOGRAPHIC DIAGNOSTICS TIBIAL OSTEOCHONDROMAS","authors":"A. N. Tarasov, V. Kroshkina, E. B. Greenberg","doi":"10.21823/2311-2905-2012-0-1-58-64","DOIUrl":"https://doi.org/10.21823/2311-2905-2012-0-1-58-64","url":null,"abstract":"Остеохондрома – самая распространенная опухоль скелета, частота которой составляет более 40% доброкачественных и не менее 20% всех костных новообразований человека. Цель данного исследования – усовершенствование методики диагностики остеохондром костей голени путем применения современных методов визуализации. В клинике травматологии и ортопедии Астраханской медицинской академии за период с 2000 по 2011 г. находился на лечении 81 человек с остеохондромами костей голени и 1 – с вторичной хондросаркомой. Диагностику проводили на основании анамнеза, данных осмотра, стандартной рентгенографии, компьютерной томографии. Ультразвуковое исследование костей голени было выполнено 11 больным. По данным сонографии определяются 2 основные формы остеохондром: шаровидная и холмовидная. При озлокачествлении процесса происходит трансформация опухоли в третью форму – цветной капусты. Хрящевой компонент по поверхности остеохондромы распределяется неравномерно и зависит от ее формы. Потеря четкости, ровности контура, гиперэхогенные включения в хрящевой шапочке косвенно говорят о злокачественности процесса.","PeriodicalId":43463,"journal":{"name":"Travmatologiya i ortopediya Rossii","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68390648","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}
Pub Date : 2012-01-01DOI: 10.21823/2311-2905-2012-0-1-113-117
V. P. Kuzmin, S. O. Tarasov, I. Popov, S. V. Mironov, A. F. Voytenkov, N. N. Kononir, N. N. Krylova
Переломы плеча у детей составляют от 4 до 10% от общего числа переломов. Несмотря на преимущественно консервативную тактику лечения диафизарных переломов плеча, в последнее время отмечается тенденция к расширению показаний к оперативному лечению. Проведен анализ оперативного лечения диафизарных переломов плеча с использованием гвоздей Эндера. Восемь плечевых костей были прооперированы с использованием 2 гвоздей, 15 – с использованием 1 гвоздя. В обеих группах больных получены хорошие и отличные результаты. В то же время при использовании монолатерального остеосинтеза было отмечено статистически значимое (p<0,01) уменьшение продолжительности операции в среднем на 16 мин и экспозиции ЭОП (в среднем на 23 сек) по сравнению с группой, где остеосинтез проводился с использованием 2 гвоздей. Полученные в исследовании результаты диктуют необходимость дальнейшей работы в этом направлении.
{"title":"MONOLATERAL LOW-INVASIVE TREATMENT OF HUMERAL SHAFT FRACTURE IN CHILDREN","authors":"V. P. Kuzmin, S. O. Tarasov, I. Popov, S. V. Mironov, A. F. Voytenkov, N. N. Kononir, N. N. Krylova","doi":"10.21823/2311-2905-2012-0-1-113-117","DOIUrl":"https://doi.org/10.21823/2311-2905-2012-0-1-113-117","url":null,"abstract":"Переломы плеча у детей составляют от 4 до 10% от общего числа переломов. Несмотря на преимущественно консервативную тактику лечения диафизарных переломов плеча, в последнее время отмечается тенденция к расширению показаний к оперативному лечению. Проведен анализ оперативного лечения диафизарных переломов плеча с использованием гвоздей Эндера. Восемь плечевых костей были прооперированы с использованием 2 гвоздей, 15 – с использованием 1 гвоздя. В обеих группах больных получены хорошие и отличные результаты. В то же время при использовании монолатерального остеосинтеза было отмечено статистически значимое (p<0,01) уменьшение продолжительности операции в среднем на 16 мин и экспозиции ЭОП (в среднем на 23 сек) по сравнению с группой, где остеосинтез проводился с использованием 2 гвоздей. Полученные в исследовании результаты диктуют необходимость дальнейшей работы в этом направлении.","PeriodicalId":43463,"journal":{"name":"Travmatologiya i ortopediya Rossii","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68391025","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}
Pub Date : 2012-01-01DOI: 10.21823/2311-2905-2012--2-91-95
S. V. Vissarionov, I. V. Pavlov, M. G. Gusev, Grigoriy A. Lein
The authors presented an example of a complex treatment of pediatric patient with multiple fractures of the vertebrae in the thoracic spine. The child was operated on the burst fracture of a Th5 vertebra. Due to the presence of vertebral compression fractures Th8 a course of conservative treatment by the orthosis in hyperextension brace. Follow-up was 15 months.
{"title":"Комплексное лечение пациента с множественными переломами позвонков в грудном отделе позвоночника","authors":"S. V. Vissarionov, I. V. Pavlov, M. G. Gusev, Grigoriy A. Lein","doi":"10.21823/2311-2905-2012--2-91-95","DOIUrl":"https://doi.org/10.21823/2311-2905-2012--2-91-95","url":null,"abstract":"The authors presented an example of a complex treatment of pediatric patient with multiple fractures of the vertebrae in the thoracic spine. The child was operated on the burst fracture of a Th5 vertebra. Due to the presence of vertebral compression fractures Th8 a course of conservative treatment by the orthosis in hyperextension brace. Follow-up was 15 months.","PeriodicalId":43463,"journal":{"name":"Travmatologiya i ortopediya Rossii","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68391180","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}
Pub Date : 2010-08-17DOI: 10.21823/2311-2905-2010-0-2-86-88
K. A. Nadulich, V. Shapovalov, A. V. Teremshonok, S. V. Vasilevich
Experimental biomechanical study was performed in 60 spine specimens. Anterior wedge osteotomy and fixation of a specimen in a kyphotic position modeled kyphotic deformity. Deformity correction with various instrumentation systems was firstly performed by maximal extension of segments adjacent to kyphosis-producing block, and carried on after crossing of intervertebral anatomical structures. The study resulted in defining rational approach to surgical correction of posttraumatic deformities in the thoracic and lumbar spine. Minor kyphotic deformities are effectively corrected by instrumentation without mobilization of the spine. Large unfixed kyphosis sometimes requires anterior mobilization. Cases with rigid posttraumatic kyphotic deformity should be operated on with combined mobilization of the spine.
{"title":"EXPERIMENTAL EVALUATION OF CORRECTION FEATURES OF POSTTRAUMATIC KYPHOSIS OF THORACIC AND LUMBAR SPINE","authors":"K. A. Nadulich, V. Shapovalov, A. V. Teremshonok, S. V. Vasilevich","doi":"10.21823/2311-2905-2010-0-2-86-88","DOIUrl":"https://doi.org/10.21823/2311-2905-2010-0-2-86-88","url":null,"abstract":"Experimental biomechanical study was performed in 60 spine specimens. Anterior wedge osteotomy and fixation of a specimen in a kyphotic position modeled kyphotic deformity. Deformity correction with various instrumentation systems was firstly performed by maximal extension of segments adjacent to kyphosis-producing block, and carried on after crossing of intervertebral anatomical structures. The study resulted in defining rational approach to surgical correction of posttraumatic deformities in the thoracic and lumbar spine. Minor kyphotic deformities are effectively corrected by instrumentation without mobilization of the spine. Large unfixed kyphosis sometimes requires anterior mobilization. Cases with rigid posttraumatic kyphotic deformity should be operated on with combined mobilization of the spine.","PeriodicalId":43463,"journal":{"name":"Travmatologiya i ortopediya Rossii","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2010-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68390900","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}
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