25 research outputs found
ΠΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΡΠ΅ ΡΡΠΈΠΌΡΠ»ΡΡΠΎΡΡ ΡΠ΅Π³Π΅Π½Π΅ΡΠ°ΡΠΈΠΈ ΠΏΡΠΈ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠΈΠΈ Π°Π»Π»ΠΎΠ³Π΅Π½Π½ΡΡ ΠΊΠΎΡΡΠ½ΠΎΠΏΠ»Π°ΡΡΠΈΡΠ΅ΡΠΊΠΈΡ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»ΠΎΠ²
There are many different surgical techniques for bone reconstruction. However, biological reconstruction methodsΒ are being increasingly developed. The main purpose is not only to fill up defects, but to stimulate the processesΒ of reconstruction and regeneration of bone as a complete organ. In this report, we describe the basic principles ofΒ orthobiology and the essential orthobiological materials. A clinical case is presented where a combination of allogeneic osteoplastic materials with autologous platelet-rich plasma is used to reconstruct aΒ cavity defect in the tibia.Π Π½Π°ΡΡΠΎΡΡΠ΅Π΅ Π²ΡΠ΅ΠΌΡ ΡΡΡΠ΅ΡΡΠ²ΡΠ΅Ρ ΠΌΠ½ΠΎΠΆΠ΅ΡΡΠ²ΠΎ ΡΠ°Π·Π½ΡΡ
ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΈΡ ΠΊΠΎΡΡΠ½ΠΎΠΉΒ ΡΠΊΠ°Π½ΠΈ, Π½ΠΎ Π²ΡΠ΅ Π±ΠΎΠ»ΡΡΠ΅Π΅ ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ ΠΏΠΎΠ»ΡΡΠ°ΡΡ ΡΠΏΠΎΡΠΎΠ±Ρ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ΅ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΠΈ, ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΉ ΡΠ΅Π»ΡΡ ΠΊΠΎΡΠΎΡΡΡ
ΡΠ²Π»ΡΠ΅ΡΡΡ Π½Π΅ ΡΠΎΠ»ΡΠΊΠΎ Π²ΠΎΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΠ΅ Π΄Π΅ΡΠ΅ΠΊΡΠ°, Π½ΠΎ ΡΡΠΈΠΌΡΠ»ΡΡΠΈΡΒ ΠΏΡΠΎΡΠ΅ΡΡΠΎΠ² ΡΠ΅Π³Π΅Π½Π΅ΡΠ°ΡΠΈΠΈ ΠΈ Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΈΡΒ ΠΊΠΎΡΡΠΈ ΠΊΠ°ΠΊ ΠΎΡΠ³Π°Π½Π°. Π Π΄Π°Π½Π½ΠΎΠΉ ΠΏΡΠ±Π»ΠΈΠΊΠ°ΡΠΈΠΈ Π°Π²ΡΠΎΡΡ ΠΎΠΏΠΈΡΡΠ²Π°ΡΡ Π±Π°Π·ΠΎΠ²ΡΠ΅ ΠΏΡΠΈΠ½ΡΠΈΠΏΡ ΠΎΡΡΠΎΠ±ΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈ ΠΎΡΠ½ΠΎΠ²Π½ΡΠ΅Β ΠΎΡΡΠΎΠ±ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ. ΠΡΠΈΠ²Π΅Π΄Π΅Π½ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ, Π³Π΄Π΅ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½Π° ΠΊΠΎΠΌΠ±ΠΈΠ½Π°ΡΠΈΡ Π°Π»Π»ΠΎΠ³Π΅Π½Π½ΡΡ
Β ΠΊΠΎΡΡΠ½ΠΎΠΏΠ»Π°ΡΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»ΠΎΠ² Ρ Π°ΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΠΎΠΉ ΠΎΠ±ΠΎΠ³Π°ΡΠ΅Π½Π½ΠΎΠΉ ΡΡΠΎΠΌΠ±ΠΎΡΠΈΡΠ°ΠΌΠΈ ΠΏΠ»Π°Π·ΠΌΠΎΠΉ Π΄Π»Ρ ΡΠ΅ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΠΈΒ ΠΏΠΎΠ»ΠΎΡΡΠ½ΠΎΠ³ΠΎ Π΄Π΅ΡΠ΅ΠΊΡΠ° Π±ΠΎΠ»ΡΡΠ΅Π±Π΅ΡΡΠΎΠ²ΠΎΠΉ ΠΊΠΎΡΡΠΈ
Hydrogen caused phase transformations, relaxation and hysteretic phenomena in fcc alloys Fe55Cr25Ni20 and Fe50Ni50
Comparative evaluation of the clinical efficacy and safety of surgical approaches in total hip arthroplasty
Background Advanced coxarthrosis is a leading cause of disability in patients. Total arthroplasty is regarded as the "gold standard" for the treatment
of hip pathologies that are not amenable to conservative treatment. Arthroplasty introduced into clinical practice has significantly improved functional
status of patients. The data are largely contradictory and indicate certain difficulties and risks at the stages of treatment and rehabilitation of patients after
surgery. The shortcomings can be overcome by improving the treatment methods for the cohort of patients based on the results of large-scale comparative
studies exploring the effectiveness of different approaches to all stages of treatment of arthroplastic patients. The objective was to search for the most
justified and promising surgical approaches in terms of clinical efficacy and safety of total hip arthroplasty (THA). Material and methods The search
for publications was produced using the databases of Scopus, PubMed and the electronic scientific library eLIBRARY in Russian and English languages
using the keywords: total hip arthroplasty, minimally invasive approach, anterolateral approach in THA, direct lateral approach in THA, posterior
approach in THA, comparative assessment of approaches in hip arthroplasty, advanced replacement techniques, incidence of postoperative complications
in THA, direct anterior approach in THA. Results and discussion A number of studies have shown that interventions using direct anterior access (DAA)
are characterized by less blood loss, less frequent blood transfusions, less operating time and shorter hospital stay. There was a more rapid recovery of
the hip function during early postoperative period with less need for opioid analgesics with DAA. Complication rate was higher with DAA than in the
comparison group, which directly correlated with the learning curve. Conclusion DAA was shown to be an advanced approach that resulted in enhanced
clinical efficacy and safety of surgical treatment in the majority of patients with coxarthrosis with sufficient experience of the surgeon. The method can be considered as low-traumatic. Unlike other approaches, DAA was accompanied by less injury to intact tissues; smaller skin incision; less blood loss;
precipitated postoperative rehabilitation; less severity of postoperative pain and less need for opioid analgesia. However, DAA is inferior to classical
approaches in primarily complicated hip pathologies
SURGICAL TREATMENT OF SEVERE (2-3 DEGREE) DEFORMING ARTHROSIS OF FIRST METATARSOPHALANGEAL JOINT OF FOOT: TASKS, APPROACHES, TECHNIQUE
Based on the experience of treating 67 patients (98 feet) with deforming arthrosis of first metatarsophalangeal joint is shown that the treatment of this disease the distal decompressing osteotomy in combination with maximally radical the separation of the unions and cheilectomy possesses the significant health-improvement potential, which makes it possible to be turned to arthrodesis or arthroplasty only in the limiting cases of that the heavy cases of hallux rigidus. L-osteotomy 1-st metatarsus gives more than possibilities for the correction with the heavy deformations and the degenerate changes, the basic criterion of sufficiency of which is the volume of the intra-operating straightening of 1-st fingers reached. Optimum is reaching the straightening 1-st toes to 65Β° even above. An indispensable stage of complex operation is maximally radical of cheilectomy. During the formation of arthrodesis 1-st metatarsophalangeal joint in the horizontal plane the axis of 1 finger should be oriented in parallel to axis second metatarsal bones. The sagittal angle of the formation of arthrodesis depends on the manifestation of valgus of rear division. Active postoperative conducting essentially improves the distant results of the surgical treatment of deforming arthrosis of first metatarsophalangeal joint