Optimization of surgical treatment tactics at a customary shoulder dislocation

&nbsp;Saratov Journal of Medical Scientific Research 2018; 14 (2): 240-243. The aim: the optimization of surgical treatment tactics at a customary shoulder dislocation, based on "on-track Hill-Sachs / off-track Hill-Sachs" concept. Material and Methods. The research group consists of 42 patients aged from 19 to 52 years with chronic recurrent anterior shoulder instability, who underwent a surgical treatment to restore previous shoulder anatomic and topographic correlations. Patients were divided into two subgroups according to diagnostic arthroscopy results. The first subgroup includes 14 patients with impaction visualized (off-track Hill-Sachs), the second one — 28 patients with head shoulder stability (on-track Hill-Sachs). Patients of the first subgroup underwent open surgical intervention according to Bristow — Latarjetand shoulder arthroscopic repair was carried out in the second group. Results. One month after the surgical treatment median total estimated figure exceeded by 1.8 times in patients of the first subgroup and by 1.2 times, by Rowe, in patients of the second subgroup and decreased by 2.1 times in patients of the first subgroup and by 1.7 times, by DASH, in the second subgroup in comparison with the indices before the operation, that was illustrative of a good treatment result. Six months after the operation median total estimated figure exceeded by 1.2 times, by Rowe, in patients both of the first subgroup and the second subgroup and decreased by 2 and 2.1 times, by DASH, in patients of the first and the second group, relatively in comparison with the indices found one month after the operation, that was illustrative of an excellent treatment result in the late postoperative period. Conclusion. Patients with anterior shoulder instability caused by a glenoid fossa deficiency less than 25% in combination with off-track Hill-Sachs lesion, the most convenient way is the replacement of the bone loss by coracoid process transposition. In patients with on-track Hill-Sachs lesion arthroscopic repair is preferable.</p

Comparative analysis of clinical outcomes of various methods of anterior cruciate ligament arthroplasty in knee joint in complete rupture of the ligament.

The aim is to carry out the analysis of outcomes of anterior cruciate ligament arthroplasty undertaken by various methods in patients with complete ligament rupture. Material and Methods. 104 patients diagnosed with complete rupture of anterior cruciate ligament (ACL) in knee joint who underwent knee joint arthroplasty fulfilled by various methods were the object of the present study. Clinical outcomes of the treatment were estimated by clinical signs of ACL failure, the degree of functional impairment of knee joint (IKDC 2000) and motor pathology assessed instrumentally. Results. Significantly better function restoration in knee joint occurring as early as 3 months postoperatively has been stated in the group of patients with two-bundle ACL arthroplasty by synthetic implant "DONA-M" on the basis of IKDC subjective knee indices. Negative Lachman test and Pivot shift test were demonstrated as early as 3 months postoperatively by all patients after two-bundle ACL arthroplasty with synthetic implant "DONA-M", reduced support asymmetry 6 months postoperatively was stated in all patient groups as well as run path and surface area in patients with single-bundle ACL arthroplasty by synthetic implant "DONA-M". Conclusion. The use of single- and double-bundle ACL arthroplasty with synthetic implant and ACL arthroplasty with autograft of semitendinosus (ST) and gracilis allows providing equally full-fledge restoration of injured knee joint, without statistically significant differences between the groups, in great majority of patients up to 12 months of follow-up period which is proved by normalized knee joint function, the absence of ACL failure and motor pathology signs estimated instrumentally. Key words: knee joint, anterior cruciate ligament (ACL), co</p

Plasmonic atoms and plasmonic molecules

The proposed paradigm of plasmonic atoms and plasmonic molecules allows one to describe and predict the strongly localized plasmonic oscillations in the clusters of nanoparticles and some other nanostructures in uniform way. Strongly localized plasmonic molecules near the contacting surfaces might become the fundamental elements (by analogy with Lego bricks) for a construction of fully integrated opto-electronic nanodevices of any complexity and scale of integration.Comment: 30 pages, 16 figure

Erosion mechanisms and erosion products in tungsten targets exposed to plasma heat loads relevant to ELMS and mitigated disruptions in ITER

Tungsten targets were irradiated by intense plasma streams at plasma gun facilities MK-200UG and QSPA-T. The targets were tested by plasma loads relevant to Edge Localised Modes (ELM) and mitigated disruptions in ITER. Material erosion caused by melt motion and by emission of droplets has been studied.Мишени из вольфрама были подвергнуты воздействию интенсивных потоков плазмы на плазменных ускорителях МК-200UG и КСПУ-Т. Испытания проводились при плазменных нагрузках, характерных для ELMов и ослабленных срывов в ITERe. Исследована эрозия материала, обусловленная движением расплава и капельным разбрызгиванием.Мішені з вольфраму були піддані впливу інтенсивних потоків плазми на плазмових прискорювачах МК-200UG і КСПУ-Т. Іспити проводилися при плазмових навантаженнях, характерних для ELMів і ослаблених зривів в ITERі. Досліджено ерозію матеріалу, що обумовлена рухом розплаву і краплинним розбризкуванням.The work is supported by RFBR grant No 09-02-13562

Registration of atmospheric neutrinos with the Baikal neutrino telescope

We present first neutrino induced events observed with a deep underwater neutrino telescope. Data from 70 days effective life time of the BAIKAL prototype telescope NT-96 have been analyzed with two different methods. With the standard track reconstruction method, 9 clear upward muon candidates have been identified, in good agreement with 8.7 events expected from Monte Carlo calculations for atmospheric neutrinos. The second analysis is tailored to muons coming from close to the opposite zenith. It yields 4 events, compared to 3.5 from Monte Carlo expectations. From this we derive a 90 % upper flux limit of 1.1 * 10^-13 cm^-2 sec^-1 for muons in excess of those expected from atmospheric neutrinos with zenith angle > 150 degrees and energy > 10GeV.Comment: 20 pages, 11 figure

Metric Properties of the Fuzzy Sphere

The fuzzy sphere, as a quantum metric space, carries a sequence of metrics which we describe in detail. We show that the Bloch coherent states, with these spectral distances, form a sequence of metric spaces that converge to the round sphere in the high-spin limit.Comment: Slightly shortened version, no major changes, two new references, version to appear on Letters in Mathematical Physic

The Lake Baikal neutrino experiment

We rewiew the present status of the Baikal Neutrino Project and present the results of a search for high energy neutrinos with the detector intermediate stage NT-96.Comment: 3 pages, 2 figures, to appear in the Proceedings of Sixth International Workshop on Topics in Astroparticle and Underground Physics (TAUP99), September 6-10, 1999, Pais, Franc

Towards the Theory of Cosmological Phase Transitions

We discuss recent progress (and controversies) in the theory of finite temperature phase transitions. This includes the structure of the effective potential at a finite temperature, the infrared problem in quantum statistics of gauge fields, the theory of formation of critical and subcritical bubbles and the theory of bubble wall propagation.Comment: 50 p

Status of the Lake Baikal Experiment

We review the present status of the Baikal Underwater Neutrino Experiment and report on neutrino events recorded with the detector stages NT-36 and NT-96.Comment: 5 pages, 4 PostScript figures, uses here.sty and mine.sty, submitted to the Proc. of 5th Int. Workshop on Topics in Astroparticle and Underground Physics (LNGS INFN, Assergi, September 7-11, 1997

Investigation of erosion mechanisms and erosion products in divertor armour materials under conditions relevant to ELMs and mitigated disruptions in ITER

Carbon fibre composite (CFC) and tungsten were irradiated by intense plasma streams at plasma gun facilities MK-200UG and QSPA-T. The targets were tested by plasma loads relevant to Edge Localised Modes (ELM) and mitigated disruptions in ITER. Onset condition of material erosion and properties of erosion products have been studied.С-С композит і вольфрам були піддані впливові інтенсивних потоків плазми на плазмових прискорювачах МК-200UG і КСПП-Т. Мішені випробувалися при плазмових навантаженнях, характерних для ЭЛМів й ослаблених зривів в ІТЕРі. Були проведені дослідження початкових умов ерозії матеріалів і властивостей продуктів ерозії.С-С композит и вольфрам были подвергнуты воздействию интенсивных потоков плазмы на плазменных ускорителях МК-200UG и КСПУ-Т. Мишени испытывались при плазменных нагрузках, характерных для ЭЛМов и ослабленных срывов в ИТЭРе. Были проведены исследования начальных условий эрозии материалов и свойств продуктов эрозии