In recent decades, there has been a significant increase in interest primary endoprosthetics of the proximal interphalangeal joint world. At same time, an number operations entails audit interventions. The purpose study was to consider features instability endoprosthesis hand, types revision interventions and treatment outcomes on example federal trauma orthopedic center. Materials methods. analysis gender age composition patients, operations, possible causes endoprosthesis, localization...

Osteoarthritis is a common degenerative disease that causes pain and results in functional insufficiency of the joint, deterioration quality life its duration. Its treatment should be aimed at reducing pain, improving joints mobility limiting disorders. A clinical case total knee arthroplasty multidisciplinary rehabilitation function presented. Material methods. prospective analysis patient with right joint osteoarthritis III radiological stage was carried out. The article presents aspects...

The paper presents data analysis of the Hip Arthroplasty Register Vreden Russian Research Institute Traumatology and Orthopedics, namely information on 37373 primary THA performed at several other orthopedic centers 1200 hip replacements hospitals St. Petersburg.There were 1.5 times more women in studied cohort than men. A significant predominance with dysplastic osteoarthritis (72.4%) rheumatoid arthritis (82.1%) was reported. male noted patients secondary (53.1%), post-traumatic changes...

Relevance. Formation of pan-resistance microorganisms, microbial biofilms on implants and recurrent infection rate stimulate the search for optimal prosthesis materials treatment periprosthetic (PJI). Purpose study — to compare efficiency two stage PJI with simultaneous implantation a spacer in combination silver-doped coatings based two-dimensionally ordered linear chain carbon (TDOLCC+Ag) during first conventional revision only. Materials methods. The included 72 patients knee (n = 42) hip...

Введение.Рост количества первичных эндопротезирований тазобедренного сустава ведет к неуклонному увеличению ревизионных вмешательств.К категории сложного протезирования относятся и пациенты с обширными повреждениями вертлужной впадины в результате высокоэнергетической травмы.Амплификация клинических случаев требует индивидуального подхода при планировании конфигурации вертлужного компонента.В последние годы клиники активно внедряют практику технологию 3D-моделирования компонентов...

Purpose: In this study, we investigated the relationship between results of thoracic curve correction using minimally invasive surgeries in 35 patients and open surgical 47 with adolescent idiopathic scoliosis. Methods: The correlations Cobb’s angle primary postoperative curves, kyphosis lumbar lordosis, percentage, derotation values, estimated blood loss, duration surgery, period hospitalization after surgery were assessed by calculating mean standard deviation. Calculation comparison...

BACKGROUND: General injury rates tend to increase in most federal districts of Russia. The patients with fractures the bones lower extremities reaches for 8.525% total number fractures. Fractures are characterized by long period reparation, persistent contractures, a violation congruence articular surfaces, and changes biomechanics walking. Only full course rehabilitation can eliminate these complications restore previous motor activity.
 АIMS: study aimed analyze structure injuries...

Aim. To assess the application of intraoperative neurophysiological monitoring (IONM) for spinal surgeries in accordance with Federal Center Traumatology, Orthopedics and Endoprosthesis (Cheboksary, Russian Federation)Material methods. A total 366 surgeries, from 2009 to 2015. From 2013, wake-up test was used as a control method 116 (65.9%) cases.Results. Application IONM revealed time-dependent risks facilitated reduction incidence postoperative neurologic complications by 3-fold (from 2.6%...

Rotator cuff impingement syndrome (SURM) of the shoulder is considered one most common causes pain in joint people working age, mostly males. Due to absence characteristic signs this pathology at initial stage disease, fibrotic changes subacromial space (FI SAP) are detected late. The aim study was evaluate effectiveness ultrasound navigation diagnosis and verification fibrous patients with rotator entrapment syndrome. Materials methods. An analysis made 86 syndrome, whom initially according...

Background. Data from the national registers of arthroplasty showed that about 12% hip and knee undergo revision within 10 years after primary surgery. The leading cause revisions is aseptic loosening components, joint periprosthetic infection (PPI). Some infectious complications, including those related to mechanical causes, remain out sight. aim study was identify frequency unexpected infections during performed for complications any etiology. Materials Methods. 839 cases joints were...

Purpose of the study – to evaluate antibacterial activity and biological compatibility alloy coatings based on two-dimensionally ordered linear chain carbon (TDOLCC).Materials Methods. Coatings TDOLCC were synthesized using alloying additions like nitrogen (TDOLCC+N) silver (TDOLCC+Ag) surfaces titanium plates polystyrene by ion-stimulated condensation in a vacuum. The authors examined superficial bactericidal its resistance mechanical effects. Coated evaluated respect rate microbial...

Up to 30% of the adult population suffers from impingement syndrome with severe pain. Detection disease in early stages is difficult. Early diagnosis initial signs degenerative changes subacromial space saves patient surgery and additional risk postoperative complications. The aim study evaluate informative value radiation methods for diagnosing based on analysis papers published by domestic foreign authors, depending etiopathogenetic factors anatomical structure shoulder joint. Materials...

Relevance. Fractures of the proximal humerus occupy 3rd place in structure fractures elderly. Failure to treat these injuries leads irreversible changes shoulder. The main treatment for latter is arthroplasty. surgical this category patients still a difficult task. purpose study was compare effectiveness standard reverse arthroplasty with combination reconstruction external rotators shoulder or transposition latissimus dorsi. Materials and Methods. retrospective evaluation results 96...

Relevance . Total endoprosthetics is a one of the most common operation for knee pathology. A major complication joint replacement surgery periprosthetic infection (PPI). In this work, we looked at mid-term clinical outcomes using spacers coated with linear chain carbon doped silver ions (LC-Ag+) to treat PJI. Object and methods The results 31 patients LUP-Ag+ were compared control groups utilizing tests functional scales KSS, visual analogue pain scale (VAS), EQVAS, EQ-5D-5L 2 years...

To analyze the comprehensive program for prevention of thromboembolic complications in orthopedic patients.

BACKGROUND: The justification of the treatment techniques for patients with gonarthrosis requires use modern methods assessing walking stereotypes.
 AIM: This study aimed to evaluate biomechanical and podometric gait parameters using C-Mill multifunctional complex biofeedback.
 MATERIALS AND METHODS: included 55 who were divided into following groups: main group (n=35) had disturbances, diagnosed stage III–IV primary varus deformation limb axis according ICD-10, underwent total...

Diseases of the osteoarticular system are one leading causes disability in Russian population. In case ineffective conservative treatment patients with arthrosis and arthritis, surgical is performed. An important problem remains complete rehabilitation after interventions. The aim study was to present a model full cycle three-stage medical traumatological orthopedic operations specialized federal center an assessment its effectiveness. Materials methods. described includes approaches,...

Background. The etiological structure of implant-associated infection and antibiotic resistance pathogens are important when choosing empirical therapy. COVID-19 pandemic increased consumption antibiotics by the population could provoke an increase in resistance.The aim work. To compare spectrum leading implantassociated pre- post-Covid period to assess resistance.Materials methods. A continuous retrospective study biomaterial samples from traumatology orthopedic patients with was carried...

Introduction The differential diagnosis of periprosthetic joint infection (PJI) is challenging in patients with systemic diseases due to identical clinical and laboratory patterns activity the inflammatory process. objective was evaluate diagnostic data results debridement PJI rheumatoid arthritis using a case series. Material methods A retrospective analysis surgical treatment produced between 2014 2022. verified based on ICM criteria. poor outcome included presence signs admission second...

The diagnosis of infectious complications in joint prosthetics remains a pressing issue, especially cases where pathogens do not grow during the seeding biological material. This study analyzed potential use synovial biomarkers for periprosthetic infections (PPI), based on literature data. aim was to determine significance C-reactive protein (CRP), interleukin-6 (IL-6), and presepsin diagnosing PPI. Materials methods: A prospective, single-center, blinded conducted patients undergoing...

A distinctive feature of patients with ankylosing spondylitis is the formation hip ankylosis in an extremely unfavorable functional position combined upset sagittal balance body along a thoracolumbar kyphosis. Treatment these poses considerable technical difficulties and often associated complications. The authors report clinical case female 40 years old patient confirmed rhizomelic spondylitis. mainly complained fixed malposition right lower extremity (hip extreme 1450 flexion 1500...

Up to 1.5 million total hip arthroplasty is performed annually in the world. In Russia, at least 300 thousand patients a year need replacement surgery. High tissue invasiveness during surgical approaches presents special requirements for rehabilitation process early postoperative period. Accelerating and making it more efficient possible with use of traumatic operating access. The purpose study comparative analysis two models organization period after arthroplasty: using standard Harding...