Background. Treatment of patients with Charcot neuroosteoarthropathy remains an unsolved problem at present. The current state the motivated us to develop a new original method for reconstructing rear part foot form tibiocalcaneal bone block maximum possible preservation limb length in neuroosteoarthropathy. aim this study is demonstrate one-stage arthrodesis length. surgical procedure on preoperative stage includes measuring angle adjacent Gissan and its bisector radiographs. After...

Introduction Neuropathic arthropathy, or Charcot is characterized by rapid progressive bone destruction due to impaired nociceptive and proprioceptive innervation of the affected limb. In recent years, there have been publications on use 3D modeling printing porous titanium implants for filling large defects in foot, but we found only two descriptions clinical cases patients with arthropathy. The aim work demonstrate analyze results performing resection calcaneotibial arthrodesis defect...

Background: Charcot's neuroosteoarthropathy is a disease accompanied by progressive bone destruction against the background of neuropathy various origins (diabetes mellitus, syphilis, spina bifida, etc.). The aim this study: To evaluate results surgical treatment patients with deformities hindfoot and ankle joint in neuroosteoarthropathy, who underwent arthrodesis affected joints fixation ways. Materials methods: analysis was conducted for 96 (37 men 59 women) - 97 feet, since 1 patient had...

INTRODUCTION. The authors present the data of literature review devoted to problem treating intervertebral disc herniations by various methods, choice surgical and conservative approaches treatment, timing symptom relief, resorption hernial protrusion. AIM. To analyze used techniques acupuncture, indications contraindications its use. MATERIALS AND METHODS. in detail their own treatment method within framework traditional Chinese medicine using methods corporal auricular acupuncture...

The author gives a review of published data on the problem terminology and classification chronic wounds, as well an overview methods for topical treatment wounds with illustrations from his own clinical practice.

The article presents clinical examples of surgical treatment diabetic osteoarthropathy. In both cases, the talipes and plantar ulcerous defects became a significant factor threatening high ablation, which was avoided. Restoration support function foot absence recurrent in long term is result multidisciplinary team approach to these patients. An ambulatory patient assigned package therapeutic measures prepare for surgery. After intervention compulsory outpatient department further monitoring...

Diabetic Charcot neuroosteoarthropathy is a manifestation of diabetic foot syndrome, accompanied by high risk ulcers and amputation. Many aspects this pathology due to its features remain poorly understood, which leads difficulties in determining the tactics treatment these patients. This review analyzes anatomical functional classifications foot. The focuses on midfoot as most severe their consequences. advantages disadvantages different approaches description X-ray picture disease at...

Hidradenitis suppurativa (acne inversa) is a chronic inflammatory skin disease that affects terminal hair follicles in the area of apocrine sweat glands. The manifested by formation recurrent nodes with purulent discharge, prone to fistulas and scars. axillary region one common affected areas. article presented clinical case radical surgical management hidradenitis stage III Hurley classification. described treatment included extensive resection pathologically changed soft tissues...

Introduction : in the world orthopaedic practice, attention is increasingly paid to surgical interventions that improve patient’s quality of life. One these joint arthroplasty. The most common reason for this operation osteoarthritis. It known coxarthrosis and gonarthrosis have a high incidence there dynamic increase amount data pathologies. However, behind all advantages arthroplasty here formidable complication – periprosthetic infection, which can be fatal patient. According opinion...

Objective . To study the effectiveness and safety of negative pressure wound therapy in patients with combat limb injuries. Material methods 248 who suffered injuries lower and/or upper extremities for 4–58 days (mean 15.8 ± 8.6 days) before admission to hospital were enrolled a prospective observational trial. All participants males. Their age ranged from 19 59 years 35.6 + 8.3 years). Most often, wounds localized shin (29.3 % cases) feet (12.8 %). 27.3 had amputated limbs 47.4 – external...

The objective is to present a clinical case of successful treatment patient with recurrent spondylitis at the cervical level. Clinical case. A 65-year-old was diagnosed purulent spondylodiscitis level C 6 -C 7 vertebrae epidural and paravertebral abscesses spinal cord compression. Emergency left colotomy, abscess dissection, corporectomy vertebra, removal, anterior spondylodesis bone autograft titanium plate were performed. Massive antibacterial therapy prescribed. After operation, volume...

Introduction. The frequency of hip arthroplasty is steadily increasing throughout the world and, although this operation has become routine, likelihood postoperative complications reaches 4.3 % [1]. most dangerous them are infectious lesions in area endoprosthesis and adjacent tissues. At same time, addition to threat generalization process, there functional disorders joint a general deterioration quality life patient. Timely diagnosis treatment process related can minimize adverse effects...

The authors present a review of published data on the problem wound complications after abdominoperineal resection, and their own randomized controlled study 24 patients. In group using local negative pressure method, duration antibiotic therapy was 5.0 ± 0.9 days, length stay 14.1 2.8 infectious not; in comparison group, treatment 12.9 1.6 28.4 2.3 days 2 (16.7 %) cases were noted.

Negative pressure therapy is one of the newest methods used in wounds treatment. It enables to accelerate and optimize process wound healing hence reduce cost stimulates proliferation granulation tissue, provides continuous evacuation exudate effectively cleans surface. Treatment results for 251 patients with purulent septic complications after surgical intervention are presented. One hundred two had open fractures extremity bones, 51 underwent total arthroplasty large joints 48 — scoliosis...

Object . To assess the effectivity and safety of different tibiocalcaneal arthrodesis types in treatment patients with Charcot ankle deformity depending on disease severity. Materials methods We have analyzed outcomes after 16 diabetic neuropathic arthropathy (Charcot ankle) at stage septic complications bones subtalar joints. The observation period was more than 1 [1–3] year. Ilizarov fixator for TCA used 8 cases; internal fixation cannulated screws applied cases. Results. In early periods...

Introduction. One of the rare complications following hip arthroplasty is periprosthetic joint infection (PJI). Two-stage revision gold standard in treatment deep large joints, providing high probability process resolution as well functional recovery limb and elimination pain syndrome. Aim: to improve results patients with after primary arthroplasty. Materials Methods. 121 (62 main group 59 control group) were included study. In group, was performed using a two-stage technique implantation...