[Treatment of ununited fractures and pseudarthroses of long tubular bones complicated by suppurative infection]. / Lechenie nesrosshikhsia perelomov i lozhnykh sustavov dlinnykh trubchatykh kostei, oslozhnennykh gnoinoi infektsiei.

The work is based on the analysis of examination and treatment (external +transosseous osteosynthesis) of 172 patients with ununited fractures and false joints of the long tubular bones complicated by purulent infection and posttraumatic osteomyelitis. All patients were divided into 4 clinical groups according to the activity of the purulent wound infection and choice of the surgical tactics. Some risk factors were taken into consideration in choosing the tactics of treatment and predicting the outcomes. The clinical course of the wound process in the groups of the patients studied and the errors and complications of operative treatment are analysed. The necessity for active postoperative management of patients and endolymphatic and +intra-arterial administration of antibiotics is substantiated. Good and satisfactory results of treatment were produced in 85.6% of patients.

[Comparative evaluation and current views on the treatment of trochanieric fractures of the femur in middle-aged and elderly patients]. / Sravnitel'naia otsenka i sovremennye vzgliady na lechenie vertel'nykh perelomov bedrennoi kosti u pozhilykh i starykh liudei.

The methods of treatment of trochanteric fractures of the femur depend on both on the peculiarities of the fracture of this part of the bone and on the general state of elderly and old people aggravated with accompanying diseases of the inner organs. The immobilization-free method was used in extremely severe cases. The mortality rate in the patients of this group was the highest. Skeletal traction still remains the main method of treating trochanteric fractures. However, this method is connected with a long period of bed rest, a danger of the development of hypostatic complications, and requires a long rehabilitation period. Surgical treatment with immersion osteosunthesis using a two or three flange nail with diaphyseal application is rather traumatic and does not allow the patients to move with a full load on the extremity at early terms, although it permits to mobilize them at earlier terms. The mortality rate is almost the same as in the treatment with skeletal traction. External perosseous osteosynthesis is low traumatic and allows to walk with a full load on the extremity at early terms, yet it requires regular observation and dressings, which prolongs the in-patient treatment period. The most prospective method of treatment of trochanteric fractures in elderly and old people is intramedullary osteosynthesis after Ender or Lezius.

[Surgical treatment of recent injuries of the internal lateral ligament of the knee joint]. / Operativnoe lechenie svezhikh povrezhdenii vnutrennei bokovoi sviazki kolennogo sustava.

The authors describe their experience in surgical treatment of fresh injuries of the interior lateral ligament in 25 patients, in 15 of whom autoplasty of the injured ligament was performed by making use of the tendon of musculus semitendinosus which was shifted without being cut off into the projection of the ligament location and sewn to the joint capsule by interrupted sutures.