[Total endoprosthetic hip replacement in patients with protrusive acetabulum bottom defect].

Total endoprosthetic hip replacement was performed in 39 patients with femoral head protrusion. The necessity of acetabulum defect infilling is proved. For the purpose of it the ground allobone transplant was impacted using the originally constructed impactor. The maximal volume of bone transplant was 170sm3. Reconstruction of the rotation center was achieved in 82% cases. 18% failed to reconstruct the anatomic rotation center, though without the significant limb contraction. The functional result was evaluated according to Harrison's scale after 6-48 months after the operation.87,2% of patients demonstrated good and 12,8% - satisfactory results in a 6 months period. There were no negative results in the group.

[Prophylaxis of purulent complications in operations on large joints by endolymphatic infusion of drugs]. / Profilaktika gnoinykh osloznenii pri operatsiiakh na krupnykh sustavakh s pomoshch'iu éndolimfaticheskogo vvedeniia lekarstvennykh veshchestv.

2 groups of patients operated on knee joints for traumatic injuries were examined. In the study group endolymphatic drug therapy was carried out in postoperative period, in control group of patients conventional way of intramuscular administration of preparations was used. During the treatment, plasmatic cells, macrophages and tissue basophiles in synovial liquor were studied as well as synthesis of nucleic acids (DNA and RNA) in plasmatic cells. It was shown that immune homeostasis of synovial liquor in postoperative period normalized faster in endolymphatic administration. The studies of tissue basophiles have shown that inflammatory process in the knee joint is completed faster when endolymphatic route of drug administration was used. Clinical results evidence of higher effectiveness of endolymphatic therapy in comparison with conventional method of treatment in postoperative period. In the former case the inflammatory process was completed by the 5th day, in the latter--by the 7th-9th day. The endolymphatic therapy in all the patients resulted in healing of operation wounds by primary intention. In the group of patients treated by standard methods, suppuration of the wound was detected in 6 from 27 patients and postoperative synovitis in 7-9 days was observed in 6 patients.