[Hemodynamic features of operations with tourniquet in orthopedic surgery]. / Gemodinamicheskie osobennosti operativnykh vmeshatel'stv pod zhgutom v ortopedii.

The investigation was carried out in group of 38 patients where total arthroplasty knee joints operations were planned and performed. The operations have been performed under general or regional anesthesia. Usage of a knee joints arthroplasty technique under a compression with tourniquet in conditions of a general anaesthesia, is accompanied by a hypertensive syndrome requiring for a hemodynamic correction. The decompression after prosthetic repair is integrated to a recirculation hypotension especially expressed with usage of hypotensive drugs. The obtained data prove the regional methods of an anaesthesia as more reasonable for total arthroplasty of knee joints.

[Impact of anesthesia methods on the course of perioperative period in endoprosthesis of the hip joint]. / Vliianie metodov anesteziï na techenie perioperatyvnogo perioda pri éndoprotezirovanii tazobedrennogo sustava.

The impact of methods of anesthesia on the course of perioperative period was studied up in 132 patients, to whom the total endoprosthetics of the hip joint was performed. The occupation in the operation room term and analysis of the postoperative pain syndrome occurrence with its cupping served as comparative categories for general and regional methods of anesthesia. Central neuronal blockade, epidural and spinal anesthesia have predominant significance for enhancing of the intraoperative and postoperative analgetic defense.

[Total hip replacement in elderly and senile patients with initial femur neck fractures]. / Total'noe éndoprotezirovanie tazobedrennogo sustava u bol'nykh pozhilogo i starcheskogo vozrasta co svezhimi perelomami sheiki bedrennoi kosti.

We carried out researches with the purpose of comparison of operative treatment results of femur neck fractures in elderly and senile patients with those in other countries. Total hip replacement technique was used over the period of 1991-2002 yy. for 123 patients with femur neck fractures. We have used "Smith & Nephews" or "Zimmer" prostheses with "Polacos" or "Osteobond" acrylcements. Surgical approach tactics is very important for prophylaxis of early and late postoperative complications. Active and of sound mind patients with femur neck fractures should undergo total hip replacement procedure. Rehabilitation is also an important factor in preventive early and late postoperative complications.

[Effect of various methods of functional osteosynthesis on healing of the femoral diaphysis fractures in adults]. / Vliianie razlichnykh metodov funktsional'nogo osteosinteza na zazhivlenie perelomov diafiza bedrennoi kosti u vzroslykh.

Our objective in this investigation was to study healing of fractures of the femur diaphysis treated with different methods of fixation. A total of 177 patients who ranged from 16 to 80 years old were examined. It has been ascertained that union is through secondary callousity formation. Our techniques for screw adjustment involving the use of a dynamic compression plate and intraosseous nail made for a complete consolidation of fractured bone fragments within one year. The use of a plate with screws arranged at an interval of up to 1 sm near the plane of the fracture or external fixation unit prolonged healing time. Recommendations have been worked out in the course of the study to improve methods of treatment of fractures of the femur diaphysis.

[Our view on the problem of treating patients with fractures of the proximal segment of the femur]. / Nash vzgliad na problemu lecheniia bol'nykh s perelomami proksimal'nogo segmenta bedrennoi kosti.

The purpose of this study is to elucidate and analyze causes of difficulties encountered in dealing with fractures of the proximal segment of the femur and to set out our idea of solving these problems. An analysis is performed of classifications, an assessment is given of studying the adequate choice of a treatment modality, an attempt is made at formulating a doctrine of delivering qualified and specialized emergency medical service to those persons having been disabled for work, which could take account of all aspects of the injury under study. Indications for hemiarthroplasty are outlined, with the policy of primary sparing the joint elements by atraumatic osteosynthesis techniques being chosen in preference to any other policy.

[Classification of fractures of the proximal end of the femur]. / O klassifikatsii perelomov proksimal'nogo segmenta bedrennoi kosti.

Experience gained in different countries of the world with the use of existing classifications of the femur proximal end fractures (Muller, Pauwels, Garden) is discussed together with observations by Klenerman, Linton, Dorne, Erandsen, Kocher, and Nils Carlquist's scheme. Also submitted in the paper is the author's variant of classification based on characterization of the patient with regard for his/her concomitant afflictions, characteristics of the fracture sustained, the site of the fracture-related changes in blood supply.

[Analysis of complications of operation for appendicular peritonitis in children]. / Analiz oslozhnenii posle operatsii po povodu appendikuliarnogo peritonita u detei]

Complications, occurred after the operation for appendicular peritonitis in children, were analyzed. The frequency of the complications occurrence in patients with an acute catarrhal appendicitis had constituted 1.4%, with phlegmonous one--3.5%, gangrenous--12.1%, gangrenous appendicitis with local restricted peritonitis--18.9%, with diffuse purulent peritonitis--42%. The dependence of the complications frequency on character and severity of primary changes in abdominal cavity was established.

[Total endoprosthesis of knee joint for the severe deformity of the femoral and tibial condyles]. / Total'noe éndoprotezirovanie kolennogo sustava po povodu vyrazhennoi deformatsii myshchelkov bedrennoi i bol'shebertsovoi kostei]

The method of knee joint endoprosthesis for its pronounced deformity was proposed. As a transplant there was applied the ceramic hydroxiapatite, manufactured according to special technology. The implant was fixed on the transplant adjusted.

[The possibility of using laser correlation spectroscopy for the functional characterization of plasma homeostasis in patients with orthopedic injuries]. / Vozmozhnost' primeneniia lazernoi korreliatsionnoi spektroskopii dlia funktsional'noi kharakteristiki plazmennogo gomeostaza u bol'nykh ortopedo-travmatologicheskogo profilia.

Use of new method--laser correlative spectroscopy--was shown bq the authors to be suitable for diagnosis and prognostication of pathological process in orthopedic and traumatological clinics. The method was demonstrated to be highly informative and objective.

[A comparative evaluation of the subfractional composition of the blood plasma by using laser correlation spectroscopy in orthopedic-traumatological diseases]. / Sravnitel'naia otsenka subfraktsionnogo sostava plazmy krovi s pomoshch'iu lazernoi korreliatsionnoi spektroskopii pri zabolevaniiakh ortopedo-travmatologicheskogo profilia.

Analysis presented by the authors confirms that laser correlative spectroscopy may be in principle a method for a study of plasma homeostasis on subfractional level in various orthopedic and traumatological diseases. The method allows to assess changes in the inner environment of the body with regard to diversity of structural and functional reorganization induced by various pathological processes.

[Rational methods of cutaneous plastic surgery using local tissues in open injuries of the hand]. / Ratsional'nye sposoby kozhno-plasticheskikh operatsii s ispol'zovaniem mestnykh tkanei pri otkrytykh povrezhdeniiakh kisti.

Based on the experience with treating 214 patients, the authors distinguished the most frequent types of traumas to the hand, or fingers, which required the performance of the cutaneoplastic operations, and systematized the variants of such operations with the use of local cutaneous flaps. The primary cutaneous plasty, and as well the complex postoperative treatment of the patients with open injuries to the hand permitted to reduce the incidence of postoperative complications from 46 down to 15%, shorten the duration of treatment by 1-2 weeks.

[Predicting the development of degenerative and dystrophic lesions of the hip joint of dysplastic etiology]. / Prognozirovanie razvitiia degenerativno-distroficheskogo porazheniia tazobedrennogo sustava displasticheskoi étiologii.

On the basis of the roentgenologic changes in 368 patients in 184 children with hip joint dysplasia and developing degenerative and dystrophic lesions in it the authors have proposed a prognostic table of roentgenologic values of the hip joint in various age groups of the patients who may develop degenerative and dystrophic lesions. Prognosis of the development of a degenerative and dystrophic lesion of the hip joint allows to considerably reduce the quantity of its appearance and progress.

[Neurodystrophic syndrome in patients with fractures of the distal epimetaphysis of the radius]. / Neirodistroficheskii sindrom u bo'lnykh s perelomami dista'lnogo épimetafiza luchevoi kosti.

The authors analyse the development of the neurodystrophic syndrome (NDS) after fracture of the distal epimetaphysis of the radius in 67 patients. Rapidly and slowly progressive forms of NDS development were distinguished. Thermographic examination of 20 patients gives evidence of disturbed tonus of the microcirculatory channel in NDS. Laser therapy, magnetic field, and hypothermia were used in the treatment of patients with NDS. The developed system of NDS prognostication in fractures of the distal radial epimetaphysis and preventive treatment of risk group patients allowed the frequency of this complication to be reduced.