N.N. Priorov Journal of Traumatology and Orthopedics最新文献

{"title":"The evaluation of the effectiveness of cryotherapy after a knee replacement in the early postoperative period. Systematic review","authors":"Dmitriy I. Kazantsev, Aleksandr A. Ochkurenko, V. A. Peleganchuk, Yu.M. Batrak","doi":"10.17816/vto611023","DOIUrl":"https://doi.org/10.17816/vto611023","url":null,"abstract":"A literature review of the clinical efficacy of various methods of local cryotherapy after knee endoprosthesis in the early postoperative period is presented. A literature search using the keywords “cryotherapy” and “knee arthroplasty” was conducted in the databases Medline.Ru, CyberLeninka, E-Library, PubMed, and Cochrane. The search date was January 7, 2023. The review included studies that assessed the effectiveness of cryotherapy after knee replacement in the early postoperative period. After electronic search, 562 abstracts were found, and 16 studies were included in the review. Although the patients had similar characteristics, significant heterogeneity was noted in the studies according to cryotherapy modality, duration, and frequency of cold exposure. This may have been the reason for the contradictory results of the review. It is challenging to draw a clear conclusion on the advantages and disadvantages of using cryotherapy after knee replacement. Thus, high-quality studies should examine the effectiveness of cryotherapy.","PeriodicalId":308632,"journal":{"name":"N.N. Priorov Journal of Traumatology and Orthopedics","volume":"22 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140655986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Our experience in 3D-modelling in pilon (distal tibial plafond) fractures","authors":"M. V. Parshikov, Arsenty B. Koshkin, Nikolay V. Yarigin, Sergey V. Novikov, Andrey A. Prokhorov, Mihail V. Govorov, R. Aliev, Vladimir V. Guriev","doi":"10.17816/vto606713","DOIUrl":"https://doi.org/10.17816/vto606713","url":null,"abstract":"BACKGROUND: Internal fixation of pilon fractures remains challenging despite the development of new technologies in medical imaging and implant design and various scientific investigations on this problem. A key point in therapeutic strategy is preoperative planning. Since the beginning of the twenty-first century, the procedure has changed dramatically from plain radiograph drawing to 3D models and internal fixation simulation in vitro. \u0000AIM: This study aimed to evaluate 3D modeling in pilon fracture osteosynthesis preoperative planning. \u0000MATERIALS AND METHODS: The study used open, prospective, randomized, and comparative analysis. We analyzed the data of 60 patients with pilon fractures who had undergone surgical treatment for pilon fractures between July 1, 2020, and December 12, 2021, in Moscow City Hospital No. 17. In 30 patients, 3D models were used in preoperative planning, and in another 30 patients, the traditional planning method was performed. The operation time, intraoperation, X-ray dosage, blood loss, fracture reduction quality, and long-term results were analyzed. Additionally, the surgeon’s comfort in applying the 3D model and ease of doctor–patient communication were assessed using questionnaires. \u0000RESULTS: Results showed that 3D modeling in pilon fracture osteosynthesis preoperative planning has advantages over traditional preoperative planning. \u0000CONCLUSION: Therefore, 3D planning is a promising novel method for distal tibial fracture internal fixation preoperative planning, which provides significant higher degree of fracture anatomy comprehension and facilitates reduction maneuvers and implant positioning.","PeriodicalId":308632,"journal":{"name":"N.N. Priorov Journal of Traumatology and Orthopedics","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140653421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of controlled growth in correcting the inequality of the length of the lower extremities in the framework of multi-level simultaneous orthopedic interventions in children with hemiparetic forms of cerebral palsy","authors":"U. F. Mamedov, Ahmed D. Tomov, O. I. Gatamov, D. A. Popkov","doi":"10.17816/vto609554","DOIUrl":"https://doi.org/10.17816/vto609554","url":null,"abstract":"INTRODUCTION: Multilevel simultaneous orthopedic interventions in hemiparetic cerebral palsy imply correction of orthopedic complications on the involved limb and equalization or reduction of the inequality of the limb length. The effectiveness of correcting the inequality of limb length by controlled growth while improving the function of the involved limb by performing a multilevel orthopedic intervention remains unknown. \u0000AIM: To analyze the parameters of correction of the inequality of the length of the segments of the lower extremities using controlled growth in children with spastic hemiplegia in the framework of multilevel orthopedic interventions. \u0000MATERIALS AND METHODS: In 24 children with spastic hemiplegia, the results of correction of the inequality of the length of the lower extremities by controlled growth (extraphyseal epiphysiodesis) performed within the framework of multilevel simultaneous interventions were studied. \u0000RESULTS: The duration of correction was, on average, 18 months during hip surgery and 18.5 months with growth inhibition in the lower leg. Generally, considering the length of the segments of both the thigh and lower leg, the correction achieved was relatively satisfactory. Preoperatively, the difference in the total length of the thigh and lower leg was 18 mm (11–23), and after the correction period, it was 4 mm (−4.5–5.75). In performing epiphysiodesis before age 11 years, hypercorrection of the shortening of the involved limb may occur, considering the difference in the length of the thigh–shin segment. As age increases at the time of intervention (especially in the second half of puberty), the effectiveness of the controlled growth technique decreases. In all cases, when the correction value was 1 cm, patients’ age exceeded 144 months (12 years). \u0000CONCLUSION: Given the advantages of multilevel interventions in cerebral palsy, performing controlled growth within a single operation with reconstructive elements on the involved limb is preferable. The controlled and reversible nature of extraphyseal temporary epiphysiodesis is beneficial in achieving the required correction without high risks of excessive growth inhibition. Performing a controlled growth operation is preferable when the patient is ≤12–13 years old, considering the residual growth potential.","PeriodicalId":308632,"journal":{"name":"N.N. Priorov Journal of Traumatology and Orthopedics","volume":"5 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140654338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Avascular necrosis of the femoral head in combination with septic arthritis of the hip joint","authors":"Dmitry S. Kudashev, Galina N. Svetlova, M. Sefedinova, S. Zuev-Ratnikov, Andrey A. Knyazev","doi":"10.17816/vto611077","DOIUrl":"https://doi.org/10.17816/vto611077","url":null,"abstract":"BACKGROUND: The combined course of avascular necrosis of the femoral head and septic arthritis of the hip joint is extremely rare and not always timely diagnosed. Analysis of specialized foreign literature revealed only single descriptions of clinical cases of combined lesions of the hip joint (avascular necrosis of the femoral head and septic arthritis). However, these studies do not describe the surgical treatment algorithms of patients. While analyzing the sources of domestic literature for the last 10 years, we did not encounter descriptions of such clinical cases. \u0000CLINICAL CASE DESCRIPTION: A 38-year-old patient was diagnosed with avascular necrosis of the femoral head with concomitant septic arthritis of the hip joint. During the preoperative period, a diagnostic puncture of the hip joint with subsequent cytologic and microbiological examination of synovial fluid was performed. Growth of the Staphylococcus aureus strain was observed. Because primary hip arthroplasty was contraindicated and isolated conservative treatment of bacterial arthritis aggravated the course of avascular necrosis, the patient underwent two-stage surgical treatment. The first stage was femoral head resection with installation of a spherical cement spacer impregnated with antibiotics, and the second stage was total hip arthroplasty after the inflammatory process had subsided. The postoperative period of each surgical stage proceeded without complications. It was possible to achieve microorganism eradication; eliminate the chronic inflammatory process, which was confirmed clinically and laboratory; ensure the possibility of total hip arthroplasty; and restore the limb-bearing capacity, extent of motion in the joint, and quality of life of the patient. \u0000CONCLUSION: The clinical observation confirms the need for detailed diagnosis in patients with an atypical course of avascular necrosis of the femoral head and demonstrates a successful treatment option in such cases.","PeriodicalId":308632,"journal":{"name":"N.N. Priorov Journal of Traumatology and Orthopedics","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140654221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Priorovsky Readings — 2023","authors":"","doi":"10.17816/vto627302","DOIUrl":"https://doi.org/10.17816/vto627302","url":null,"abstract":"On December 15 and 16, 2023, the X All-Russian Scientific and Practical Conference “Priorovsky Readings” dedicated to the 100th anniversary of the birth of Academician Mstislav Vasilievich Volkov was held in a solemn atmosphere at the Radisson Slavyanskaya Hotel in Moscow. The report gives a brief overview of the event.","PeriodicalId":308632,"journal":{"name":"N.N. Priorov Journal of Traumatology and Orthopedics","volume":"24 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140657937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the quality of life in patients with meningiomas of the craniovertebral junction using a developed questionnaire in a neurosurgical clinic","authors":"V. Shimanskiy, R. A. Sultanov, D. Yusupova, V. K. Poshataev, A. Zimin, S. V. Tanyashin, A. Zaytsev, V. V. Karnaukhov, N. Suponeva","doi":"10.17816/vto608174","DOIUrl":"https://doi.org/10.17816/vto608174","url":null,"abstract":"BACKGROUND: A validated tool for assessing the quality of life specific to a particular disease has not yet been developed. Previous studies only partially investigated the quality of life of patients with craniovertebral junction meningiomas and did not include the entire spectrum of functional disorders in this disease. \u0000AIM: To develop and validate a questionnaire to assess the quality of life of patients with craniovertebral junction meningiomas. \u0000MATERIALS AND METHODS: A retrospective and prospective study of 119 patients with craniovertebral junction meningiomas was conducted before and after surgical and combined (surgical removal of the tumor followed by radiation therapy) treatment using a validated questionnaire developed. \u0000RESULTS: A quality of life questionnaire for patients with craniovertebral junction meningiomas was developed and validated. Determining the internal consistency of the scale showed that the Cronbach alpha coefficient was α=0.78 (p 0.001), confirming its sufficient level. In analyzing the sensitivity of the questionnaire, the estimates before and after surgery did not differ significantly (p=0.62, t-criterion). \u0000CONCLUSIONS: This study developed the first quality of life questionnaire worldwide for patients with craniovertebral junction meningiomas. In summary, this questionnaire is not able to reflect the dynamics of the quality of life.","PeriodicalId":308632,"journal":{"name":"N.N. Priorov Journal of Traumatology and Orthopedics","volume":"44 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140657070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative characteristics of cervical sagittal balance parameters and atlantoaxial instability criteria in normal and Down syndrome children","authors":"Alexander A. Kuleshov, A. G. Nazarenko, Vladislav A. Sharov, M. Vetrile, A. V. Ovsyankin, Elena S. Kuzminova, I. N. Lisyansky, S. N. Makarov, U. Strunina","doi":"10.17816/vto624245","DOIUrl":"https://doi.org/10.17816/vto624245","url":null,"abstract":"BACKGROUND: Sagittal balance of the spine has received considerable development in recent years. However, most studies focused on the assessment of vertebral–pelvic parameters. The cervical spine has long received insufficient attention from researchers, but this trend has been changing. The study of cervical sagittal balance in children with Down syndrome is beneficial in approaching the preconditions of atlantoaxial instability. \u0000AIM: To perform a comparative analysis of cervical sagittal balance parameters and atlantoaxial instability criteria in normal and Down syndrome children. \u0000MATERIALS AND METHODS: Radiographs of the cervical spine in the neutral position in lateral projection and postural radiographs of 110 pediatric patients were analyzed retrospectively. The patients were divided into two groups: group 1 (normal), 60 children aged 4–17 years without spinal pathology, and group 2 (Down syndrome), 50 children aged 4–17 years with Down syndrome. The parameters of cervical sagittal balance (Oc-C2, Oc-C7, C1-C2, C2-C7, C2-C7H, C7S, Th1S, TIA, NT) and criteria for atlantoaxial instability (Nakamura angle, ADI, SAC-C1, SAC-C1/SAC-C4) were obtained, and data was statistically analyzed. \u0000RESULTS: Significant differences in the parameters C7S, Th1S, and TIA increased in children with Down syndrome. These parameters are involved in cervical lordosis; however, no significant differences in cervical lordosis angles were found. Furthermore, significant differences were noted in the criteria of atlantoaxial instability ADI, SAC-C1, and SAC-C1/SAC-C4 toward their decreasing in children with Down syndrome. \u0000CONCLUSION: In patients with Down syndrome, the indices of cervical lordosis are statistically greater than those in normal children. Moreover, the parameters of cervical lordosis in patients with Down syndrome do not differ from those in normal children. Therefore, during flexion, subcompensation of the cervical spine is observed in children with Down syndrome. Given the statistically smaller indicators ADI, SAC-C1, SAC-C1/SAC-C4, low neck muscle tone, and ligamentous hypermobility, these abnormalities can be considered as congenital predisposition factors for atlantoaxial instability in children with Down syndrome.","PeriodicalId":308632,"journal":{"name":"N.N. Priorov Journal of Traumatology and Orthopedics","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140657817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Congratulations to Academician of the Russian Academy of Sciences Gennadiy P. Kotelnikov on his 75th anniversary!","authors":"","doi":"10.17816/vto626761","DOIUrl":"https://doi.org/10.17816/vto626761","url":null,"abstract":"Brief biographical information and scientific achievements of Gennadiy P. Kotelnikov, congratulations on the 75th anniversary.","PeriodicalId":308632,"journal":{"name":"N.N. Priorov Journal of Traumatology and Orthopedics","volume":"44 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140657260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative predictors of mortality in fractures of the proximal femur","authors":"S. S. Rodionova, Habiballah Zaid A. Asi, A. V. Krivova, Elmira M. Murtazina","doi":"10.17816/vto611130","DOIUrl":"https://doi.org/10.17816/vto611130","url":null,"abstract":"BACKGROUND: Age and comorbidities are considered independent preoperative predictors of mortality in proximal femoral fractures; however, their contribution remains debatable. \u0000AIM: To assess the prognostic significance of age and Charlson Comorbidity Index (CCI) of the survival of older people with proximal femoral fractures. \u0000MATERIALS AND METHODS: This retrospective prospective study included all cases of proximal femoral fractures that occurred between January 1, 2019, and December 31, 2019, in individuals over 50 years of age from the cities of Tver, Torzhok, Rzhev, VyshnyVolochek, and Kashin. ICD-10 codes: S72.0, S72.1, and S72.2. The CCI of each patient was calculated using an online calculator and clinical data obtained from patient and outpatient records. Statistical analysis. Survival was estimated using Kaplan–Meier curves and the average number of deaths per day per 1000 people. The follow-up interval was obtained in days from the time of injury to the event of death or last contact with the patient. The minimum observation period was 876 days, and the maximum was 1492 days. \u0000RESULTS: The survival rate of patients decreased from younger to older age groups, both among those operated on and those who were not. Patients aged ≥85 years were at greatest risk (median survival: 257 days; 95% CI: 36.6–478.3). CCI was significantly associated with survival: the risk of death with CCI 3 was 3–6 times higher than that with CCI 2–3, depending on the follow-up interval. CCI reflected health status more than age: within the same age group, there were patients with different CCIs. \u0000CONCLUSION: Using age and CCI simultaneously as predictors of mortality and more accurate indicators of health status will enable the planning of the utilization of additional medical and social resources in the preoperative and postoperative periods, thereby increasing survival.","PeriodicalId":308632,"journal":{"name":"N.N. Priorov Journal of Traumatology and Orthopedics","volume":"34 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140657545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On the 100th anniversary of the laureate of the USSR State Prize, the USSR Council of Ministers Prize, Professor Konstantin M. Sivash","authors":"","doi":"10.17816/vto626762","DOIUrl":"https://doi.org/10.17816/vto626762","url":null,"abstract":"2024 marks the 100th anniversary of the birth of the laureate of the USSR State Prize, the USSR Council of Ministers Prize, Professor Konstantin Mitrofanovich Sivash.","PeriodicalId":308632,"journal":{"name":"N.N. Priorov Journal of Traumatology and Orthopedics","volume":"1 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140654917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}