[Modified revascularizing osteotrepanation].

Revascularizing osteotrepanation (ROT) was performed in 44 patients with chronic obliterating diseases of the lower extremity arteries. The modified technique consisted in putting opertures through and through both cortical plates but in the metaphyseal zones of the tibial bone, the muscles were not damaged, fascia was not sutured. A comparison was made of the data of local skin electrothermometry, index of regional systolic pressure (IRSP) on the femur, malleolus-humeral index (MHI) and the distance of painless walking before operation and on the 10th day.

[A method of stable osteosynthesis in diaphyseal fractures of the femur].

The known methods of operative treatment of femur by means of intraosseous osteosynthesis, based on jamming of intraosseous structure in the bone, don't ensure sufficient level of the osteosynthesis stability that results in the secondary displacements. According to the method, proposed by the authors, a rod is introduced through the intercondylar fossa of the distal fractured fragment of femur (Imamaliyev, 1987) and is pierced through into the proximal fractured fragment of femur so that it perforates cortical layer of the bone in the region of greater trochanter with strong fixation in it. The structure is removed through the small incision in the area of the greater trochanter of femur.

[Treatment-diagnostic tactics for conservative treatment of uncomplicated compression fractures of the spine in the lower chest and lumbar regions].

Fractures of the vertebra bodies were divided by the authors into 5 groups depending on the character of destruction. Reposition is not required in a deficiency of the height of the injured body to 15%. Reposition is necessary if the deficiency is more than 15%.

[Use of the vascularized iliac crest transplant in disorders of the processes of consolidation of diaphyseal fractures of the femur].

The authors describe a method of plasty of proximal parts of the femoral diaphysis with a nonfree vascularized autotransplant from the iliac crest on the muscular-vascular connections including the strainer of the wide fascia, portion of the musculus gluteus medius and the feeding ascending branch of the lateral artery surrounding the femoral bone with the accompanying veins. The operation has anatomical and experimental grounds. Results of treatment of 6 patients have shown its high effectiveness in disturbed processes of consolidation of fractures of the upper and medial thirds of the femur diaphysis.

[Treatment of diaphyseal fractures of long tubular bones by functional intraosseous osteosynthesis].

A clinical analysis of treatment of 328 diaphyseal fractures of long bones in 304 patients by functional intraosseous osteosynthesis which is not to be followed by plaster immobilization has shown that the function was reestablished long before the consolidation. The functional intraosseous synthesis was performed without drilling of the bone marrow cavity, without special appliances or devices. Terms of invalidism are shorter than traditional ones.

[Experience with using autologous transfusion of ultraviolet- irradiated blood].

Autotransfusion of ultraviolet irradiated blood (TUVIB) has been included into the complex of treatment of 96 elderly and senile patients with fractures of the proximal end of the proximal end of the femur. The MD-73M apparatus has been used. The values of central hemodynamics, the threshold of tactile and pain sensitivity, the immune status and the coagulative system of blood have been studied.

[Biomechanical basis for a combined method of repositioning fractures and fracture-dislocations of the lower thoracic and lumbar vertebrae].

On the basis of data of model experiments and results of the treatment of 53 patients the authors recommend a combined technique of the treatment of severe fractures and dislocation fractures (a one-step reposition and subsequent extension of the involved portion). Favorable immediate and late results were obtained.

[Osteosynthesis with a rod in crushing injuries of the knee joint and periarthric fractures of the femur and crural bones].

The authors describe the treatment of 14 patients having crushing injuries of the knee joint of periarthric fragmentation fractures of femoral and crural bones with a wide zone of soft tissues damage. Economic resection of the joint with subsequent formation of a juncture between the femoral and tibial bones with a long rod (65--75 cm) seems to be mostly rational.