[Impact of anesthesia methods on the course of perioperative period in endoprosthesis of the hip joint].

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].

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.

[Hemodynamic features of operations with tourniquet in orthopedic surgery].

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.

[Effect of various methods of functional osteosynthesis on healing of the femoral diaphysis fractures in adults].

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 view on the problem of treating patients with fractures of the proximal segment of the femur].

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.