SURGICAL TREATMENT OF OLD PELVIC INJURIES.

The authors of the article carried out a retrospective analysis of the case histories of 43 patients (age from 20 to 66 years) with chronic pelvic injuries, hospitalized in 2010-2019. The damage type was assessed according to the AO classification. At the previous stages of treatment, conservative stabilization of the pelvis was used - 12 (27.

COMPARISON OF THE CLINICAL RESULTS FROM THE RECONSTRUCTION OF АCL WITH AUTOGRAFT AND ALLOGRAFT TISSUE.

The ACL is the primary stabilizer of the knee joint. The injury leads to instability of the knee joint, which is a trigger for the subsequent destructive changes of the intra-articular structures such as menisci and cartilage of the joint surfaces. The most affected group is people of an active age, engaged in amateur sports.

FEATURES OF THE FEMORAL HEAD FRACTURES COMBINED WITH ACETABULUM POSTERIOR WALL FRACTURES SURGICAL TREATMENT.

Objective: The aim: To conduct a thorough analysis of the surgical approach features in femoral head fractures combined with acetabulum posterior wall fractures; to analyze these patients' treatment results 12-36 months after the surgery; to determine the criteria affecting the satisfactory treatment results achievement in these injuries.

Patients And Methods: Materials and methods: The surgical treatment results were evaluated 13 and 36 months after the surgery. The retrospective analysis included 21 patients (17 men and 4 women) with femoral head fractures combined with the acetabulum posterior wall fractures.

OSTEOCHONDRAL AUTOLOGOUS TRANSPLANTATION VERSUS ARTHROSCOPIC DEBRIDEMENT WITH DRILLING IN THE TREATMENT OF TALAR OSTEOCHONDRAL LESIONS AND DEFECTS.

Objective: The aim: To conduct a comparative analysis of the results of arthroscopic debridement with drilling (ADD) versus osteochondral autologous transplantation (OAT) in the treatment of talar osteochondral lesions and defects (OHLD) based on the assessment of the function of the ankle joint, the level of pain and changes in the range of movements (ROM) in the affected joint.

Patients And Methods: Materials and methods: The study included 40 patients with OHLD, with an average area of 3.14 cm2 and a depth of 1.

[Effect of chondroprotectors in the treatment and prophylaxis of the knee joint osteoarthrosis].

An analysis is presented of employment of hyalgan (1% solution of hyaluronic acid) in 29 patients with osteoarthrosis of the knee joint (KJOA). The patients were divided into three groups. Group I comprized 9 patients with prior arthroscopic interventions in the knee joint with stage I KJOA; group II was 5 patients having undergone plasty of the anterior cruciate ligament with stage I KJOA; group III was 15 patients with stage II-III KJOA.

[Application of proximal correction osteotomy of the tibia in treatment of the knee joint osteoarthrosis].

High osteotomy of tibia is the method of choice in patients with osteoarthrosis (OA) of the knee joint (KJ) medial portion of I and II stage. To secure positive postoperative result achievement high proximal osteotomy was combined with other interventions, directed on elimination of other morphological or functional disorders of the KJ. We have performed treatment of 43 patients with OA of KJ of II stage with the varus deformity, to whom correcting osteotomy "Opening Wedge".

[Management policy for osteoarthritis of the knee joint].

Osteoarthrosis of the knee joint (KJA) is a most prevalent orthopedic disease. There are some questions as to the policy of treating KJA that remain to be decided. Results are analyzed of treating 3243 patients with KJA (stage I--889 individuals, stage II--1276 ones, stage III--1078 patients) over the period 1983-2000.

[Application of the apparatus autohemotransfusion in endoprosthesis of big joints].

We observed 16 patients in whom the method of camera intraoperation reinfusion of washed erythrocytes was used during endoprosthetics of joints. For reinfusion we used the system Elmd-500 (Electromedics Inc., USA).

[Arthroscopy techniques in the treatment of extension contractures of the knee joint after total knee arthroplasty].

Results are analyzed of treatment of four patients presenting with extension contractures of the knee joint after total knee replacement with the aid of the arthroscopic arthrolysis technique. All patients demonstrated increase in the joint movement size. The conclusion reached was that in the incipient manifestations of the knee joint extension contractures, the arthroscopic arthrolysis technique is superior to the conventional one.

[Total endoprosthesis of knee joint for the severe deformity of the femoral and tibial condyles].

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.

[Analysis of complications of operation for appendicular peritonitis in children].

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.

[Analgesia after orthopedic interventions].

The efficacy of application of tramadol and naclofen for analgesia after performance of orthopedic operations was studied up. There were examined 112 patients, to whom were done total endoprosthesis of coxofemoral joint, 19--total endoprosthesis of the knee joint, 54--the knee joint arthroscopy. The analgesia efficacy was estimated according to visual-analogue scale and to the sensations index.

[Endoprosthesis of the knee joint].

The experience of primary total endoprosthesis of a knee joint for restoration of its motility and stability was presented. Prostheses "Zimmer MG II", "Zimmer I B II", "Richards-Genesis", "Richards-Trigon-C", "Aesculap Mul. II", "Howmedica-kinematics" were implanted in 16 patients with gonarthrosis and rheumatoid arthritis stage III.

[The anatomy of the knee joint from the standpoint of endoprosthesis implantation].

An important anatomical structures and relations, having significance in conduction of operation of the knee joint endoprosthesis implantation, are depicted.

[Neurodystrophic syndrome in patients with fractures of the distal epimetaphysis of the radius].

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.