Saratov JOURNAL of Medical and Scientific Research

Emkyzhev O.L.

Scientific Research Institute of Traumatology, Orthopedics and Neurosurgery of Saratov State Medical University, traumatologist and orthopedist, Candidate of Medical Sciences; K.M. Muradaliev — Scientific Research Institute

The aspects of minimally invasive surgery of forefoot static deformities

Year: 2018, volume 14 Issue: №3 Pages: 540-545
Heading: Traumatology and Orthopedics Article type: Review
Authors: Imamov A.M., Norkin I.A., Voskresenskiy O.Yu., Emkuzhev O.L., Muradaliev K.M., Zotkin V.V., Zubavlenko R.A.

The review illustrates various approaches to the potential of minimally invasive surgery in forefoot static deformities treatment. We demonstrated that methods aimed at the performance of nonlocking wedge osteotomy of first metatarsal bone and of proximal phalanx of big toe with preservation of cortex wedge contralateral to the base as well as of central metatarsal, extending tenotomies of flexors without tendon suture are the base for minimally invasive correction of forefoot static deformities providing orthopedically correct orientation of metatarsal heads under the early full postoperative load on the foot and preventing excessive dislocation of tendon ends.

2018_3-1_540-545.pdf299.05 KB

Comparative analysis of morphological and topometric parameters of lumbar spine in normal state and in degenerative-dystrophic changes

Year: 2015, volume 11 Issue: №4 Pages: 515-520
Heading: Macro- and Micromorphology Article type: Original article
Authors: Anisimova Е.А., Emkuzhev O.L., Anisimov D.l., Popryga D.V., Lukina G.A., Yakovlev N.M.
Organization: Saratov State Medical University

Objective: to carry out comparative analysis and identify patterns of topographic variation patterns of lumbar spine in normal and degenerative changes. Material and methods. CT- and MRT-grams for men and women I (M1-22-35 years; W — 21-35 years) and II (M2-36-60 years; W2-36-55 years) periods of mature age with no signs of trauma, scoliosis and systemic diseases of the spine (n=140) and CT- and MRT-grams in patients with revealed degenerative changes in the lumbar spine degree II-III (n=120). The pictures with digital PACS system measure the height of the vertebral body, intervertebral disc height, vertical, horizontal diameter and the area of intervertebral foramen. Results. The height of the lumbar vertebral bodies normally increased from27,90±0,38mmatthe level of L, to 29,93±0,33 mm Lm, and then decreased to 24,35±0,27 mm at level L^, in osteochondrosis it is statistically significantly lower at all levels on average by 20%. The height of the intervertebral disc with osteochondrosis below at all levels by an average of 25% of its value in the range 5,27±0,19 to 6,13±0,17mm, while the normal disc height varies from 6,88±030 to 9,36±0,28mm. The area of intervertebral holes normally ranging from 103,29±5,78 to 127,99±5,92mm2, with osteochondrosis aperture area is reduced to a greater extent by decreasing the vertical diameter in comparison with the horizontal. Conclusion. For the studied parameters characteristic topographic variability has been determined. The maximum values parameters are marked at the top of the lumbar lordosis, at chest height, lumbar and lumbosacral junctions sizes are reduced. In osteochondrosis the intervertebral disc height and the height of lumbar vertebral bodies are reduced; intervertebral foramina area is also reduced to a greater extent by reducing the vertical diameter than the horizontal one.

2015_04_515-520.pdf736.91 KB

X-ray, anatomical and biomechanical features in patients with developmental hip dislocation

Year: 2014, volume 10 Issue: №1 Pages: 114-119
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Yusupov K.S., Anisimova Е.А., Pavlenko N.N., Letov A.S., Zaychev V.A., Emkyzhev O.L., Zotkin V.V., Markov D.A.
Organization: Saratov State Medical University

The Pupose: to analyze X-ray, anatomical and biomechanical features in patients with developmental hip dislocation. Material and Methods. The study included 73 patients (57 women and 16 men) with the developmental hip dislocation at the age of 31 to 76 years. The clinical method, X-ray, gait analysis and visual analogue scale VAS, McGill inquiry. Results. The comparative analysis of X-ray, anatomic and biomechanical features in patients with different severity of developmental hip dislocation. Conclusion. Features of the functional status of patients with different severity of developmental hip dislocation enable to predict the tactics of surgical treatment and individual rehabilitation program.

2014_01_114-119.pdf616.39 KB