Norkin I.A.
Modern conceptions about mechanisms of progression process of hip dysplasia in children (review)
Heading: Traumatology and Orthopedics Article type: Review
Authors: Sertakova А.V., Morozova O.L., Norkin I.A., Anisimov D.I.
Organization: Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics
In the literature review of modern data concerning mechanisms of formation and progression process of hip dysplasia in children is represented. The questions concerning classification, processes of morphological and functional (biochemical) change of osteocartilaginous components of hip in children with connective tissue dysplasia, changes of content of remodeling and skeletal system degradation markers, angiogenesis in the process of progression of pathological changes in joint are taken up
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Cytological evaluation and prediction of progression of acute erosive ulcered lesions of upper parts of gastrointestinal tract in acute and early periods of cerebrospinal trauma
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Norkin I.A., Ulyanov V.Yu., Konyuchenko E.A.
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
80 cytological preparations derived by fibrogastroduodenoscopy from 20 patients with cerebrospinal trauma at cervical part level served as the research subject. Dynamics of the progression of acute erosive ulcered lesions of mucous membrane of the upper parts of the gastrointestinal tract was studied on the basis of the cytological analyses of mucous membrane biopsy materials. In the course of our work we used endoscopic (fibrogastroduodenoscopy) and cytological research methods. Cytological analyses of mucous membrane biopsy materials were carried out on the 7th, 14th, 21st and 28th day. Biopsy material cellular composition was evaluated on the grounds of the calculation of neutrophilic leukocytes and epithelial cells with the use of an immersion objective. In so doing we registered neutrophilic leukocyte number for 100 cells and determined neutrophilic and epithelial index. Monitoring of neutrophilic leukocyte number enables to determine presence or absence of inflammatory changes in stomach mucous membrane and duodenum in different periods of cerebrospinal trauma
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Spinal Hemangiomas
Heading: Traumatology and Orthopedics Article type: Review
Authors: I.A. Norkin, S.V. Likhachev, A.Yu. Chomartov, A.I. Norkin, D.M. Puchinian
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
The given article considers the modern view on etiology, pathogenesis, classifications, clinical picture, diagnosis and treatment of spinal hemangiomas. Advantages of vertebroplasty over the other techniques of treatment of studied pathology are presented
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Using of computer simulation in surgical treatment of patients with fractures of proximal femur
Heading: Traumatology and Orthopedics Article type: Original article
Authors: I.A. Norkin, A.A. Svistunov, D.A. Markov, O.A. Kautz, S.P. Shpinyak A.G. Khachatryan, V.N. Belonogov
Organization: Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics, First Moscow State Medical University n.a. I.M. Sechenov
In this article questions of femur computer models base making for future it using in free patients medicine are discussed. Last allows possibility for educate doctors using computer models, increase their professional level and makes complications decrease. Comparing of fixation properties of DHS and PFN-A was performed
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| 201002_419_421.pdf | 372.17 KB |
Potentialities Of Tendomyoplasty In Rehabilitation Of Patients With Rough Injuries Of Brachial Plexus Trunks
Heading: Traumatology and Orthopedics Article type: Original article
Authors: R.P. Gorshkov, V.G. Ninel, I.A. Norkin, S.V. Delinikaitis, G.A.Korshunova
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
To improve functional results after surgical treatment of consequences of brachial plexus trunks rough injuries rehabilitation results of 111 patients with consequences of brachial plexus trunks rough injuries were studied. Thanks to the adequate tendomyoplasty rehabilitation of shoulder abduction, forearm flexion and of hand grasping is obtained in 85% of patients. The suggested method of treatment may be recommended for wide usage in practical health care
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CYTOMORPHOLOGICAL EVALUATION AND PROGNOSIS OF BRONCHOPULMONARY COMPLICATIONS IN ACUTE AND EARLY PERIODS OF SPINAL CORD TRAUMA
Heading: Clinical Laboratory Diagnostics Article type: Original article
Authors: E.A. Konjuchenko, V.J. Uljanov, D.M. Puchinjan, I.A. Norkin, E.V. Gladkova
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
There were investigated 50 cytological preparations after fibro-optic bronchoscopy of 10 patients with cervical spinal cord injuries. The dynamics of broncho-pulmonary complications of spinal cord injuries was estimated on the basis of cytological broncho-alveolar lavage fluid investigations. In the work there were used clinico-neurologic methods, radiological (computer tomography and magnetic resonance imaging), endoscopic (fibro-optic bronchoscopy) and cytomorphological investigations. Cytomorphological investigations of broncho-alveolar lavage fluid were carried out on the 3-4, 7, 14, 30th days. Cellular composition of the broncho-alveolar wash-out (endopulmonary cytogramme) was estimated by calculation of more than 100 cells in 3 fields of the immersion microscope coverage. Quantitative changes of cellular elements were taken into account with respect to normal cell amount. The results were analyzed according to the average out method.
Quantitative changes of inflammatory elements in endopulmonary cytogramme were determined by the degree of endobronchitic manifestations and were corresponding to clinico-radiological picture of development of broncho-pulmonary complications in different periods of spinal cord injury
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THE WAYS OF ELECTROCTIMULATION OF THE SPINAL CORD IN THE COMPLEX TREATMENT OF THE CERVICAL MYELOPATHY OF VARIOUS GENESIS
Heading: Neurology Article type: Original article
Authors: I.A. Norkin, A.A. Chekhonatsky, V.G. Ninel, G.A. Korshunova
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Despite of the huge scientific progress in the theoretical questions of the restoration of function of the damaged spinal cord by electrostimulation its use in the practice of public health services is rather limited. The purpose of the present work is the development of the ways of electrostimulation of the spinal cord in the complex treatment the patients work is complex inspection and treatment of 74 patients of the cervical myelopathy, developed on the background of posttraumatic and dystrophic changes of the cervical department of the backbone and the spinal cord. By results of carried out research it is possible to speak about high efficiency and the importance of the electrostimulation of the spinal cord considerably optimizes results of the complex treatment of neurologic symptoms the cervical myelopathy and the promotes significant restoration of impellent and sensitive functions of the spinal cord after its defeat.
CLASSIFICATION OF ACETABULAR DEFECT AND METHOD CHOICE FOR PLACING OF ACETABULAR COMPONENT OF HIP ENDOPROSTHESIS AFTER RECONSTRUCTIVE SURGERY
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Malyutin A.P., Norcin I.A.
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Classification of acetabular injuries according to which 6 types of its defects are distinguished is given. Algorithm for method choice of substitution of hip endoprosthesis acetabular component according to type of acetabular defect is worked out.
THE VALUE OF ELECTROSTIMULATION OF THE SPINAL CORD IN THE COMPLEX TREATMENT OF NEUROLOGIC SYMPTOMS OF THE CERVICAL OSTEOCHONDROSIS
Heading: Neurology Article type: Original article
Authors: I.A. Norkin, A.A. Chekhonatsky, I.I. Sholomov, V.G. Ninel
Organization: Saratov State Medical University
For the treatment of neurologic complications of a cervical osteochondrosis pathogenetic application of electrostimulation of a spinal cord is not proved, the technique of its carrying out is not fulfilled, value of electrostimulation of a spinal cord is not proved, the medical actions is not certain.
The purpose of work. Optimization of the outcomes of the treatment painful and radicular syndromes of the patients with the cervical osteochondrosis due to development of new technologies of the treatment and a way of electrostimulation.
Materials and methods .54 patients of a cervical osteochondrosis with a various degree of expressiveness of the neurologic displays. The conservative treatment is lead 35 patient .19 sick of the cervical osteochondrosis with the expressed neurologic displays , executes implantation of electrodes to back columns of a spinal cord.
The electrostimulation of the back columns of a spinal cord can be considered as an independent high-grade method of the treatment of rough neurologic symptoms of a cervical osteochondrosis , both at inefficiency of the conservative treatment , and of presence of the contra-indications to carrying out of a lobby decompression of the spinal cord.
CAUSES OF RECURRENCES OF PERIARTICULAR KNEE DEFORMITIES AND THEIR SURGICAL PREVENTION IN CHILDREN AND ADOLESCENTS
Heading: Traumatology and Orthopedics Article type: Original article
Authors: I.A. Norkin, E.E. Tsareva, S.A. Kurkin
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
An analysis of the surgical therapy of 132 patients with periarticular deformities of knee joint is developed. The analysis permits to reveal the causes of the development of recurrences of such deformities. During the correction of this pathology of the knee joint the sequence of the stages of correction is observed, and is carried out the overcorrection, too. If the pathology is most evident, the overcorrection increases. But for decreasing of the overcorrection axial displacements of fragments in frontal and sagittal planes were done.

