Saratov JOURNAL of Medical and Scientific Research

transosseous osteosynthesis

Subclinical forms of neuropathy with diaphyseal fractures of the humerus

Year: 2012, volume 8 Issue: №2 Pages: 556-560
Heading: Neurology Article type: Original article
Authors: Sholomova E.I., Romanenko V.Yu., Ninel V.G., Аrutyunyan Т.R., Sholomov I.I., Shuldyakov А.А.
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics, Saratov State Medical University
Summary:

Aim of the study. To identify the frequency of subclinical neuropathy in patients with diaphyseal fractures of the hu-merus in different periods of treatment. Materials and methods. Held clinical-following systems survey of 122 patients with diaphyseal fractures of the shoulder bone. Results. At 57 after neurological examination and electromyographic diagnosed with post-traumatic neuropathy. Conclusion. As a result of research implemented its purpose. Revealed the frequency of post-traumatic neuropathy, as complications of fractures of the shoulder bone. Not always the defeat of the peripheral nerves of the manifest clinically, which complicates the diagnosis. Give a description of the locations and forms of damage, describes in detail the dynamics of the violations identifed in the course of treatment. Considered are the questions of diagnostics of latent forms of neuropathy and stages of their manifestations.

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Bone tissue density modification in treatment of shin pseudoarthrosis by transosseous compressive osteosynthesis

Year: 2011, volume 7 Issue: №4 Pages: 933-936
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Balayan V.D., Barabash А.P., Barabash Ju.A., Puchinyan D.M., Grazhdanov K.A., Tishkov N.V.
Organization: Siberian Research Centre of Reconstructive Surgery, Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

Objective is to detect bone mineral density along the shin according to «Esperanto» levels by Hounsfield's scale. Materials and methods. The analysis of density modification in 25 patients with pseudoarthrosis of tibia with predominant localization in a lower one-third of bone has been carried out. Results. By means of computed tomography it has been revealed that the bone tissue density of the tibia in the process of false joint union when using the compressive variant of combined transosseous osteosynthesis has changed according to the regularity reproducing phase character of the accumulation of mineral substances in the bone. Conclution. The growth of mineral density of the bone tissue during treatment spreads in the directions from proximal and distal metaepiphyses to the zone of pseudoarthrosis knitting

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Theoretical and practical contribution of SarNIITO researchers to transosseous osteosynthesis technique (Review)

Year: 2011, volume 7 Issue: №2 Pages: 502-505
Heading: Traumatology and Orthopedics Article type: Review
Authors: Barabash А.P.
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

The article deals with the history of transosseous osteosynthesis introduction in SarNIITO clinics. The contribution of doctors and scientists to development of this technique is reproduced in the chronological order. Prospects and place of hardware-based technique of treatment of injuries and diseases of musculoskeletal system are contemplated

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Treatment technique of diaphyseal fractures of shin bones according to biomechanical influence on reparative osteogenesis phases

Year: 2010, volume 6 Issue: №4 Pages: 829-834
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Barabash А.Р., Rusanov A.G., Barabash Yu.A., Alfimov R.A.
Organization: Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics, Central Municipal Hospital of Pyatigorsk
Summary:

The article deals with new treatment technique in fractures of shin bones. It combines ideal reduction of damaged bone with reposition device without transition of transosseous elements through muscular masses, adequate fixation of bone fragments and change of biomechanical efforts in apparatus according to reparative osteogenesis phases. It is performed due to application of external fixation apparatus

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Fixation of periarticular fractures of proximal femur on biomechanical basis

Year: 2010, volume 6 Issue: №2 Pages: 411-414
Heading: Traumatology and Orthopedics Article type: Original article
Authors: A.P. Barabash, O.A. Kauts, Yu.A. Barabash, A.G. Rusanov
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

In the work comparison of two methods of pertrochanteric fracture fixation has been carried out: external one, with the help of the transosseous device and immersed one, by the dynamic femoral system. The investigation of the process of dislocation of fragments has been done on biophantomes. The dynamic compression in the external fixation device increases stability of the biomechanical system «bone-fixator» in 3-4 times. The use of single-stage fracture compression with dynamic femoral system allows to create stable fixation of fragments, adequate for early mobilization of patients

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Comparative Characteristics Of Linear Displacement Of Proximal Femoral Department Fragments In Transosseous Fixation. Saratov Journal of Medical Scientific Research

Year: 2009, volume 5 Issue: №3 Pages: 399-403
Heading: Traumatology and Orthopedics Article type: Original article
Authors: A.P. Barabash, A.G. Rusanov, О A. Kauts
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

In the present research a comparison of two techniques of transosseous fixation of pertrochanteric fracture has been drawn. By way of example linear relocations of fragments have been measured in 8 biodummies (femurs of cows) in two groups through three series of loadings along the long axis of a femur with a step of 490 N from 980 up to 2940 N. The specific load in the range of 16,08±0,65 N/sm2 — 16,32±0,065 N/sm2 causes linear fragment dislocation within 0,13±0,016 mm — 0,08±0,03 mm. Compressive variant of osteosynthesis improves stability of biomechanical system "a bone-fixator" 3-4 times as much

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DYNAMICS OF SUBJECTIVE AND OBJECTIVE CHARACTERISTICS OF REGIONAL BLOOD FLOW IN REFLEXOTHERAPY

Summary:

We studied 21 patients (15 females and 6 males) at the age of 11 to 69 with congenital anomalies of limbs development and trauma consequences. At different stages oftransosseous osteosynthesis we studied the dynamics of subjective and objective signs that reflect the changes in peripheral blood flow under the influence of reflexotherapy. We worked out and approved the ways for registration of the dynamics of subjective and objective characteristics of regional blood flow under the influence of pressure of acupunctural zones in orthopedics and trauma patients treating them byllizarov’s method. It was found out that acupunctural zones pressure cause data increase and prove increased blood supply in the observed segment It was marked that with this effect reflexotherapy can accelerate the process of patients' rehabilitation

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