Saratov JOURNAL of Medical and Scientific Research

Voskresensky O.J.

Saratov Scientific Research Institute of Traumatology and Orthopedics, Head of the Department of Orthopedy, the candidate of sciences

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

Morphometric justification of algorithm of the choice of method of surgical treatment of dysplastic coxarthrosis

Year: 2015, volume 11 Issue: №2 Pages: 182-186
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Norkin I.A., Anisimova Е.А., Voskresensky O.Yu., Yusupov K.S., Anisimov D.l., Letov A.S., Popryga D.V., Popov A.N.
Organization: Saratov State Medical University

Purpose: to define regularities of variability of bone structures of a hip joint depending on type of dysplastic coxarthrosis and to develop tactics of total endoprosthesis replacement. Objects of research. 106 patients with dysplastic coxarthrosis of varying severity, passing treatment on the basis of Federal State Budget Institution of Saratov Scientific Research Institute of Traumatology and Orthopedics from 2005 to 2014 applying methods X, KT-, MRT-metry variation and statistical methods. Results: According to anatomic features of a hip joint at dysplastic coxarthrosis of various types algorithms of choice of acetabularand femoral components of endoprosthesis, and also tactics of total endoprosthesis replacement in groups of research are developed. Conclusion. The choice of a standard size of an endoprosthesis of a hip joint needs to be carried out taking into account X-ray anatomic features of a hip joint and degree of expressiveness of the dysplastic changes. At dysplastic coxarthrosis of the l-ll types it is necessary to carry out standard total endoprosthesis replacement; at coxarthrosis of the III type —total endoprosthesis replacement in combination with plasticity of a roof of acetabular hollow; at coxarthrosis of the IV type — total endoprosthesis replacement in a combination from the shortening femur osteotomy.

2015_02_182-186.pdf437.86 KB

Total Knee Arthroplasty in the Combined Contracture

Year: 2009, volume 5 Issue: №3 Pages: 410-414
Heading: Traumatology and Orthopedics Article type: Original article
Authors: M.M Girkalo, М.А. Gavrilov, N.H. Bakteeva, O.J. Voskresensky, G.A. Korshunova, V.V. Kozlov
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics, Saratov State Medical University

We have offered modified access to a knee to work out a method for restoration of extensive apparatus of the knee. 91 patients with degenerative damages of the knee were under out su-pervision. All patients were differentiated in groups according to the form of access and pa-thology of the knee. At all stages of studying the following method of investigation were made: goniometry — for estimation of the knee functional condition; electroneiromyography — for reveling deficiency of muscular activity and determination of its kind. Patient's satisfac-tion by operation was defined by means of WOMAC scale subjective indexes. The received digital material was subjected to statistical processing. Thus, it has been proved that applica-tion of the modified access to a knee offered by us in total knee arthroplasty in patients with combined contracture in comparison with traditionally applied technologies of extensive ap-paratus releasing allows in short terms to restore the volume and force of movements in a knee that reduces time of rehabilitation and improves quality of patient's life

200903_410_414.pdf287.33 KB