Saratov JOURNAL of Medical and Scientific Research

Saratov State Medical University

www.sgmu.ru

The history of epidural anesthesia (review)

Year: 2019, volume 15 Issue: №3 Pages: 657-661
Heading: Anaesthesiology and Reanimatology Article type: Review
Authors: Prigorodov M.V.
Organization: Saratov State Medical University
Summary:

The method of a long-term epidural anesthesia has been significantly improved and acquired the status of a well-developed and widely used clinical manipulation. Epidural anesthesia is a type of local anesthesia. Until now, there is no single definition of «epidural anesthesia» (or «epidural blockade»). The review is devoted to the history of the formation of epidural anesthesia and substantiation of the term «epidural anesthesia».

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Determination of anterior cruciate ligament attachment with radiographic quadrant method to analyze complications following anterior cruciate ligament reconstruction

Year: 2019, volume 15 Issue: №3 Pages: 653-656
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Sadykov R.Sh., Bogatov M.B.
Organization: First Moscow State Medical University n.a. I.M. Sechenov, Saratov State Medical University
Summary:

Objective: to demonstrate the potential of radiographic quadrant method for defining the correspondence of the administered femoral tunnel to the anatomical anterior cruciate ligament attachment. Material and Methods. We have surveyed 18 patients aged 23 to 36 yo. (mean age 26±2 yo.) who had underwent ACL arthroscopic transtibial plastic reconstruction in 2012-2014, and had post- surgical ACL graft rapture or knee joint instability. All patients had their knee joints X-raid in standard projections. Bernard and Hertel radiographic quadrant method was employed to take lateral view pictures for defining the accuracy of the administered femoral tunnel. Results. In all cases the sites of the administered femoral tunnels did not match ACL anatomic attachments, defined with Bernard and Hertel grid. Conclusion. Radiographic quadrant method of defining ACL anatomic attachments can be used for post-surgery complications analysis.

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PRP-therapy efficiency analysis for various shoulder tendinopathies

Year: 2019, volume 15 Issue: №3 Pages: 648-653
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Norkin A.I., Malanin D.A., Tregubov A.S., Demeshchenko M.V., Cherezov L.L., Shormanov A.M., Emkuzhev O.L., Anisimova E.A.
Organization: Saratov State Medical University, Volgograd Medical Scientific Center, Volgograd State Medical University
Summary:

Objective: to perform comparative analysis of PRP-therapy efficiency in patients with various shoulder tendinopathies. Material and Methods. 122 patients with rotator cuff tendinopathies (66%), subacromial impingements and rotator cuff tendinopathies (16%), CLB tendon tendinopathies (18%) participated in the research. The diagnostic scales for estimation of pain syndrome and shoulder joint function, as well as ultrasound and MRT examinations were employed to assess the outcomes in 1 and 6 months after PRP-therapy. Results. Patients of all groups had significant improvements by scales compared to their condition at the beginning of PRP-therapy. The positive response obtained in one month after the treatment still subsisted in 6 months. The most impressive responses to treatment were observed in patients with rotator cuff and CLB tendinopathies (strong middle effect 0.8-0.88). The patients of these groups self-estimated their outcomes relatively high. The scores defining outcomes were somewhat lower in the group of patients with both rotator cuff tendinopathies and subacromial impingements. Both MRT and ultrasound examinations revealed improvements in shoulder joint structures: edema reduction and dissipation, hypoechoic signal areas. Conclusion. PRP-therapy at shoulder tendinopathies may be referred to safe effective biological methods of treatment.

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Comparative analysis of surgical outcomes for patients with femoral ununited midshaft fractures

Year: 2019, volume 15 Issue: №3 Pages: 641-643
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Zuev P.P.
Organization: Saratov State Medical University
Summary:

Objective: to perform comparative analysis of surgical outcomes in patients with types A2 and A3 ununited midshaft fractures of the femurs using Oswestry Disability Index (ODI), standardized assessment system for bone fracture outcomes and their consequences (SOI-1) and modified radiographic assessment of fracture healing (mRUS). Material and Methods. 40 patients with ununited midshaft fractures of the femurs including 22 patients with type A fractures (Group I) and 18 patients with type В fractures (Group II) were surveyed. The average follow-up period was 29.5±19.5 months. Results. In Group I the average ODI score made 47±0.9 and SOI-1 scores made 85±1.8% in 12 months. The mRUS fracture union score corresponded to 13.9±0.6. In Group II the average ODI score made 46.2±0.9 and SOI-181.8±1.7% in 12 months. The mRUS fracture union score corresponded to 13.7±0.6. Conclusion. The injured limbs functionality recovered sooner in patients of Group I (type A3 fractures) specifically in 6 months of a surgery proven by the absence of statistical differences in the results of estimation with ODI questionnaire and SOI-1 system observed in 12 months owing to the nature of fractures rather than the degree of their unions or the methods of surgical invasion applied.

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Surgical management of humeral shaft comminuted fractures

Year: 2019, volume 15 Issue: №3 Pages: 636-640
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Grazhdanov КА, Barabash АР, Barabash YuA, Chibrikov AG, Kauts OA, Ermolaev PE.
Organization: Saratov State Medical University
Summary:

Objective: based on retrospective outcome review of surgical rehabilitation perform assessment of possible usage for intramedullary locking rod structures meant to treat comminuted fractures of humeral shafts. Material and Methods. The intramedullary cross-locking rods were used to fix the fragments. The structures were inserted into humeral shafts by antegrade or retrograde techniques. In most cases surgical interventions were conducted as fracture closed reductions, at that the length and the axis of the limbs were restored without any additional fixation of separate fragments. Results. The review of outcomes for 33 patients with complicated traumatic destructions of humeral shafts showed high efficiency of intramedullary locking rod structures at managing patients with this type of injuries. Conclusion. Small surgical trauma and solid fixation provide for early functional rehabilitation of injured extremities as well as patients» quick return to everyday routine and activity before the fracture heals completely.

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Case study of the first metatarsophalangeal joint total replacement

Year: 2019, volume 15 Issue: №3 Pages: 633-636
Heading: Traumatology and Orthopedics Article type: Case report
Authors: Goryakin M.V., Ulyanov V.Yu., Frolenkov A.V.
Organization: Saratov State Medical University
Summary:

The case report for Hallux rigidus surgical management with endoprosthesis total replacement using zirconia ceramics has been presented.

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Computer analysis of corneal aberrations in relation to the tasks of laser surgery of the anterior segment of the eye

Year: 2019, volume 15 Issue: №2 Pages: 425-428
Heading: Ophtalmology Article type: Original article
Authors: Bakutkin V.V., Bakutkin I.V., Zelenov V.A., Nugaeva N.R.
Organization: International Consulting, Audit and Education Academy, Saratov State Medical University
Summary:

Purpose: development of a method for computer analysis of corneal aberrations as applied to the tasks of laser surgery of the anterior segment of the eye. Material and Methods. As a result of mathematical modeling, an algorithm has been developed that is implemented as a computer program for selecting individual parameters of laser radiation depending on the optical characteristics of the cornea. Results. For astigmatism, it has been proposed to consider the topographic zones of the optical center of the cornea, 3.5 mm in diameter, and peripheral meridional zones. Aberrations at the periphery of the cornea increase by 10 %. At 1 and 2 stages of keratoconus, the rate of aberrations rises 2–3 times. In the third stage of keratoconus, in some cases keratometry and keratotopography is technically impossible. With pterygium 2 and 3 degrees, laser surgery in the peripheral zone of the cornea is impossible. Conclusion. Improving the efciency of laser operations is provided primarily by optimizing the impact parameters on the tissues of the anterior segment of the eye. The data on the types of corneal aberrations for various diseases, which indicate the need to change the parameters of laser exposure. The developed diagnostic algorithms are implemented as a computer program and allow you to optimize the parameters of laser irradiation of eye tissue.

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To live saving lives

Year: 2019, volume 15 Issue: №2 Pages: 392-395
Heading: Scientific schools and memorable dates Article type: Short message
Authors: Lazarenko Ya.S., Nikitina V.V.
Organization: Saratov State Medical University
Summary:

The article provides the data on the activity of the Saratov doctors at the front and in the rear during the Great Patriotic War and their contribution to the development of medicine, devotion of a profession and the sense of responsibility for people»s lives.

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In memory of veterans of the Great Patriotic War who chaired the department of biology of Saratov State Medical University

Year: 2019, volume 15 Issue: №2 Pages: 389-392
Heading: Scientific schools and memorable dates Article type: Short message
Authors: Durnova N.A., Andronova T.A., Gladilin Yu.A.
Organization: Saratov State Medical University
Summary:

The present work highlights the facts about two scientists who in diferent years worked as chairs of the department of general biology at the Saratov Medical Institute and who participated in the Great Patriotic War — professor Alexander Stepanovich Konstantinov, doctor of biological sciences, and associate professor Alexander Evgenievich Sholpo.

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In memory of veterans of the Great Patriotic War who chaired the department of biology of Saratov State Medical University

Year: 2019, volume 15 Issue: №2 Pages: 389-392
Heading: Scientific schools and memorable dates Article type: Short message
Authors: Durnova N.A., Andronova T.A., Gladilin Yu.A.
Organization: Saratov State Medical University
Summary:

The present work highlights the facts about two scientists who in diferent years worked as chairs of the department of general biology at the Saratov Medical Institute and who participated in the Great Patriotic War — professor Alexander Stepanovich Konstantinov, doctor of biological sciences, and associate professor Alexander Evgenievich Sholpo.

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