MODERN OSTEOSYNTHESIS TECHNIQUES IN SHOULDER BONE PROXIMAL FRACTURES

2021 ◽  
Vol 2 (5) ◽  
pp. 49-58
Author(s):  
A.P. Alimov ◽  
S.Y. Yusupov ◽  
Sh.K. Khakimov ◽  
A.Sh. Muminov ◽  
Sh.Sh. Akhmedov

This article discusses the issues of choosing a treatment method for proximal humerus fractures and how the proposed minimally invasive method of osteosynthesis for fractures of the proximal humerus allows less traumatic repositioning of bone fragments andmore stable fixation of bone fragments. A less invasive osteosynthesis method for fractures of the proximal humerus allows less traumatic repositioning of bone fragments and more stable fixation of bone fragments. Improve treatment results by developing aminimally invasive method of extramedullary treatment for fractures of the proximal humerus.. This research work was carried out in clinical bases of RITOIAM and RSHTYoIM Bukhara branch in patients with multiple fragment fractures of the proximal part of the shoulder bone with 40, 15 of which were found to be moved in the varus state of the bone fragments. Patients were divided according to gender and 15 were male and 25 were female. The duration of the trip was an average of 5,8±1,8 days (3 –7 days). In order to assess the status of bone fragments in multi –fragment fractures in patients, the classification of Neer (1970) was used: single –fragment, 10 (25%) –two-fragment, 12 (30%) -three-fragment and the remaining 12 (30%) -multiple-fragment fractures in 6 (15 %) patients. In shoulder bone proximal fractures, osteosynthesis was performed with a less invasive blocking plate through an external distraction apparatus developed in the clinic and a small-sized wound incision.

2021 ◽  
Vol 22 (6) ◽  
pp. 3198
Author(s):  
Shiho Wasai ◽  
Eriko Toyoda ◽  
Takumi Takahashi ◽  
Miki Maehara ◽  
Eri Okada ◽  
...  

We are conducting a clinical study of the use of allogeneic polydactyly-derived chondrocyte sheets (PD sheets) for the repair of articular cartilage damage caused by osteoarthritis. However, the transplantation of PD sheets requires highly invasive surgery. To establish a less invasive treatment, we are currently developing injectable fragments of PD sheets (PD sheets-mini). Polydactyly-derived chondrocytes were seeded in RepCell™ or conventional temperature-responsive inserts and cultured. Cell counts and viability, histology, enzyme-linked immunosorbent assay (ELISA), quantitative real-time polymerase chain reaction (qPCR), and flow cytometry were used to characterize PD sheets-mini and PD sheets collected from each culture. To examine the effects of injection on cell viability, PD sheets-mini were tested in four experimental conditions: non-injection control, 18 gauge (G) needle, 23G needle, and syringe only. PD sheets-mini produced similar amounts of humoral factors as PD sheets. No histological differences were observed between PD sheets and PD sheets-mini. Except for COL2A1, expression of cartilage-related genes did not differ between the two types of PD sheet. No significant differences were observed between injection conditions. PD sheets-mini have characteristics that resemble PD sheets. The cell viability of PD sheets-mini was not significantly affected by needle gauge size. Intra-articular injection may be a feasible, less invasive method to transplant PD sheets-mini.


2012 ◽  
Vol 65 (6) ◽  
pp. 983-988 ◽  
Author(s):  
M. Poberžnik ◽  
A. Leis ◽  
A. Lobnik

CO2 gas with a special isotopic signature (δ13C = −35.2‰ vs. VPDB) was used as a marker to evaluate the efficiency of a drinking water treatment method and the effect of an ultrasonic (US) stirrer. This treatment was developed to prevent precipitation and corrosion effects in water–supply systems. The research work was performed using a laboratory-scale pilot plant that was filled with tap water. The stable isotope analyses of δ13C-DIC (Dissolved Inorganic Carbon) in the water samples indicated that the maximum content of added CO2 gas in DIC was in the range of 35 to 45%. The use of the US stirrer during the entire experiment decreased the method's overall efficiency by 10%, due to degassing at a late stage of the experiment but accelerated the dissolution process in the early experimental stage.


New Collegium ◽  
2020 ◽  
Vol 4 (102) ◽  
pp. 14-22
Author(s):  
O. Soloshenko

2020 is a jubilee year for Kharkiv National University of Civil Engineering and Architecture. The article is devoted to the analysis and presentation of the main pages of the University history. Emphasis is placed on the causes and peculiarities of the events that are connected with the foundation of the building institute in 1930. Among the basic stages of history, the attention is drawn to its creation and importance of preparation of qualified personnel of builders and architects during industrialization; features of work of institute during the Second World War and during post-war restoration; rapid development of KHIBI in 1950th – opening of new specialities and formation of scientific schools, expansion of a contingent of students, including the beginning of preparation of foreign listeners is marked. In the following decades there was a steady development and expansion of the structure of the university, cooperation with foreign higher educational institutions, introduction of scientific achievements of teachers of the institute into production. At the time of Ukraine's independence, new tendencies in higher education (humanization of the scientific process, introduction of new methods of teaching and control of students' knowledge, activation of research work in accordance with the requirements of national and world science, etc.) are being implemented – granting the status of a university, and later the status of a national university. The author notes the main achievements of the University during the leadership of each of the directors / rectors of KHIBI – KHTUBA – KHNUBA. The prospects of KHIBI development are determined by its high status of a higher educational institution in the architectural and construction area of modern Ukraine and the potential of its staff. At the end of the article it is concluded that the university has an outstanding history, which was created by teachers, scientists, employees, students and graduates of the university, each of whom made a significant contribution to the achievements of our Alma Mater.


2013 ◽  
Vol 25 (1) ◽  
pp. 3-8
Author(s):  
Nahar Nurun ◽  
Molina Rani Kundu ◽  
Naher Akterun

Objective: To assess the outcomes of abdominal sacral colpopexy in less invasive method. Study design: It was a prospective study conducted in Comilla Medical College Hospital and Comilla General Hospital during the period from 2005 to 2009.Method: Thirty women with vaginal vault prolapse were selected by inclusion and exclusion criteria in a consecutive, exhaustive method. Primary outcome measurements were included subjective, objective and patient-determined success rate. Secondary outcome included the impact on bowel, bladder, sexual function and quality of life. Result: Result shows that, vault prolapse is mostly associated with older patients, age more than sixty (66.7%), para >5 (60%) and menopausal women (66.7%). Vault prolapse was mostly associated with cystocele (93.3%), stress incontinence (76.7%) and more common following abdominal hysterectomy (70%). During operation the dissection was less (3-4cm). Average operating time was 54.33/min; average estimated blood loss was 49.17/ml. One patient required blood transfusion, one developed haematoma during surgery, no gut injury or haemodynamic instability developed. Post operatively, no internal haemorrhage, 4 patient developed fever (13.3%), wound infection one (3.3%), UTI 4 patients (13.3%), no voiding difficulty or thromboembolism and one patient developed mesh rejection (3.3%). After one year follow-up success rate was 96.7%. Conclusion: Abdominal sacral colpopexy is a safe and effective method for correction of vaginal vault prolapse. DOI: http://dx.doi.org/10.3329/bjog.v25i1.13723 Bangladesh J Obstet Gynaecol, 2010; Vol. 25(1) : 3-8


2020 ◽  
pp. 39-51
Author(s):  
G. V. Rodoman ◽  
I. R. Sumedi ◽  
N. V. Sviridenko ◽  
T. I. Shalaeva ◽  
M. M. Meloyan

At present, patients with recurrent nodular goiter account for a significant portion of patients operated on for nodular goiter. At the same time, the comorbid background characteristic of this age group and the technical difficulties of the intervention on cicatricial tissues of the neck cause a high risk of complications of the operation, 3–7 times higher than with primary thyroid interventions. The aim of the study was to evaluate the effectiveness and safety of treatment of recurrent nodular goiter using an alternative minimally invasive method — sclerotherapy. The study included 30 patients previously operated on for nodular goiter. All had 4 courses of sclerotherapy, each included 5 sessions with a frequency of 1 session per week, followed by a follow-up period of 3 months. Polydocanol was used as a sclerosant. The analysis showed that sclerotherapy for recurrent nodular goiter allows all patients to reduce recurrent nodular formations, and in almost a third of cases, complete reduction of the nodes. On average, the decrease in the volume of thyroid residues was 9.6 ± 1.5 ml, and the size of nodular formations decreased by 17.2 ± 1.3 mm (3.7 times — from 23.6 ± 1.4 mm to 6.4 ± 0.7 mm, P <0.001). Nodes more than 3 cm, initially 19 %, ceased to be detected after the third course of sclerotherapy. In all cases, managed to eliminate hormonal imbalances in patients who initially had functional autonomy, as well as signs of compression of the neck organs. At the same time, sclerotherapy of nodules of the thyroid gland using polydocanol as a sclerosant is a safe minimally invasive treatment method, is not accompanied by severe pain and the risk of hypoparathyroidism and laryngeal paresis.


Author(s):  
Shaochun Xu ◽  
Wencai Du ◽  
Chunning Wang ◽  
Dapeng Liu

Libraries are widely used by government, universities, research institutes, and the public since they are storing and managing intellectual assets. The library information directly stored in libraries and about the people interaction with libraries can be transformed into accessible data which then will be used by researchers to help library better serve users. Librarians need to understand how to transform, analyze, and present data in order to facilitate such knowledge creation. For example, the challenges they face include how to make big datasets more useful, visible and accessible. Fortunately, with new and powerful analytics of big data, such as information visualization tools, researchers/users can look at data in new ways and mine it for information they intend to have. Moreover, interaction of users and stored information has been taken into librarian's consideration to improve library service quality. In this work, the authors discuss the characteristics of datasets in library and argue against a popular confusion that data involved in library research is not big enough, conduct a review for the research work on library big data and then summarize the applications and research directions in this field. The status of big data research in library in China is discussed. The challenges associated with it are also discussed and explored.


2019 ◽  
Vol 32 (03) ◽  
pp. 257-268
Author(s):  
Hari Aithal ◽  
Prakash Kinjavdekar ◽  
Abhijit Pawde ◽  
Prasoon Dubey ◽  
Rohit Kumar ◽  
...  

Objective The aim of this study was to evaluate epoxy-pin external skeletal fixation technique for the treatment of open fractures in calves and foals. Study Design Twenty-eight calves and four foals (weighing 45–105 kg) with fractures distal to the stifle or elbow made the subject for the retrospective study. The pins (2.0–3.0-mm Kirschner wires, crossed at 60–90°) were fixed at least at two locations in both proximal and distal bone fragments as per the case situation. The pins in the same plane were bent (∼2 cm from the skin) towards the fracture site or joint and were joined using an adhesive tape (additional pins used when required) to make a temporary scaffold of connecting bars or rings. Thoroughly mixed epoxy putty was applied along the pin scaffold (the epoxy columns were 20–25 mm diameter) and allowed to set for 45 to 60 minutes. All animals were evaluated based on various clinical and radiographic observations made at regular intervals. Results The epoxy-pin fixation was easy to apply and provided stable fixation of bone as indicated by early weight bearing, and fracture healing within 45 to 60 days (17/32 cases). The functional recovery was good to very good in 14 animals and satisfactory in nine cases by 12 months after removal of the fixator. Conclusions The multiplanar epoxy-pin external skeletal fixation provides stable fixation of unstable open fractures distal to the stifle or elbow joint; hence, it can be used to treat a variety of fractures in calves and foals weighing up to approximately 100 kg, especially open infected fractures of lower limb, which are difficult to treat by conventional techniques.


2014 ◽  
Vol 488-489 ◽  
pp. 374-376
Author(s):  
Bing Wang ◽  
Lu Ma ◽  
Xiao Liu

Concrete filled double skin steel tubes which is developed on the basis of concrete filled steel tube, it is a new member. Combination of Chinese and foreign literature, this paper comprehensively discusses the research results about concrete filled double skin steel tubes member, then put forward the further research work, for concrete filled double skin steel tubes structure in deeply study to play a guiding role.


2013 ◽  
Vol 353-356 ◽  
pp. 1297-1302
Author(s):  
Zhong Guo Zhao ◽  
Pei Ling Zhao ◽  
Xiao Long Wu ◽  
Chun Lei Xu

Open-mining forms high steep rock slope, slope stability is affected by geological environment, structure, stratum, lithology, hydro-geology, rock structure, structural plane appearance, slope azimuth with spatial combination relations. After mining the bared slope with weathering, due to heavy rainfall, earthquake and other factors causes secondary disasters and serious impact on people's life and property safety. This paper is based on a comprehensive investigation, statistic and classification of the status quo and failure patterns of the rock slope and treatment method is simulated and analyzed, pros and cons of various treatment methods were compared, to provide the decision-making reference for similar mines management, and basis of theory and practice , to build green mines and sustainable environment.


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