scholarly journals DIAGNOSTICS AND TREATMENT OF PURULENT ARTHRITIS OF THE STERNOCLAVICULAR JOINT

2021 ◽  
pp. 128-132
Author(s):  
Y. V. Tielushko ◽  
V. I. Pertsov ◽  
S. I. Savchenko
Keyword(s):  
Surgical Treatment ◽  
Inflammatory Lesion ◽  
Sternoclavicular Joint ◽  
Long Term Results ◽  
Single Center Study ◽  
Choice Of Treatment ◽  
Diagnostic Approaches ◽  
Surgical Tactics

Summary. Inflammatory lesion of the sternoclavicular joint (SCJ) is a rare disease that requires surgical treatment. Traditional radiography reveals osteolysis and osteosclerosis, however, at the onset of the disease, such changes are absent. Difficulties in diagnosing this disease require further study of the problem and the development of new therapeutic and diagnostic approaches. Aim of the work: to study the role of sonography in the diagnosis of purulent arthritis of SCJ and the choice of treatment tactics. Materials and methods. Prospective single-center study of 28 cases of acute nonspecific arthritis of SCJ. The patients were divided into 2 groups: the first included patients who received drug therapy, the second included patients subject to surgical treatment. Results and discussion. Ultrasound scanning of SCJ identified 3 sonographic variants of the lesion: exudative, destructive with synovial hyperperfusion, and destructive with synovial hypoperfusion. The duration of hospital stay in both groups did not differ statistically: 12 (12; 13.5) vs 14 (12; 14) days, p = 0.194. Analysis of long-term results in patients of the first group established the progression of the disease with the development of osteomyelitis or recurrence of arthritis in 3 cases (30 %). Among the patients of the second group, no complications or recurrence were detected during the indicated observation period. Conclusion. Sonography is diagnostically significant in the diagnosis of SCJ arthritis. It allows you to determine the group of patients subject to mandatory surgical correction. Intravenous drug addiction associated with bacteremia is a predictor of poor drug treatment outcomes and an indication for active surgical tactics.

scholarly journals Features of preoperative examination and treatment of patients with deformities of the nose of various etiologies. Differentiated approach to the choice of treatment depending on the type of deformation

2017 ◽  
Vol 21 (1) ◽  
pp. 38-41
Author(s):  
T. Z Chkadua ◽  
Madina Vladimirovna Kachmazova ◽  
Yu. A Lashchinina
Keyword(s):  
Surgical Treatment ◽  
Emotional Disorders ◽  
Surgical Intervention ◽  
Long Term Results ◽  
Preoperative Preparation ◽  
Choice Of Treatment ◽  
Operational Methods ◽  
Preoperative Examination

The scheme of preoperative preparation, which allows to determine the optimal tactics and volume of surgical intervention, and improve long-term results of surgical treatment ofpatients given the diagnosis of mental and emotional disorders and applied operational methods.

scholarly journals Evaluation of the role of ventral interventions in the surgery of idiopathic scoliosis in patients with active bone growth

2021 ◽  
Vol 9 (1) ◽  
pp. 17-28
Author(s):  
Marija A. Chernyadjeva ◽  
Aleksandr S. Vasyura ◽  
Vyacheslav V. Novikov
Keyword(s):  
Surgical Treatment ◽  
Idiopathic Scoliosis ◽  
Postoperative Period ◽  
Bone Growth ◽  
Long Term Results ◽  
Transpedicular Fixation ◽  
Deformity Progression

BACKGROUND: Today, the question of the tactics of surgical treatment of patients with idiopathic scoliosis during active bone growth, namely, the need for ventral interventions due to the emergence of modern dorsal instruments, remains open. AIM: This study aims to evaluate the role of ventral interventions in the surgical treatment of patients with progressive idiopathic scoliosis Lenke type 1, 2, 3 during the period of active bone growth. MATERIALS AND METHODS: The long-term results of operational correction 352 patients with thoracic idiopathic scoliosis aged from 10 to 14 years old operated in Novosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. Tsivyan from 1998 to 2018 using various methods and different instrumentation types. RESULTS: Among patients (352 people) aged 10 to 14 years with idiopathic thoracic scoliosis (Lenke type 1, 2, 3), statistically significant postoperative progression was observed in patients who underwent surgical deformity correction using laminar (hook) fixation. At the same time, additional ventral stage conduction could not prevent deformity progression in the postoperative period. In those groups where hybrid fixation was used combined with the ventral stage and total transpedicular fixation, no significant progression was observed in the postoperative period. CONCLUSION: Modern dorsal systems for transpedicular fixation narrow the indications for using additional mobilizing and stabilizing ventral interventions in the surgical treatment of progressive idiopathic scoliosis in patients with active bone growth. Total transpedicular fixation provides excellent main curve and anti-curvature arch correction in the absence of scoliotic deformity progression in the postoperative long-term follow-up.

Surgical treatment of transacetabular fractures

2021 ◽  
Vol 19 (3) ◽  
pp. 92-94
Author(s):  
I. S. BOROVOY ◽  
Keyword(s):  
Surgical Treatment ◽  
The Body ◽  
Long Term Results ◽  
Results Of Treatment ◽  
Vital Functions ◽  
Acetabulum Fractures ◽  
External Fixation Device ◽  
Surgical Tactics ◽  
Positive Effect

The article presents an analysis of the treatment results of patients with transverse acetabulum fractures of type B1.1 according to the AO classification using various surgical tactics/ the most optimistic results were obtained when using the hip joint osteosynthesis with an external fixation device (EFD) «pelvis-hip» in urgent cases. Besides the obvious antishock action, it allows removing the femoral head from the central displacement and in many cases achieving the reposition of the acetabulum, due to ligamentotaxis. After x-ray control in the case of a further incomplete reposition in the EFD, it significantly simplifies the open stage of surgical treatment after the stabilization of the vital functions of the body, which has a positive effect on the long-term results of treatment of this complex category of patients.

Extended sternoclavicular joint infections – long term results

2017 ◽  
Author(s):  
DI Trufa ◽  
W Schreiner ◽  
RE Horch ◽  
H Sirbu
Keyword(s):  
Sternoclavicular Joint ◽  
Long Term Results ◽  
Joint Infections

Inflammatory disease of the womans reproductive system: modern trends in diagnosis and therapy (literature review)

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (6) ◽  
pp. 35-41
Author(s):  
T Yu Pestrikova ◽  
I V Yurasov ◽  
E A Yurasova
Keyword(s):  
Genital Tract ◽  
Inflammatory Diseases ◽  
Diagnosis And Treatment ◽  
Long Term Results ◽  
Modern Approach ◽  
Pelvic Organs ◽  
Results Of Treatment ◽  
Number Of Patients ◽  
Diagnostic Approaches

Medical, social and economic relevance of inflammatory diseases of the woman's reproductive organs requires a very careful attitude to the diagnosis and treatment of this pathology. The number of patients with genital infections and inflammatory diseases of the pelvic organs can takes the first place in structure of gynecological morbidity, and is 60.4-65.0%, and this fact is not unique to Russia, but all over the world. Incidence rate of inflammatory diseases of the pelvic organs in the first decade of the twenty-first century is increased at 1.4 times in patients who are from 18 to 24 years old and at 1.8 times in patients aged 25-29 years. At the same time, the cost of diagnosis and treatment has increased, reaching 50-60% of the total cost of providing gynecological care for population. The inflammatory diseases of pelvic organs are a collective concept. It includes of various nosological forms. There are numerous contradictions in the views on diagnostic approaches and treatment tactics, the nature of screening and control over the long-term results of treatment, the etiological and pathogenetic significance of various microorganisms found in the genital tract in patients with inflammatory diseases of the pelvic organs. Currently, there are many opinions among specialists about diagnostic approaches and treatment tactics, the type of screening and monitoring the long-term results of treatment, the etiological and pathogenetic role of various microorganisms which can be found in the genital tract in patients with inflammatory diseases. This review presents the results of a modern approach to the diagnosis, management and rehabilitation of patients with inflammatory diseases of the pelvic organs.

Temporary “liquid” Implant for Congenital Glaucoma (long-term results)

2020 ◽  
pp. 49-65
Author(s):  
N Bobrova ◽  
N Trofimova
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Hypotensive Effect ◽  
Congenital Glaucoma ◽  
Long Term Results ◽  
General Will ◽  
Visual Functions ◽  
Advanced Stages ◽  
Intraocular Fluid

The aim of the work was to analyze the long-term results of using a temporary “liquid” implant in the surgery of congenital glaucoma in children. The basis of the developed method of filtrative antiglaucomatous surgery (Patent of Ukraine No. 45099 of 2009) – viscosinusotrabeculotomy – has been set the task of reducing the risk of developing intra- and postoperative complications, reducing the scarring rate and maintaining the newly created ways of the intraocular fluid outflow, which in general will increase the effectiveness of surgical treatment of congenital glaucoma in children. 54 children (91 eyes) with simple congenital glaucoma at the age of 1 to 36 months were operated on average (8.7 ± 8.2) months. The persistent and long-lasting hypotensive effect achieved due to viscosinusotrabeculotomy in children with developed and far-advanced stages of congenital glaucoma stops the processes of stretching of the membranes of the eye and stabilizes their size, which in general allows preserving and visual functions improving, in infancy – creating conditions for their formation.

SIMULTANEOUS ESOPHAGO-GASTRECTOMY WITH COLONIC INTERPOSITION AS A METHOD OF SURGICAL TREATMENT OF GASTROESOPHAGEAL CANCER WITH HIGH INVOLVEMENT OF THE ESOPHAGUS

2017 ◽  
Vol 63 (1) ◽  
pp. 146-152
Author(s):  
Mikhail Ter-ovanesov ◽  
Aleksandr Levitskiy ◽  
E. Lesnidze ◽  
Aram Gaboyan ◽  
Mariya Kukosh ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Esophageal Reconstruction ◽  
Gastroesophageal Cancer ◽  
Colonic Interposition ◽  
Simultaneous Application ◽  
High Involvement ◽  
Surgical Access ◽  
Critical Overview

In the current oncological practice surgical treatment of gastroesophageal cancer with high involvement of the esophagus can extend to total esophago-gastrectomy with colonic interposition as the main method of radical treatment. However the technical complexity and high risk of the intervention are factors in determining the divergent views on the operation itself, testimony for the criteria of patient’s selection, choice of surgical access and the formation of a colonic graft in conjunction with method of esophageal reconstruction. The long-term results of operative intervention depend primarily on the extent of tumor process but obviously higher than after conservative treatment. This article presents a brief critical overview of the main aspects of the simultaneous application of esophago-gastrectomy in surgery of gastroesophageal cancer with high esophageal involvement and our clinical case of successful surgical treatment of a woman with pregnancy-associated gastroesophageal cancer.

scholarly journals Long-term Results of Surgical Treatment for Acromioclavicular Dislocation Using Wolter Clavicular Plate.

2003 ◽  
Vol 52 (2) ◽  
pp. 389-393
Author(s):  
Shinsaku Ogimoto ◽  
Toshio Kitamura ◽  
Takuya Ikuta ◽  
Shuichi Maruta ◽  
Masanobu Hirai ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Acromioclavicular Dislocation
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