Academic literature on the topic 'National Institute of Traumatology and Orthopedics (INTO)'

On April 22, 1921, the Moscow Medical and Prosthetic Institute was founded. Nikolay N. Priorov (MD, PhD, professor, academician of the USSR Academy of Medical Sciences) was the founder and permanent leader of the institute for 40 years. In 1930, the facility was renamed into the Moscow Regional Institute of Traumatology, Orthopedics, and Prosthetics. Before World War II, in 1940, the institute became known as the Central Research Institute of Traumatology and Orthopedics, known as CITO as the leading national institution for traumatology and orthopedics. For a century, CITO employees has been conducting clinical, research, educational, and methodological activities providing comprehensive assistance in all regions of the country. In 2018, CITO was the first traumatological and orthopedics centers to be transformed into the Federal State Budgetary Institution National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov of the Ministry of Health of the Russian Federation which significantly increased the role of the institution in traumatology and orthopedics, especially managemental, analytical, educational, and methodological activities. The 15 clinical departments and various laboratories of the center conducted research work and provide specialized medical care, including high-tech traumatological, orthopedic, oncological, and neurosurgical patient care.

ABSTRACT Objective: To evaluate sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of preoperative joint aspiration (PJA) and periarticular tissue percutaneous biopsy (PTPB), as well as their combination, in the diagnosis of infection after total hip arthroplasty. Methods: This cross-sectional study (Level of Evidence II) was conducted with prospective data on 29 patients submitted to PJA with PTPB at the National Institute of Orthopedics and Traumatology from September 2015 to January 2016. Specimens obtained during the procedures underwent microbiological analyses, and the results were compared with those obtained in subsequent revision arthroplasty surgeries. Results: PJA, PTPB, and their combination reached values of 78%, 73%, 89% for sensitivity, respectively; 72%, 90%, 94% for specificity; and 76%, 80%, 90% for accuracy. Conclusions: PJA combined with PTPB was sensitive, specific, and effective in diagnosing periprosthetic hip infection. Level of Evidence II, Prospective Cross-Sectional Study

ABSTRACT Objective: To report a new technique for extrapleural interbody release with transcorporal osteotomy of the inferior vertebral plateau (LIEPO) and to evaluate the correction potential of this technique and its complications. Method: We included patients with scoliosis with Cobb angle greater than 90° and flexibility less than 25% submitted to surgical treatment between 2012 and 2016 by the technique LIEPO at the National Institute of Traumatology and Orthopedics (INTO). Sagittal and coronal alignment, and the translation of the apical vertebra were measured and the degree of correction of the deformity was calculated through the pre and postoperative radiographs, and the complications were described. Results: Patients had an average bleed of 1,525 ml, 8.8 hours of surgical time, 123° of scoliosis in the preoperative period, and a mean correction of 66%. There was no case of permanent neurological damage and no surgical revision. Conclusion: The LIEPO technique proved to be effective and safe in the treatment of severe stiff scoliosis, reaching a correction potential close to the PEISR (Posterior extrapleural intervertebral space release) technique and superior to that of the pVCR (posterior Vertebral Column Resection) with no presence of infection and permanent neurological deficit. New studies are needed to validate this promising technique.

The actual problem of interdisciplinary projects organizing is discussed. The purpose of the article is to justify the principles of planning and conducting the interdisciplinary medico-psychological research, in identifying its features in comparison with pseudo-interdisciplinary approaches. Types of interdisciplinary research are examined, distinctions are made between the true and pseudo-interdisciplinary approaches. The principles of true interdisciplinary research are formulated — the principle of choosing the object of study, the principle of determining the coordinates of the subject area of research, the hypothetico-deductive principle of interdisciplinary research and the principle of unity of interdisciplinary project methodology. The content of each principle is revealed by the example of medico-psychological research currently being carried out by the team of employees of the Institute of Psychology RAS and the National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov. It is shown that the system-structural approach to conducting the interdisciplinary medico-psychological research consists in coordinating theoretical constructs and empirical variables in accordance with the given coordinates of the research subject field and specific criteria for assessing the physical and mental state of the object of study. It is shown that the selected criteria allow, without leveling the specifics of individual scientific disciplines — medicine and psychology — to form a unified subject field of research and to develop an approach relevant for solving scientific and practical problems.

Objective The aim of this study was to investigate clinical aspects and predisposing factors for alveolar bone graft complications in persons born with oral clefts. Design A total of 105 patients, aged 7 to 57 years old, who received alveolar bone graft at the Cranio-maxillofacial Surgery Center in the National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro (RJ) from 2009 to 2014 were selected. Data were collected concerning the type of oral cleft, family history of cleft, medical and dental exam, donor area, type of graft material, repaired surgical treatment done, and postoperative follow-up examinations. Results Postoperative complications developed in 31 patients (32.9%). The mean age at grafting was 16.79 years for the group without complications (n = 63) and 20.13 years for the group with postoperative complications (n = 31). There was a positive association between age and type of graft and cases with alveolar bone graft complications. Patients aged 12 years or more had a four times more chance of developing alveolar bone graft complications. Particulate bone graft from iliac crest demonstrated better results compared with block graft or mixed graft. Conclusion Patients with cleft lip and palate who were 12 years or older had a greater chance of developing complications after grafting the alveolar bone. Furthermore, particulate alveolar graft from iliac crest had significantly better outcomes.

Soft tissue defect of the lateral malleolus and achilles tendon is very challenging for reconstruction due to the bony prominence and limited local tissue availability. The purpose of this study to describe our early experience of 30 patients treated with this flap for reconstruction of posterior heel defects with or without exposure of tendo-achilles. The study was conducted at department of plastic surgery, National Institute of Traumatology and Orthopedic Rehabilitation between 2015 to 2018. Twenty five patients (20 male and 5 females) with soft tissue defects over the posterior heel underwent reconstruction using a lateral calcaneal flap. The etiology is trauma in twelve patients, chronic ulcer in four and surgical wound dehiscence for repair of Tendo-Achilles in nine patients. Patients age range from 15 to 60 years (mean 35yrs) and follow up period ranged from 6 months to 2 years(mean 1 yr). All flaps had good perfusion and survived completely. In 3 cases there was partial loss of skin graft managed conservatively. The lateral calcaneal flap can be used safely to provide sensory skin coverage of posterior heel in single stage J Bangladesh Coll Phys Surg 2020; 38(3): 116-120

Os gestores de saúde enfrentam desafios crescentes e recursos insuficientes em todo o mundo para referente às atividades realizadas, assim como observação direta dos profissionais para medir o tempo gasto em cada uma de suas atividades durante intervalos de tempo predeterminados. Posteriormente, os resultados encontrados no estudo foram aplicados ao instrumento informatizado de indicadores de carga de trabalho para estimativa do dimensionamento de pessoal (Workload Indicators of Staffing Need responder à demanda de serviços de saúde, especialmente relacionados à ortopedia e traumatologia, causando agravamento de casos e aumento do número de sequelas que reverterão em maior demanda por procedimentos de média e alta complexidade. Este estudo foi motivado pela necessidade de se analisar de forma consistente a composição e o desempenho dos profissionais na área de saúde e afins para o funcionamento pleno de uma unidade de saúde de alta complexidade em ortopedia e traumatologia. Teve como objetivo contribuir para o desenvolvimento da metodologia, disseminação do conhecimento e importância do dimensionamento da força de trabalho em instituições complexas de saúde, além de oportunidade para testar e disseminar o método de indicadores de carga de trabalho para dimensionamento de pessoal e sua importância para o planejamento e a gestão de recursos humanos em saúde. O projeto se desenvolveu em três estudos sequenciais e complementares. Inicialmente, foi feita uma revisão da bibliografia sobre o dimensionamento de recursos humanos em saúde (RHS), buscando reduzir lacuna da escassez de modelos e metodologias, bem como contribuir para o desenho e a utilização de modelos de organização e prestação de serviços que assegurem a oferta de serviços de saúde com qualidade e segurança. Em seguida, realizou-se um estudo de caso no Instituto Nacional de Traumatologia e Ortopedia (INTO)/Ministério da Saúde (MS), utilizando metodologia quantitativa e roteiros semiestruturados para estimar o tempo WISN), como testagem da metodologia promovida pela Organização Mundial da Saúde (OMS). Os resultados da análise da carga de trabalho e estimativa do dimensionamento de pessoal de saúde podem apoiar e nortear a elaboração e a implementação de políticas para melhorias na qualidade e na produtividade dos serviços de saúde. Os resultados encontrados revelam que não há déficit de profissionais médicos nos três grupos estudados, tornando-se imperioso a realização de alguns questionamentos em relação à produção cirúrgica versus entrada na fila de espera.
To meet the demand of health services, especially related to orthopaedics and traumatology, health managers are facing increasing challenges and insufficient resources worldwide, causing deterioration of cases and increasing the number of sequels that add to a greater demand for medium and high complexity procedures. This study was motivated by the need to analyze consistently the composition and performance of health and related professionals to a full function of a high complex health facility in orthopedics and traumatology. It aims to contribute to the methodology development, knowledge dissemination and importance of workforce staffing of complex health institutions, as well as an opportunity to test and disseminate the method of workload indicators for staffing needs and its importance for the human resources in health planning and management. The project was developed in 3, sequentially and complementary studies. Initially, a literature review of the human resources for health (HRH) staffing was made, seeking to reduce the gap of models and methodologies, as well as contribute to the design and use of service delivery organizational models and to ensure health services supply with quality and safety. Afterwards, a case study was done, at the National Institute of Traumatology and Orthopedics (INTO)/Ministry of Health (MS), using quantitative methodology and direct observation approach to estimate the time on the activities carried out by the physicians to measure the time spent in each of their activities during predetermined time intervals. Subsequently, the results from the case study were applied to a computerized instrument to estimate the workload indicators of staff needs, testing and checking the results with the methodology promoted by the World Health Organization (WHO). The results of the workload analysis and estimation of health workers staffing can support and guide the policies development and implementation for improving the quality and productivity of health services. The results showed that there is no shortage of medical professionals in all three groups, making it imperative to conduct some cross-examinations regarding the surgical production versus entry in the queue.