Journal articles: 'National Institute of Traumatology and Orthopedics (INTO)'

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Mironov, Sergey P., Alexander A. Ochkurenko, Natalya V. Ochkurenko, and Vladimir A. Perminov. "Uniting the traumatological and orthopedical service of the country." N.N. Priorov Journal of Traumatology and Orthopedics 28, no. 1 (March 15, 2021): 7–15. http://dx.doi.org/10.17816/vto63445.

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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.

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Júnior, Roberto Clayton Lima Oliveira, Marcelo Glauber da Silva Pereira, Pedro Braga Linhares Garcia, Patrícia Albuquerque dos Santos, Amanda dos Santos Cavalcanti, and Walter Meohas. "Epidemiological study on giant cell tumor recurrence at the Brazilian National Institute of Traumatology and Orthopedics." Revista Brasileira de Ortopedia (English Edition) 51, no. 4 (July 2016): 459–65. http://dx.doi.org/10.1016/j.rboe.2016.06.004.

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Bezrukhenko, Sergiy. "100 Anniversary of State Establishment "Institute of Traumatology and Orthopedics of National Academy of Medical Sciences of Ukraine"." ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS, no. 2 (July 8, 2019): 97–98. http://dx.doi.org/10.15674/0030-59872019297-98.

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ANDREOLLA, ELTON, MARCO BERNARDO CURY FERNANDES, CARLA ORMUNDO GONÇALVES XIMENES LIMA, and AUGUSTO CARLOS MACIEL SARAIVA. "ANALYSIS OF TISSUE BIOPSY AND JOINT ASPIRATION IN THE DIAGNOSIS OF PERIPROSTHETIC HIP INFECTIONS: CROSS-SECTIONAL STUDY." Acta Ortopédica Brasileira 29, no. 5 (October 2021): 242–45. http://dx.doi.org/10.1590/1413-785220212905241752.

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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

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Karim, Mohoshina, Abdul Wadud Khan, and Shayela Farah. "Economic Impact of Road Traffic Accident on Patients Attending at National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka." Ibrahim Cardiac Medical Journal 1, no. 2 (January 31, 2013): 45–49. http://dx.doi.org/10.3329/icmj.v1i2.13560.

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Siqueira, Cecília L., Edilson F. Arruda, Laura Bahiense, Germana L. Bahr, and Geraldo R. Motta. "Long-term integrated surgery room optimization and recovery ward planning, with a case study in the Brazilian National Institute of Traumatology and Orthopedics (INTO)." European Journal of Operational Research 264, no. 3 (February 2018): 870–83. http://dx.doi.org/10.1016/j.ejor.2016.09.021.

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Naves, Cleiton Dias, Luís Eduardo Carelli Teixeira da Silva, Alderico Girão Campos de Barros, Ayrana Soares Aires, Gustavo César de Almeida Peçanha, and Gamaliel Gonzáles Atencio. "CORRECTION OF SEVERE STIFF SCOLIOSIS THROUGH EXTRAPLEURAL INTERBODY RELEASE AND OSTEOTOMY (LIEPO)." Coluna/Columna 16, no. 4 (December 2017): 296–301. http://dx.doi.org/10.1590/s1808-185120171604179165.

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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.

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Kharlamenkova, N. E., N. A. Yeskin, A. I. Snetkov, A. D. Akinshina, S. Y. Batrakov, G. A. Vilenskaya, I. M. Dan, M. V. Dan, N. N. Matveychuk, and E. A. Nikitina. "True and pseudo-interdisciplinary researches: The principles of a system-structural approach to the medical-and-psychological projects planning." Experimental Psychology (Russia) 12, no. 4 (2019): 177–92. http://dx.doi.org/10.17759/exppsy.2019120414.

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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.

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Erica Alexandra, Macedo Pessoa, Braune Andre, Ladeira Casado Priscila, and Nivoloni Tannure Patricia. "Alveolar Bone Graft: Clinical Profile and Risk Factors for Complications in Oral Cleft Patients." Cleft Palate-Craniofacial Journal 54, no. 5 (September 2017): 530–34. http://dx.doi.org/10.1597/16-028.

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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.

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Chowdhury, Maruf Alam, Taslima Sultana, Shakhawat Hossain, and Saiful Islam. "Use of Lateral Calcaneal Flap for the Reconstruction of Posterior Heel Defect." Journal of Bangladesh College of Physicians and Surgeons 38, no. 3 (May 12, 2020): 116–20. http://dx.doi.org/10.3329/jbcps.v38i3.47058.

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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

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Wong, Evan G., Tarek Razek, Artem Luhovy, Irina Mogilevkina, Yuriy Prudnikov, Fedor Klimovitskiy, Yuriy Yutovets, Kosar A. Khwaja, and Dan L. Deckelbaum. "Preparing for Euro 2012: Developing a Hazard Risk Assessment." Prehospital and Disaster Medicine 30, no. 2 (February 9, 2015): 187–92. http://dx.doi.org/10.1017/s1049023x15000096.

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AbstractIntroductionRisk assessment is a vital step in the disaster-preparedness continuum as it is the foundation of subsequent phases, including mitigation, response, and recovery.Hypothesis/ProblemTo develop a risk assessment tool geared specifically towards the Union of European Football Associations (UEFA) Euro 2012.MethodsIn partnership with the Donetsk National Medical University, Donetsk Research and Development Institute of Traumatology and Orthopedics, Donetsk Regional Public Health Administration, and the Ministry of Emergency of Ukraine, a table-based tool was created, which, based on historical evidence, identifies relevant potential threats, evaluates their impacts and likelihoods on graded scales based on previous available data, identifies potential mitigating shortcomings, and recommends further mitigation measures.ResultsThis risk assessment tool has been applied in the vulnerability-assessment-phase of the UEFA Euro 2012. Twenty-three sub-types of potential hazards were identified and analyzed. Ten specific hazards were recognized as likely to very likely to occur, including natural disasters, bombing and blast events, road traffic collisions, and disorderly conduct. Preventative measures, such as increased stadium security and zero tolerance for impaired driving, were recommended. Mitigating factors were suggested, including clear, incident-specific preparedness plans and enhanced inter-agency communication.ConclusionThis hazard risk assessment tool is a simple aid in vulnerability assessment, essential for disaster preparedness and response, and may be applied broadly to future international events.WongEG, RazekT, LuhovyA, MogilevkinaI, PrudnikovY, KlimovitskiyF, YutovetsY, KhwajaKA, DeckelbaumDL. Preparing for Euro 2012: developing a hazard risk assessment. Prehosp Disaster Med. 2015;30(2):1-6.

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Hossain, M. Tofayel, M. Asaduzzaman, M. Wahidur Rahman, and Subir Hossain. "Comparative study between outcome of noncemented and cemented total hip replacement." International Surgery Journal 8, no. 5 (April 28, 2021): 1512. http://dx.doi.org/10.18203/2349-2902.isj20211818.

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Background: To resolve the damage and pain in the joint in the hip, total hip replacement (THR) is used. There are some methods used to give THR, but cemented and noncemented THR are common to improve the result of the cemented THR as patients face some complications after replacement. In this study we compared the outcome of the noncemented and cemented THR. The aim of this study was to compare the outcome of noncemented and cemented THR and find out the favorable outcome.Methods: This was a randomized, comparative type of observational study and was conducted in the Department of Orthopedics of National Institute of Traumatology and Orthopaedic Rehabilitation, Bangladesh during the period from 2019 to 2020 on 60 patients, of which 2 groups were made with 30 patients in each group. The age range was less than 50 to more than 70. In group-A cemented THR was done and in group-B noncemented THR was done. Percentage was calculated to find out the proportion of the findings. Further statistical analysis of the results was done by computer software devised in the statistical packages for social scientist (SPSS-23) and MS excel.Results: After comparing outcomes, we saw that most of the patients get better result at the 2nd revision conducted in 6th months. There was no significant difference between the results of the two groups.Conclusions: Though noncemented THR had better result in pain and infection occurrence after treatment, the instability is higher comparing cemented THR. Besides, patients cemented THR also had many complications after treatment.

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Aktaruzzaman, A. H. M., Afsar Ahmmed, Sabina Yasmin, and M. Shafiqul Islam Dewan. "Thyroid status and treatment responses of hypothyroid infertile women: a study in a tertiary care hospital of Bangladesh." International Surgery Journal 8, no. 5 (April 28, 2021): 1450. http://dx.doi.org/10.18203/2349-2902.isj20211805.

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Background: Recently, the prevalence of hypothyroidism in the reproductive age group is found up to 4%. In many studies it had been claimed that, thyroid status is directly involved in women reproductive system. Hypothyroidism can be easily detected by assessing serum thyroid stimulating hormone (TSH) levels. The aim of this study was to dig out the prevalence of hypothyroidism in infertile women and to assess their responses in treatment procedures.Methods: This observational study was conducted National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka, Bangladesh during the period from January 2019 to December 2019 in total 236 women of Endocrinology Department treatment. Patients were followed up for six months even if pregnancy was attained.Results: In total 22% (n=52) patients were hypothyroid. Among them 35 (15%) were subclinical hypothyroid and 17 (7%) were frank hypothyroid. Besides these, 73% (n=172) were euthyroid and the rest 5% (n=12) were hyperthyroid. On the other hand, in analysing the outcome (treatment responses) among the hypothyroid subjects we observed regular menstruation, normal ovulation, clinical pregnancy and chemical pregnancy were achieved by 92.31% (n=48), 88.46% (n=46), 50% (n=26) and 69.23% (n=36) subjects respectively.Conclusions: According to the study, the careful diagnosis and treatment of hypothyroidism can ensure benefit a lot rather than going for unnecessary hormone assays and costly invasive procedures in for women of infertility.

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Hasan, Md Habibul, Md Shah Alam, Md Abul Kalam Azad, and Md Ahsanuzzaman. "Evaluation of the Results of Closed Antegrade Interlocking Intramedulary Nail for Proximal and Mid Shaft Femur Fracture." TAJ: Journal of Teachers Association 32, no. 2 (January 6, 2020): 27–35. http://dx.doi.org/10.3329/taj.v32i2.44877.

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Background: Fractures of the shaft of the femur are among the most common fractures encountered in orthopedic practice. Various treatment options are available but closed interlocking intramedullary nail for fracture shaft of the femur is the gold standard treatment. Objectives: This randomized clinical trial was conducted to evaluate the results of closed intramedullary interlocking nailing for proximal and mid shaft femoral fractures in adult in our country. Materials and Method: This study was conducted at the National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Sher-E-Bangla Nagar, Dhaka and private Hospital of Dhaka and Rajshahi over a period of four and half years (August 2013-August 2017). Adult patients with closed fracture of proximal and mid shaft of the femur were the study population. A total of 50 patients (50 femoral shaft fractures) aged 18-65 years irrespective of sex were included in the study. The mean age of the patients was 36.52 ± 15.24. Majority of the patients were male. Twenty seven (54%) patients were operated on left side and twenty three (46%) patients were operated on right side. Average time interval between injury and date of surgery was 8.26 days and average time of operation was 95 minutes. Results: 42 patients (84%) has found union within 20 weeks, 6 patients (12%) has found delayed union and was dynamized and united, 01(2%) patient has lost follow up and 01(2%) patient has died at home at 16th post-operative day. Full range of knee movements was found in all cases. Conclusion: Closed locking intramedullary nailing for fracture proximal and mid shaft of the femur is a good option due to less infection, early healing and less scar formation, good range of knee and hip movement. TAJ 2019; 32(2): 27-35

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Binti Karim, Nayeema, Aklima Chowdhury Asha, Md Aminul Islam, Anup Mandal, Taslima Islam, and Kh Shafiur Rahaman. "Features of Neck Pain and its Related Factors Among Patients With Cervical Spondylosis." International Journal of Epidemiologic Research 5, no. 3 (September 15, 2018): 92–97. http://dx.doi.org/10.15171/ijer.2018.20.

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Background and aims: The prevalence of cervical spondylosis is rising. The objective of this study was to figure out the various features and their related factors among cervical spondylosis patients in Dhaka, Bangladesh. Methods: A descriptive cross-sectional study was conducted enrolling 40 patients from NITOR (National Institute of Traumatology and Orthopedic Rehabilitation) in Dhaka, Bangladesh. Data were collected from the physiotherapy department of NITOR using convenient sampling technique. A structured questionnaire was used for data collection. Patients who were diagnosed with cervical spondylosis were included in this study. Data were analyzed using SPSS version 22.0. Descriptive analysis was done using frequency measures, mean and percentages. Results: Among our respondents, the majority of them were female (62.5%). Majority of the participants were in the age group of 35 to 50 years (62.5%). Many of them were urban population engaged in service or housewives. Stressful job (55%), duration of working hour >8 hours (62.5%) were the most common characteristics among patients. The main location of pain was in the shoulder (82.5%) followed by the neck (77.4%) and forearm (70%). Most patients had intermittent pain (57.5%), numbness (55%), tingling sensation (47.5%) and paresthesia (42.5%). Moderate type of pain (65%), the involvement of both upper limbs (35%) and radiating pain to shoulder (72.5%) were the most reported features by patients. No response to medication was also observed. Conclusion: Being female, middle age group, stressful occupation, location and radiation of pain to shoulder are some of the common features revealed in this study. The findings will help the practitioner to plan their treatment goals and techniques considering the characteristics of patients.

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Sarker, Avijit, Kazi Nishat Ara Begum, Sajedur Reza Faruquee, Md Ayub Ali, Maruf Alam Chowdhury, and Raquib Mohammad Manzur. "Use of Perforator Propeller Flaps for Coverage of Soft issue Defects Around The Distal Leg and Ankle." Journal of Bangladesh College of Physicians and Surgeons 39, no. 2 (March 9, 2021): 87–93. http://dx.doi.org/10.3329/jbcps.v39i2.52388.

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Introduction: Perforator propeller flap is a suitable option to cover soft tissue defects in the distal leg and ankle which preserves the main vascular arteries of the lower extremity and muscle function. The aim of this study is to evaluate the use of perforator propeller flaps for coverage of soft tissue defects around the distal leg and ankle. Methods: This prospective study was donebetween December 2018 to November 2019in the Department of Burn & Plastic Surgery of National Institute of Traumatology and Orthopedic Rehabilitation ( NITOR), Dhaka. Total 32 patients with small to medium sized soft tissue defect over distal leg and ankle underwent reconstruction with perforator propeller flaps. Sixteen patients had defect over tendo achilles area, 6 had defect over lateral malleolus,7 over medial malleolus and medial aspect of distal third leg and only 3 had defect in front of ankle. Average Flap length and width were 12.72 (+4.19) & 5.63 (+1.78) cm respectively. Flap rotation was measured 180 degrees in 84.37% of the cases. The propeller flaps were based on a single perforator and it was observed from the posterior tibial artery in 62.5% and peroneal artery in 37.5% of the cases. Results: 81.25% of the flaps completely survived. Total flap loss was observed in one case (3%) while partial flap loss occurred in 6.2% cases. Marginal flap necrosis and epidermolysis were observed in 6.2% and 3% cases respectively. Conclusions: Propeller flapshavereliable vascular pedicle as well as greater freedom in design and arc of rotation that extend the possibility ofreconstructing difficult wounds with local tissues and minimal donor-site morbidity. J Bangladesh Coll Phys Surg 2021; 39(2): 87-93

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Begum, Kazi Nishat Ara, Syed Salahuddin Ahmed, Md Ayub Ali, Md Abdul Gani Mollah, Md Nurul Amin, and Subrata Ray. "Study of Bone Tumors in a Tertiary Care Hospital of Dhaka City." Journal of Current and Advance Medical Research 5, no. 1 (May 3, 2018): 23–28. http://dx.doi.org/10.3329/jcamr.v5i1.36542.

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Background: The wide spectrum of bone tumors, their rarity, diverse origin and tendency to produce overlapping anatomic patterns pose a definite diagnostic challenge to the orthopedic surgeons and the pathologists.Objective: The present study was intended to find the pattern of bone tumors and their anatomical locations, and histopathological characteristics in a tertiary care hospital of Dhaka.Methodology: A retrospective review of the histopathological records of patients with established diagnosis of bone tumors at National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka, Bangladesh was done from January 2015 to December 2016 for a period of two (02) years. The demographic data such as the age and sex, anatomical location and histopathological findings were studied from the existing records of the patients and their slides were reexamined. Bone lesions of inflammatory origin were excluded from this study leaving the lesions of both neoplastic and tumor-like origin for further study.Result: A total 283 cases of bone lesions were primarily included in the study. Bone lesions of inflammatory origin (n = 65) were excluded from this study leaving 218 lesions of both neoplastic and tumor-like origin for further study. The median age of the patients was 22 (range: 3 – 75) years. In terms of anatomical site of the tumors, over one-third (36.6%) was located in femur 21.1% in tibia, 12.2% in humerus, 6.1% in radius and 5.6% in ulna. In terms of types of bone tumor, 105(48.2%) were benign, 66(30.3%) malignant, 47(21.5%) tumor-like lesions. About 65% of the benign tumors were of Giant cell tumor, 28.5% were osteochondroma, 1% osteoma and 5.7% were of other types. Of the malignant tumors, one-third (33.3%) was of metastatic type, 27.3% Ewing’s sarcoma, 22.7% osteosarcoma, 9.1% chondrosarcoma and 4.6% were of other varieties.Conclusion: Primary bone tumors are mainly benign; however, giant cell and metastatic tumors are the most common benign and malignant bone tumors respectively.Journal of Current and Advance Medical Research 2018;5(1):23-28

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Karmakar, Narayan Chandra, Md Maiyeen Uddin, Md Masudur Rahman, Anadi Ranjan Mondal, and Syed Asif Ul Alam. "Management of Giant Cell Tumour by Curettage and Bone Cement in Weight Bearing Bone - A Study Done in DMCH & NITOR." Faridpur Medical College Journal 12, no. 1 (August 10, 2017): 9–13. http://dx.doi.org/10.3329/fmcj.v12i1.33484.

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Giant cell tumour of bone (GCT) has been characterized as benign but often locally aggressive neoplasm that commonly occurs in proximity to weight bearing bone. Management of giant cell tumor of bone by curettage and bone cement in weight bearing bone is an effective method. This prospective experimental study was conducted among the patients with histologically proved giant-cell tumour who were admitted in the Department of orthopedic surgery, Dhaka Medical College Hospital (DMCH) and in National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR) over a period of 18 months from January 2010 to June 2011. A total of 18 consecutive patients with histologically proved giant-cell tumour were included in the study. Majority (55.6%) of patient was in 3rd decade and male female ratio was 1:1.3. More than one fourth (27.8%) of the patients had GCT in the lower end of right femur, 33.3% in lower end of left femur, 22.2% in upper end of right tibia, 16.7% in upper end of left tibia and all patients had painful gait and swelling. According to campanacci grading, Grade-2 was found in all patients, and giant cell tumour was found in all patients, as evaluated by pre-operative biopsy. Cosmetically near normal appearance was found in 88.9% and 88.9% were able to do normal daily work. According to Schatzker and Lambert (1979) criteria excellent outcome was found in 38.9%, good in 44.4%, fair in 11.1% and poor in 5.6%. Surgery in the form of intralesional curettage and filling the cavity with bone cement resulted in excellent relief of pain, cosmetically near normal appearance and patients were able to do normal daily work.Faridpur Med. Coll. J. Jan 2017;12(1): 9-13

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Haiko, H. V., and V. M. Pidhaietskyi. "Results of surgical treatment in patients with aseptic instability of components of hip joint endoprosthesis." Zaporozhye Medical Journal 23, no. 1 (April 7, 2021): 90–97. http://dx.doi.org/10.14739/2310-1210.2021.1.224895.

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The aim. To study the results of revision endoprosthetics in patients with aseptic instability of the components of the hip joint endoprosthesis. Materials and methods. The basis of this work was the analysis of the revision prosthetics results in 152 patients (158 cases) with aseptic instability of components of hip joint endoprosthesis, who underwent surgery at the State Institution “Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine” between 2008 and 2018. Total instability in the endoprosthesis components was observed in 43 cases (27.2 %), acetabular component instability – in 65 cases (41.1 %), femoral component instability was detected in 50 cases (31.6 %). Endoprosthesis dislocation occurred mostly between 5 and 9 years after the primary surgery. Clinical, radiological and statistical methods were used in the work. Results. Patients with acetabular component instability showed the best results of revision replacement for Paprosky I, II types acetabular defects (t = 9.3, P < 0.05). The vast majority of components became unstabile between 5 and 9 years after the primary replacement. The results of unstable femoral component revisions did not reveal any significant difference between cemented and cementless types of component fixation 10 years after the procedure. Recurrent aseptic instability was observed only in 7 cases, 5 of which (71.4 %) were fixated with cement. In the case of total instability, there was no difference in the revision implantation results between the use of primary components alone and in the combination with revision reconstructive systems. Component stability constituted the great majority (35 cases, which was 81.4 %) of cases after 10 years (t = 7.3, P < 0.05). The recurrent instability of one component was observed in 8 cases, which represented 18.6 % of the total number of revisions. Conclusions. In patients with instability of acetabular and femoral components in the presence of Paprosky I–II bone defects, the results of the revision replacement were better when implanting primary components using cementless type of fixation. The use of revision antiprotrusion acetabular and elongate femoral modular or monoblock systems with cementless type of fixation achieved better results in Paprosky III type acetabular and femoral bone defects. The revision of cemented components showed significantly worse results and implant survival rate compared to cementless fixation technique.

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Banu, Afroza, Wipa Sae-Sia, and Natenapha Khupantavee. "Evaluation of the Braden Scale Implementation by nurses: a Case Study in a Specialized Hospital in the Dhaka City." Bangladesh Journal of Medical Science 13, no. 4 (October 4, 2014): 411–14. http://dx.doi.org/10.3329/bjms.v13i4.20587.

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Objective: The aim of this routine to research (R to R) developmental study was to implement the Braden Scale (BS) to identify risks of pressure ulcer (PU) development among hospitalized patients with spinal cord injury admitted in National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Bangladesh. Methods: Rogers Diffusion of Innovation Theory and PU related literature were used to guide the development of the implementation. The subjects were 10 nurses and 13 doctors who were working at the NITOR. Different strategies were provided for the implementation of the BS including workshops to provide knowledge, persuasion, and decision making to implement the BS for the nurse participants. The outcomes of this study were to determine: (a) nurses adoption in terms of the rate of using the BS and the accuracy of using the BS to identify PU risks, (b) nurses satisfaction to use the BS, and (c) doctors satisfaction on the implication of the BS to identify the risks of PUs in hospitalized adult patients with paraplegia. Data were analyzed by descriptive statistics and percentage of agreement.Results: Weekly proportions of nurses adoption in terms of the rate of using the BS ranged from 96% to 100%. The accuracy of using the BS yielded percentage of agreement between 70.6% to 100% for each item of the BS. Nurses and doctors satisfactions were at very high levels. Mean score of nurses satisfaction was 98.5% (SD=1.23) and mean score of doctors satisfaction was 89.79% (SD=4.17).Conclusion: Nurses are capable to assess PU risks of paraplegic patients independently by using the BS and may be incorporated to identify PU risks in addition to their work protocol. After identifying the PU risks, effective nursing care should be implemented to the patients in order to prevent the PU formation. DOI: http://dx.doi.org/10.3329/bjms.v13i4.20587 Bangladesh Journal of Medical Science Vol.13(4) 2014 p.411-414

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Vorobyоv, K. A., S. A. Bozhkova, R. M. Tikhilov, and A. Zh Cherny. "VREDEN RUSSIAN RESEARCH INSTITUTE OF TRAUMATOLOGY AND ORTHOPEDICS." Traumatology and Orthopedics of Russia 23, no. 3 (January 1, 2017): 134–47. http://dx.doi.org/10.21823/2311-2905-2017-23-3-134-147.

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Takhavieva, D. G. "Kazan Research Institute of Traumatology and Orthopedics is 40 years old." Kazan medical journal 67, no. 1 (January 15, 1986): 64–67. http://dx.doi.org/10.17816/kazmj63087.

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The Kazan Research Institute of Traumatology and Orthopaedics was founded on 1 December 1945 on the basis of the Hospital of Restorative Surgery. From the very first days, the institute became the base of the Department of Traumatology and Orthopaedics of Kazan HIDUV. A great role in the organisation and development of the Institute belongs to its first director, Honoured Scientist of the RSFSR and TASSR, Professor Lazar Ilyich Shulutko. Since 1960, the Institute has been headed by Honoured Scientist of the RSFSR and TASSR, Prof. Uzbek Yakubovich Bogdanovich.

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Bogdanovich, U. Ya. "Laser therapy in traumatology and orthopedics." Kazan medical journal 67, no. 3 (May 15, 1986): 182–84. http://dx.doi.org/10.17816/kazmj66697.

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At our institute, laser therapy of wounds is usually performed in the regenerative stage, after clearing of pus-necrotic masses and granulation, since many years of experience have shown that laser therapy is ineffective in the exudative and destructive phases of the wound process. Before exposure to laser, the skin around the wound must be degreased. The defocused beam of laser light is directed directly to the wound or ulcerous surface and adjacent healthy skin areas. For extensive wounds and ulcers, the laser is irradiated in the margins.

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Phillips, Jonathan, Harry E. Jergesen, Amber Caldwell, and Richard Coughlin. "IGOT-The Institute for Global Orthopaedics and Traumatology." Techniques in Orthopaedics 24, no. 4 (December 2009): 308–11. http://dx.doi.org/10.1097/bto.0b013e3181c3ebb1.

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Sarker, Bidhan, Lutfar Kader Lenin, and Md Zakir Hossain. "Various Methods of Reconstruction of Axillary Burn Contracture." Bangladesh Journal of Plastic Surgery 4, no. 1 (April 24, 2014): 16–19. http://dx.doi.org/10.3329/bdjps.v4i1.18686.

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Post burn contracture is a burn sequel, which was not properly treated in initial burn management. Deep partial and full thickness burn of axillary region can result in scar contracture which limits shoulder abduction and extension. The axillary contracture has functional morbidity along with aesthetic disfigurement. Difficulties in rehabilitation of shoulder abduction during the initial period and the contractile evolution of the scar contribute to this problem. The goal of the surgical correction of axillary scar contractures is to provide a maximum release with minimum or no local anatomic distortion. 42 patients with post burn contracture of the axillas were operated in the Department of Burn and Plastic Surgery Unit, Dhaka Medical College Hospital and in National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka in the period between November 2007 & December 2011. Among them 26(61.9%) were males and 16(38.1%) were females. Age ranged from 6 to 38 years with a mean age 14.7 years. Unilateral axilla were involved in 34 patients(81%) and bilateral axilla was involved in 8 patients(19%). 18 cases (42.8%) had contracture of anterior axillary fold, 12 cases (28.5%) cases had contracture of posterior axillary fold, 8 cases (19%) had contracture of both folds and 4 cases (9.5%) had contracture involving axillary dome. Pre operative X-ray of shoulder joints of affected axilla revealed normal joint spaces. The operative procedure was chosen according to the pattern of scar and state of surrounding skin. Surgical procedures included release of post burn axillary contracture by recontructive procedures single Z plasties were done in 2 cases(4.7%), multiple Z plasties were done in 12 cases(28.6%), five flap plasty was done in 1 case (2.4%), local fascio cuteneous flaps were done in 25 cases(59.5%), parascapular flap was done in 1case (2.4%) and split thickness skin grafting was done in 1 case (2.4%). Axilla was immobilized with plaster cast for two weeks. The rate of complication was 9.5%. All of them were minor. Functional improvement was quite satisfactory, except for one case of skin grafting which had re-contracture. Choice of surgical procedure for reconstruction of post burn axillary contracture can be made according to the pattern of scar contracture and the state of surrounding skin. The choice of a flap should have priority to skin graft because of the superior functional and cosmetic results of flaps. Long term splinting and physical therapy are mandatory to prevent re contracture. Proper pre-operative planning, appropriate surgical method, post operative immobilization, physiotherapy and follow up can make good outcome of post burn axillary contracture reconstruction. DOI: http://dx.doi.org/10.3329/bdjps.v4i1.18686 Bangladesh Journal of Plastic Surgery January 2013, 4(1): 16-19

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Team, Editorial. "Doctor of Medical Sciences Dilyara Gubaevna Takhavieva." Kazan medical journal 66, no. 1 (February 15, 1985): 71–72. http://dx.doi.org/10.17816/kazmj60579.

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December 1984 marked the 60th anniversary of the birth of Dilyara Gubaevna Takhavieva - Deputy Director of the Kazan Scientific Research Institute of Traumatology and Orthopedics, Honored Scientist of the TASSR, Doctor of Medical Sciences.

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Арсентьева, Nataliya Arsenteva, Черникова, Olga Chernikova, Сороковиков, Vladimir Sorokovikov, Шурыгина, and Irina Shurygina. "INNOVATIONS FOR DIAGNOSTICS AND TREATMENT OF INJURIES AND DISORDERS OF MUSCULOSKELETAL SYSTEM IN IRKUTSK SCIENTIFIC CENTER OF SURGERY AND TRAUMATOLOGY (TO THE 70TH ANNIVERSARY OF SCIENTIFIC RESEARCH INSTITUTE OF TRAUMATOLOGY AND ORTHOPEDICS)." Бюллетень Восточно-Сибирского научного центра Сибирского отделения Российской академии медицинских наук 1, no. 4 (November 28, 2016): 141–44. http://dx.doi.org/10.12737/23002.

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The article summarizes experience and achievements of Irkutsk Scientific Research Institute of Traumatology and Orthopedics (now – Irkutsk Scientific Center of Surgery and Traumatology) over a 70-year period. The development of new methods of diagnostics and treatment and organization of health care for patients with traumatological and orthopedic pathology are highly influenced by the Institute. The team of Irkutsk Scientific Center of Surgery and Trau-matology developed a new promising direction of combined tension-band osteosynthesis, substantiated organ-sparing endoprosthesis replacement, created new technologies of treatment of chronic osteomyelitis, developed concept of treat-ment of spinal trauma and spinal cord injuries, determined regularities of cross-system organization of physiological functions at the musculoskeletal system pathology, created original technologies and instruments for the treatment of musculoskeletal system traumas and disorders.Innovations created in ISCST include 330 patents. Irkutsk Scientific Center of Surgery and Traumatology was awarded Governor’s Award in Science and Technics for the development and introduction in clinical medicine of new diagnostic and treatment methods and of candidate medicines in 2012 and 2013.

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Khasanov, R. S., and N. S. Shamsutdinov. "Department of Traumatology, Orthopedics and Surgery of Extreme Conditions, Kazan State Medical University - 30 years." Kazan medical journal 79, no. 4 (July 15, 1998): 316–19. http://dx.doi.org/10.17816/kazmj64511.

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At the end of 1967, by order of the rector of the Kazan State Medical Institute, the Department of Traumatology, Orthopedics and Military Field Surgery was organized. Until that time, the teaching of individual sections of these subjects was carried out at various departments of the surgical profile. The creation of the department was due to the constant increase in the number of injuries and a significant increase in the nature of injuries, especially multiple and combined.

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de Moraes, Vinícius Ynoe, Cesar Domingues Moreira, Marcel Jun Sugawara Tamaoki, Flávio Faloppa, and Joao Carlos Belloti. "RANDOMIZED CONTROLLED TRIALS IN ORTHOPEDICS AND TRAUMATOLOGY: SYSTEMATIC ANALYSIS ON THE NATIONAL EVIDENCE." Revista Brasileira de Ortopedia (English Edition) 45, no. 6 (November 2010): 601–5. http://dx.doi.org/10.1016/s2255-4971(15)30310-4.

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Baindurashvili, Alexei Georgievich, Sergei Valentinovich Vissarionov, Alexander Aleksandrovich Falinskii, and Karina Surenovna Solovyova. "MEDICAL CARE SERVICE FOR CHILDREN WITH SPINAL INJURIES IN SAINT-PETERSBURG." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 2, no. 4 (December 15, 2014): 8–14. http://dx.doi.org/10.17816/ptors248-14.

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The scientifically based organizational system of diagnosis, treatment and rehabilitation of children with fractures of the vertebrae is accepted in the medical institutions of St. Petersburg, including inpatient, sanatorium and outpatient care. Stages of conservative treatment in patients with vertebral compression fractures in the emergency departments of children’s general hospitals in St. Petersburg are reported, the St. Petersburg State budgetary institution of health care Children’s Rehabilitation Center of Orthopedics and Traumatology “Ogonyok” and children’s outpatient clinics. The algorithm is presented in details to provide advice and high-tech The St. Petersburg SFHI Children’s Rehabilitation Center of Orthopedics and Traumatology “Ogonek”, Saint-Petersburg surgical emergency care to children with unstable and complicated fractures of the vertebrae, which is carried out by experts of the Federal Children’s Center of spine and spinal cord injuries at the base of the department of spinal pathology and neurosurgery of FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation.

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Wüelker, Nikolaus. "Specialty Day of the European Foot and Ankle Society (EFAS), June 6, 1999 at the 4th Congress of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT)." Foot & Ankle International 21, no. 3 (March 2000): 250–59. http://dx.doi.org/10.1177/107110070002100312.

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Specialty Day of the European Foot and Ankle Society (EFAS) June 6, 1999, at the 4th Congress of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) from June 3–8 in Brussels, Belgium.

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mironov, S. R., R. I. Merkulova, E. V. Bogutskaya, and T. D. Cherkes‐zade. "The use of trans‐cutaneous extra‐focal osteosynthesis in the clinic of sports traumatology at the central institute of traumatology and orthopedics (CITO)." Sports Medicine, Training and Rehabilitation 1, no. 2 (March 1989): 123–24. http://dx.doi.org/10.1080/15438628909511861.

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Kurygin, A. A., I. S. Tarbaev, and V. V. Semenov. "Professor Fedor Rodionovich Bogdanov (1900–1973) (on the 120^th anniversary of the birthday)." Grekov's Bulletin of Surgery 179, no. 6 (April 2, 2021): 7–10. http://dx.doi.org/10.24884/0042-4625-2020-179-6-7-10.

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Professor Fedor Rodionovich Bogdanov was born on October 2 (15 in the Gregorian calendar), 1900. In 1919, Fedor successfully graduated from the classical men’s gymnasium and then entered the medical faculty of Rostov University. In 1930, F.R. Bogdanov and his wife moved to Sverdlovsk, where he became the head of the scientific and educational sector of the Institute and at the same time the head of the clinical department. There he actively studied the current and unresolved problem of treating intra-articular fractures at that time. In 1937, Fedor Rodionovich defended his doctoral thesis on the topic: «Reparative processes in intra-articular fractures and the principles of treatment of these fractures (experimental and clinical studies)». In 1958, F. R. Bogdanov moved to Kiev, where he was elected the head of the Department of Traumatology and Orthopedics of the Institute for Advanced Medical Studies and at the same time was appointed deputy director of the Kiev Research Institute of Traumatology and Orthopedics for scientific work. For all the time of his practical and scientific activity, F.R. Bogdanov was the academic advisor of 31 doctors and 86 candidates of medical sciences, the author and co-author of more than 200 scientific papers and 7 monographs. Professor Fedor Rodionovich Bogdanov died on March 27, 1973 and was buried at the Baikove Cemetery in Kiev.

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Andreev, Alexandr Alexeevich, and Anton Ostroushko. "Russian surgeon and public figure, Academician Nikolai Nikolaevich BLOKHIN (to the 105th anniversary of birthday)." Vestnik of Experimental and Clinical Surgery 10, no. 1 (August 8, 2017): 88. http://dx.doi.org/10.18499/2070-478x-2017-10-1-87.

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N. Blokhin was born in 1912 in the town of Lukoyanov in the Nizhny Novgorod region now. In 1934 he graduated from the Gorky medical Institute. From 1934 to 1937 – postgraduate, 1937 assistant Professor of the Gorky medical Institute. From 1941 to 1946 – the leading surgeon of evacuation hospitals. From 1946 to 1947, head of the clinic of the Gorky research Institute of reconstructive surgery, traumatology and orthopedics. From 1948 to 1951, Director of the Institute of reconstructive surgery, traumatology and orthopedics, Ministry of health of the RSFSR, and then from 1951 to 1952 – Director of the Gorky medical Institute. S. M. Kirov. At the same time from 1948 to 1950 – Professor, Department of surgery, University hospital and from 1950 to 1951 – head of the Department of General surgery of the Gorky medical Institute. S. M. Kirov. Since 1952 Director of the Institute of experimental pathology and therapy of the USSR Academy of medical Sciences. In 1953 N. N. Blokhin was elected a corresponding member, and in 1960 a full member, 1960-1968 from 1977 to 1987 and was the President of the USSR AMS. In 1966 N. N. Blokhin was elected President, since 1970, former President, since 1974 – life member of the Council of the International anticancer Union. Since 1975, academician N. N. Blokhin was Director of the all-Union oncological scientific center, Academy of medical Sciences of the USSR (now the Russian oncological scientific center named. N. N. Blokhin of the RAMS). In 1979 he was elected academician of the USSR. From March 1988 — honorary Director of the Russian oncological scientific center, Academy of medical Sciences of the USSR, since 1991 — the adviser of the Presidium of the USSR AMS. He died on 16 may 1993 in Moscow. Blokhin – President of RAMS, academician of (1960) and the Academy of Sciences of the USSR (1979), RAS (1991), Honored scientist of the RSFSR (1975), Chairman of the Committee on international Lenin prize, President of the society "USSR – USA", honorary member of several foreign academies of Sciences and scientific societies, honorary citizen of the city of Gorky (1983), and Texas (1970), Hero of Socialist labor (1972), laureate of the State prize of the USSR (1982) and the prize of the Presidium of the Academy of medical Sciences of the USSR (1956), awarded with orders of red Star (1942), the Lenin (1961, 1962, 1972, 1982), the red banner of Labour (1969), the October revolution (1987), was a Deputy of the Supreme Soviet of the seven convocations, a delegate to three congresses of the CPSU. Academician N. N. Blokhin is the author of over 300 scientific papers and several monographs. Under his leadership, has trained more than 60 doctors and candidates of Sciences. The name of academician N. N. Rated Blokhin Russian cancer research center RAMS (1993), Diveevsky district Central hospital. A memorial plaque with his name was set on the buildings of the Nizhny Novgorod state medical Academy and Nizhny Novgorod scientific research Institute of traumatology and orthopedics.

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Akhtiamov, I. F., and I. O. Pankov. "Anniversary of the Kazan school of traumatology and orthopaedics." N.N. Priorov Journal of Traumatology and Orthopedics 25, no. 3-4 (December 15, 2018): 139–43. http://dx.doi.org/10.17116/vto201803-041139.

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Two acting heads of the chairs of Kazan universities present a short historical background on the formation of the Kazan School of Traumatology and Orthopedics. The organization by Professor M.O. Friedland of a prosthetic-orthopedic infirmary in 1918 and subsequent organization of the chair of traumatology and orthopaedics at Kazan state institute for the improvement of physicians’ knowledge and skills is considered to be the starting point. However since the middle of the 19century the medical care was rendered in injuries and at Kazan University students were trained in surgical science and treatment of fractures. The first experience in anesthesia, introduction of antiseptics, improvement of desmurgy and the treatment of gunshot wounds were the basis for any surgical specialty. German professors, the founders of Kazan University, laid down the foundations and their first students N.I. Studenskiy, V.I. Razumovskiy and M.O. Fridland has contributed to the formation of a specialty in Kazan. At present time the chairs of traumatology and orthopaedics are organized at three universities and at the Center for High Technologies every physician and surgeon have an opportunity and to acquire new knowledge and skills.

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Kurczyński, Kamil, Artur Pepłoński, Piotr Cieślik, and Marta Burbul(. "Iatrogenic Intraprosthetic Dislocation of Dual Mobility Cup. Case Study." Ortopedia Traumatologia Rehabilitacja 23, no. 1 (February 28, 2021): 51–57. http://dx.doi.org/10.5604/01.3001.0014.7568.

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Intra-prosthetic dislocation of the dual-mobile acetabular cup is a rare complication. Most often, it is the result of wear of the polyethylene liner. It can also occur during a closed reduction of a dislocated dual-mobile cup. It is extremely important to recognize this complication immediately in order to avoid the consequences. This paper presents the first case of iatrogenic intraprosthetic dislocation at the Traumatology and Orthopaedics Department of the Military Medical Institute, our management of the case and suggestions for treating patients with a dislocation of the dual-mobile acetabular cup.

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Solovyova, Karina S., Anna V. Zaletina, and Olga A. Kuptsova. "Scientific events of the Turner Scientific And Research Institute for children’s orthopedics as a form of continuous medical education for pediatric traumatologists." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 5, no. 1 (March 31, 2017): 71–74. http://dx.doi.org/10.17816/ptors5171-74.

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The experience of the Turner Scientific and Research Institute for Children's Orthopedics in educational activities for improvement of the professional knowledge of pediatric physicians was represented. The target audience of the continuous medical education include traumatologists, pediatric surgeons, and doctors of related specialties of Russia that are involved in diagnosis, treatment, and rehabilitation of children with injuries, congenital and acquired diseases of the musculoskeletal system. Since 1986, the Institute has organized 28 all-Russian scientific and practical conferences on topical issues of traumatology and orthopedics of pediatric age in 22 different cities across the country. In the interest of the institute, the school of pediatric orthopedists is constantly working for district orthopedists of children's polyclinics of St. Petersburg, and regular monothematic seminars are performed with the participation of leading Russian experts and visiting lecturers from abroad. These scientific and practical activities improve the professional skills of doctors and help them improve the provision of specialized care to children.

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Shubnyakov, I. I., R. M. Tikhilov, N. S. Nikolaev, L. G. Grigoricheva, A. V. Ovsyankin, A. Zh Cherny, P. V. Drozdova, A. O. Denisov, Е. V. Veber, and I. V. Kuz’mina. "EPIDEMIOLOGY OF PRIMARY HIP ARTHROPLASTY: REPORT FROM REGISTER OF VREDEN RUSSIAN RESEARCH INSTITUTE OF TRAUMATOLOGY AND ORTHOPEDICS." Traumatology and Orthopedics of Russia 23, no. 2 (January 1, 2017): 81–101. http://dx.doi.org/10.21823/2311-2905-2017-23-2-81-101.

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Maksimovic, Jadranka, Ljiljana Markovic-Denic, Marko Bumbasirevic, and Jelena Marinkovic. "Incidence of surgical site infections in the departments of orthopedics and traumatology." Vojnosanitetski pregled 63, no. 8 (2006): 725–29. http://dx.doi.org/10.2298/vsp0608725m.

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Background/aim: Besides infections of urinary tract and pneumonias, as well as blood infections, surgical site infections (SSI) represent one of the most common localization of hospital infections. The aim of this study was to determine the incidence of SSI in the departments of orthopedics and traumatology as well as the SSI incidence in relation to the ASA score, surgical site contamination class and NNIS index. Methods. A prospective cohort study followed daily all the surgical patients hospitalized over 48 hours in the Institute for Orthopedic Surgery and Traumatology, Clinical Center of Serbia, as well as 30 days after the discharge, during the period between February 1 to July 31, 2002. The patients were examined and their diagnoses made according to the definition of hospital infections, i.e. upon clinical and/or laboratory analyses, using concurrently the ASA score, surgical site contamination class and NNIS index. Results. Out of 227 surgical patients, 60 were diagnosed with SSI during their hospitalization, while 3 of the patients developed SSI after the discharge. The incidence of SSI was 22.7% (95% CI = 17.8?27.6). In the patients with good health condition, i.e. ASA ? 2, the incidence of SSI was 18.3% (43/235) and in those with ASA > 2, it was 47.6% (20/42) (?2 = 17.4; p < 0.001). The incidence of SSI was 13.5% (25/185) in the clean wounds, 11.6% (5/43) in purely contaminated, while it was much higher in the contaminated 65.5%; (19/29) and soiled 70.0%; (14/20) wounds (?2 = 67.6; p < 0.001). The incidence of SSI in relation to NNIS was 8.1% (13/161) in the patients with score 0, then 36.4% (32/88) in the patients with score 1, and 64.3% (18/28) in the patients with the scores 2 and 3 (?2 = 57.3; p < 0.001). The patients with SSI stayed in the departments of orthopedics and traumatology approximately 1.8 times longer than the patients without SSI (t = 5.3; DF = 275; p < 0.0019. Conclusion. It is important to emphasize the need for constant epidemiological surveillance of SSI and the implementation of preventive measures in Serbia.

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Senina, Elena. "The features of viability and social adaptation of patients who underwent revisional hip replacement." Glavvrač (Chief Medical Officer), no. 1 (January 1, 2020): 60–63. http://dx.doi.org/10.33920/med-03-2001-06.

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The author analyzes the category of viability as a structural element of social adaptation of patients who underwent revisional hip replacement. Considering the process of postoperative rehabilitation, the author focuses on viability as an individual characteristic of patients, which determines the effectiveness of physical recovery and social adaptation after hip replacement. The article observes the results of an empirical study conducted on the basis of Saratov Research Institute of Traumatology and Orthopedics of Minzdrav of Russia, aimed at studying the criteria of viability and social viability of adaptation and social adaptation.

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Rodrigues, Laëtitia, François H. Cornelis, and Sylvie Chevret. "Hip Fracture Prevention in Osteoporotic Elderly and Cancer Patients: An On-Line French Survey Evaluating Current Needs." Medicina 56, no. 8 (August 7, 2020): 397. http://dx.doi.org/10.3390/medicina56080397.

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Background and objectives: Hip fracture is a major public health issue. Those fractures lead to high costs and a decrease in quality of life. A national French survey was conducted, with the objectives to firstly assess the current management of hip fracture and its prevention, both in the osteoporotic and cancer settings, and secondly to evaluate the opinions of physicians on the potential use of minimally invasive implantable devices to prevent hip fracture in alternative of surgery. Materials and methods: This national survey was conducted in France between April and July 2017. Questionnaires were sent to orthopedic surgeons, interventional radiologists, oncologists, and rheumatologists. Completed questionnaires were analyzed and compared according to two indications: orthopedics-traumatology and oncology. Factors associated with these responses were assessed using univariable analyses, based on chi-square tests or an exact Fisher test, as appropriate. Results: A total of 182 questionnaires were completed and further analyzed. Physicians have highlighted the need for a low re-fracture rate and to improve life expectancy for more than 1 year (50% for responders of the orthopedics-traumatology questionnaire and 80% for the responders interested in both indications), as well as quality of life (12.5% and 31%, respectively), but with no significant differences in the oncologic indication. Most of the experts were willing to use or prescribe implantable devices for prevention (63% in orthopedics-traumatology and 93% in oncology), although limited clinical experience (54 and 58%) and surgical risk (around 30% in each indication) were considered as limits. Conclusions: Prevention of hip fracture remains a concern for physicians. More clinical experience with implantable devices, in particular in cancer patients, is needed, but implemented in a strategy to maximize patient recovery while reducing costs.

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BAPTISTA, ANDRÉ MATHIAS, SYLVIO CESAR SARGENTINI, JUAN PABLO ZUMÁRRAGA, ANDRÉ FERRARI DE FRANÇA CAMARGO, and OLAVO PIRES DE CAMARGO. "TUMORS OF THE PATELLA: THE EXPERIENCE OF INSTITUTE OF ORTHOPEDICS AND TRAUMATOLOGY AT UNIVERSITY OF SÃO PAULO, BRAZIL." Acta Ortopédica Brasileira 24, no. 3 (June 2016): 151–54. http://dx.doi.org/10.1590/1413-785220162403159158.

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Kornilov, N. N., T. A. Kulyaba, A. S. Fil, and Y. V. Muravyeva. "Data of knee arthroplasty register of Vreden Russian Research Institute of Traumatology and Orthopedics for period 2011-2013." Traumatology and Orthopedics of Russia, no. 1 (January 1, 2015): 136–51. http://dx.doi.org/10.21823/2311-2905-2015-0-1-136-151.

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Kotiv, B. N., Al A. Kurygin, I. I. Dzidzava, and V. V. Semenov. "Academician Semyon Semyonovich Girgolav (1881–1957) (to the 140th anniversary of the birth)." Grekov's Bulletin of Surgery 180, no. 2 (August 20, 2021): 7–11. http://dx.doi.org/10.24884/0042-4625-2021-180-2-7-11.

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Professor Semyon Semyonovich Girgolav was born on February 2 (14), 1881 in Tiflis (Tbilisi) in a large family of the hereditary honorary citizen of St. Petersburg Semyon Gavrilovich Girgolav. In 1899, he graduated from the Second St. Petersburg Classical Gymnasium with a silver medal and immediately entered the Imperial Military Medical Academy, from which he graduated with honors in 1904. Under the guidance of M. S. Subbotin, S. S. Girgolav prepared and in 1907 successfully defended his doctoral dissertation «Experimental data on the use of an isolated omentum in abdominal surgery». In 1912, Semyon Semyonovich was elected by the Conference of the Academy as a privatdozent of the general surgery clinic, and in 1914, he was confirmed as a senior assistant of the clinic. In the 1920/21 academic year, S. S. Girgolav introduced mandatory practical classes in general surgery for the first time in our country, where students studied and mastered the methods of asepsis and antiseptics, mastered the methods of examining patients with surgical diseases, methods of applying various bandages and transportation splints, techniques for temporary hemostasis, etc. In 1932, Semyon Semyonovich was appointed Deputy Director for the scientific part of the Leningrad Research Institute of Traumatology and Orthopedics (now the Russian Research Institute of Traumatology and Orthopedics named after R. R. Vreden). In the pre-war years, the main direction of scientific research of S. S. Girgolav and his staff in the hospital surgery clinic was the study of the regularities of the wound process and wound healing in surgical pathology. S. S. Girgolav applied much efforts and energy to the problems of traumatology. He developed the technique of a number of original surgical operations for acute fractures of long bones, the habitual dislocation of the shoulder joint. Semyon Semyonovich’s scientific heritage is great and multifaceted. He has published more than 140 scientific papers on general, military and thoracic surgery, traumatology, neurosurgery, surgical endocrinology and oncology, combustiology, pathology and therapy of frostbites and burns. Under the supervision of S. S. Girgolav, more than 20 doctoral and 45 candidate theses were prepared and defended. For outstanding services to the Motherland in peace and war, S. S. Girgolav was awarded two Orders of Lenin, three Orders of the Red Banner, the Order of the Red Banner of Labor, the Order of the Red Star, many medals and badges of honour. Academician Semyon Semyonovich Girgolav died on January 25, 1957 in Leningrad and was buried at the Bogoslovskoe Cemetery.

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Voloshin, V. P., A. G. Galkin, S. A. Oshkukov, A. S. Sankaranarayanan, E. V. Stepanov, and A. A. Afanasev. "Additive technologies in the management of patients with extensive lower limb bone defects." Genij Ortopedii 27, no. 2 (April 2021): 227–31. http://dx.doi.org/10.18019/1028-4427-2021-27-2-227-231.

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Augments and reinforcing constructs made of titanium with a porous coating have been used for bone defect management in addition to osteoplastic materials. Additive technologies in traumatology and orthopedics for extensive defects in bones and joints have been applied when it is impossible to use standard designs. The purpose of the study was to evaluate short-term results and perspectives of using additive technologies for bone defects after failed joint arthroplasties and osteosynthesis. Materials and methods In 2018 to November 2019, seven patients with lower extremity bone defects underwent treatment at the Department of Traumatology and Orthopedics of the Moscow Regional Research and Clinical Institute with custom-made implants fabricated with additive technologies. The operations were carefully planned using CT scans, 3D modeling, and implant printing. Particular attention was paid to clean the implant from residual metal powder. Patients were distributed depending on the type of defect and the operation performed (arthroplasty, revision arthroplasty). Results The short-term results of using customized implants were analyzed in this study. The average Harris hip score before surgery was 37.8 points, and after the surgery it was 80.2 points. Pain after surgery in all patients was also evaluated by Harris scale and was 37.1 points; the functionality of patients after surgery was 38.4 points. The custom-made designs have a number of distinguishing advantages against the standard ones. A customized anatomical design provides easier fixation; ergonomic design allows implant retention without removing metal fixators if exist; there is less soft tissue injury during surgery (allinside principle); and convenient bone grafting around the implant. Conclusions The use of additive technologies for bone defects improves the functional results and life quality of the patient. At the moment, practical application of 3D designs has a number of limitations in financial and legal support in practical health care. Further implementation of additive technologies in traumatology and orthopedics will be supported by the grant from the President of the Russian Federation.

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Fil, A. S., V. N. Tarakanov, T. A. Kulyaba, and N. N. Kornilov. "Primary knee joint arthroplasty trends at the Vreden National Medical Research Centre for Traumatology and Orthopedics compared with other national joint replacement registries. Is our way similar?" Genij Ortopedii 26, no. 4 (December 2020): 476–83. http://dx.doi.org/10.18019/1028-4427-2020-26-4-476-483.

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Introduction Total joint replacement is one of the most effective and successful surgical interventions. Regular monitoring of these surgical interventions is essential and may serve as a system for early detection of defective prosthesis designs or techniques resulting in the complication rate which exceeds the estimated level. The ideal way to conduct this monitoring is a registry of joint replacements. Purpose Assessment of the structure of primary knee joint arthroplasty at the Federal State Budgetary Institution Vreden National Medical Research Centre for Traumatology and Orthopaedics named and it’s comparative analysis with the data from leading foreign registers to improve the work of orthopaedic surgeons, traumatologists and healthcare organizers by optimizing the surgical tactics in the specialized treatment of patients. Methods The authors reviewed the annual reports published by national registers of knee replacements and compared them with the data of the registry of the Vreden National Medical Research Centre for Traumatology and Orthopaedics to make conclusions that would be relevant to current orthopaedic practice. Results Several results of the survey demonstrate the most significant or unexpected conclusions as according to the registry. These include an extremely large gender imbalance and obesity as two thirds of the patients were overweight. The number of patients with tumors and rheumatological diseases in the structure of knee replacements decreased considerably in the recent years. Designs and types of implants used, patellar resurfacing in arthroplasty, time of surgical intervention and options for postoperative administrations of antibiotics at the Vreden Centre are consistent with general European trends in knee arthroplasty. Conclusions The number of primary knee replacements (including unicompartment replacements) has been increasing annually. The patients admitted for primary knee replacement are statistically very similar to patient population from other countries. The main differences are associated with an earlier age at which arthroplasty is performed, an extreme gender imbalance and a relatively low number of patellar resurfacing in primary knee replacement. The problem of overweight among the population leads to an increased number of knee replacements, complications and lower implant survival rate.

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Rahman, Md Mizanur, Md Mahfuzur Rahman, Md Abdullah Yusuf, AFM Arshedi Sattar, Md Ayub Ali, Md Matiur Rahman, and Abu Bakar Siddique. "Socio-demographic Characteristics and Mode of Traumatic Thoraco-Lumbar Spine Injuries at a Referral Tertiary Care Hospital in Bangladesh." Journal of National Institute of Neurosciences Bangladesh 4, no. 1 (September 17, 2018): 51–53. http://dx.doi.org/10.3329/jninb.v4i1.38286.

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Background: Traumatic thoraco-lumbar spine injuries occur in different ways during working.Objectives: The purpose of the present study was to find out the-demographic Characteristics and Mode of Traumatic Thoraco-Lumbar Spine Injuries.Methodology: This cross-sectional study was conducted at the National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh from July 2004 to June 2006 for a period of 2(two) years. Patients with diagnosed cases of traumatic thoraco-lumbar spinal injury with complete or incomplete cord lesion irrespective of sex were selected as study population. An elaborate history of the selected patient was taken with an emphasis of mechanism, time of injury, past history of illness.Result: A total number of 17 patients with thoracolumbar spine injury were recruited. Out of 17 patients, 7(41.2%) patients were in the age group of 21-30 years that is very younger age group. The mean age was 29.29 years. The male and female ratio was 4.7:1. In this series most affected people are farmer (47.05%). Most affected groups are injured by fall from height (70.58%) especially from tree and from roof of the buildings.Conclusion: Young age group male workers are most commonly affected in traumatic thoraco-lumbar spine injuries.Journal of National Institute of Neurosciences Bangladesh, 2018;4(1): 51-53

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Jozsa, L., A. Reffy, Susanne Demel, and J. B. Balint. "Foreign Bodies in Tendons." Journal of Hand Surgery 14, no. 1 (February 1989): 84–85. http://dx.doi.org/10.1016/0266-7681(89)90022-3.

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At the National Institute of Traumatology in Budapest, a search has been made for foreign bodies in tendons over the last 15 years. 53 foreign bodies have been found in 931 tendons removed at operation and 45 foreign bodies in 950 tendon samples at autopsy. The foreign material was found to be organic in 29 cases, metal in 20 cases and plastic in six cases. In the others, glass, sand, mineral grease and textiles could be detected. In 33 cases the material could not be identified. The foreign bodies were found in the tendons of the upper extremities in 51 cases and the lower extremities in 47 cases. Foreign bodies in the tendons were more likely to cause problems in the upper limbs than in the lower limbs: these problems were purulent tendonitis, necrosis, foreign body granuloma, fibrosis and peritendonitis and calcification.

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Mylnikova, Tamara A. "Specialized traumatological and orthopedic care for children through public-private partnership programs in the Novosibirsk region." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 4, no. 1 (March 15, 2016): 37–42. http://dx.doi.org/10.17816/ptors4137-42.

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Aim: To evaluate the feasibility of an organizational model of specialized traumatological and orthopedic care for children using public–private partnership mechanisms in the Novosibirsk region.Material and Methods: Data from patients visiting the Federal State Novosibirsk Research Institute of Traumatology and Orthopedics between 2011 and 2015 were acquired from “Medassist,” the local medical information system. Data were subsequently analyzed to identify the relative extent of medical care provided.Results: This study included results from an organizational model of specialized traumatological and orthopedic care for children developed via public–private partnership mechanisms that have been implemented in the Novosibirsk region since 2011. A number of institutions were involved in this model of medical care for children with traumatological and orthopedic pathology, including the Federal State Novosibirsk Research Institute of Traumatology and Orthopedics, Clinic “NIITO” (a non-governmental medical organization), and various other primary health care organizations, including children’s polyclinics and hospital outpatient departments. This model allowed us to create a closed (full) cycle of provision for specialized traumatological and orthopedic care, from primary treatment to the completion of rehabilitation with dynamic supervision throughout. This was accomplished by combining various clinical stages, including the specialized clinic, hospital, rehabilitation organization, and outpatient clinic. The main areas of this model include timely and reliable detection; determination of treatment indicators; appropriate definition of treatment terms; and the provision of specialized medical care, including high technology input, rehabilitation, and dynamic monitoring.Conclusions: Implementation of an organizational model of specialized traumatological and orthopedic care for children in the Novosibirsk region using mechanisms associated with public–private partnerships has proved to be very positive. Application of the model allowed improvements in the availability of specialized traumatological and orthopedic care for children to ensure succession in the stages of medical care and to increase the number of cases entering rehabilitation. Therefore, this model demonstrates the viability of providing medical care to the population through the mechanisms of public–private partnership.

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Fedonnikov, A. S., E. A. Andriyanova, N. V. Grishechkina, and E. V. Cherhyshkova. "THE THEORETICAL AND PRACTICAL ASPECTS OF APPLYING MEDICAL SOCIAL ON-LINE SERVICES IN MANAGEMENT OF REHABILITATION OF PATIENTS OF TRAUMATOLOGICAL ORTHOPEDICS PROFILE." Sociology of Medicine 18, no. 1 (June 15, 2019): 41–46. http://dx.doi.org/10.18821/1728-2810-2019-18-1-41-46.

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The issue of digital technologies implementation in practice of health care becomes one of the priorities in the conditions of resources deficiency. The digitalization of health care system is economically expedient as it allows achieving particular medical and social results without significant infrastructural investments. The on-line communication possesses significant potential in this regard. The digital health care using on-line communication democratizes access to medical services and allows to qualitatively remodel the existing model of interaction between patient and health care system. In the sociology of medicine, the sociology of rehabilitation is selected to investigate such issues as social and organizational context of rehabilitation, social orientation of medical care, role of health care personnel and other interested specialists. The article substantiates the efficiency of on-line communication in management of rehabilitation of patients as exemplified by the Monitoring and Feedback System designed and introduced in the Research Institute of Traumatology, Orthopedics and Neurosurgery of V.I. Razumovsky Saratov State Medical University.

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Journal articles on the topic 'National Institute of Traumatology and Orthopedics (INTO)'

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