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Biomedical subjects

I M Zazirnyĭ

Publications and source records attributed to I M Zazirnyĭ.

16 recordsLinked to original sources
PubMed2002

[Management policy for osteoarthritis of the knee joint].

Osteoarthrosis of the knee joint (KJA) is a most prevalent orthopedic disease. There are some questions as to the policy of treating KJA that remain to be decided. Results are analyzed of treating 3243 patients with KJA (stage I--889 individuals, stage II--1276 ones, stage III--1078 patients) over the period 1983-2000. The patients underwent nonoperative treatment, arthroscopic operations, plasty of the ligamentous apparatus, osteotomy, arthrodesis, total endoprothetics. Our scheme proposed some time ago allowed judgement about the function of the knee joint. Recommendations are given in the article, that include the following: Arthroscopic operations should be widely used during stage I and II for the debridgement of the joint to be done, the proper recovery of the ligamentous apparatus to be ensured. Correcting osteotomy is indicated in axial deformity of the joint at stage I to II. Total andoprothetics is indicated at stage III osteoarthrosis and also at stage II in case of joint instability and axial deformity.

Algorithms↗
PubMed2002

[Application of proximal correction osteotomy of the tibia in treatment of the knee joint osteoarthrosis].

High osteotomy of tibia is the method of choice in patients with osteoarthrosis (OA) of the knee joint (KJ) medial portion of I and II stage. To secure positive postoperative result achievement high proximal osteotomy was combined with other interventions, directed on elimination of other morphological or functional disorders of the KJ. We have performed treatment of 43 patients with OA of KJ of II stage with the varus deformity, to whom correcting osteotomy "Opening Wedge". In all of them arthroscopy of the KJ was done, in 14--with stimultant arthroscopic plasty of anterior cruciform ligament, in 17--arthroscopic chondroplasty of articular surface defects of processus lateralis os femoris, in 12--arthroscopic KJ debridement, in 24--partial meniscusectomy. An excellent and good result was noted in 33 patients. Miniinvasive combined reconstructive-restorational interventions are effective in OA of II stage with disorder of an axis or an axis and the KJ stability.

Humans↗
PubMed2001

[Application of the apparatus autohemotransfusion in endoprosthesis of big joints].

We observed 16 patients in whom the method of camera intraoperation reinfusion of washed erythrocytes was used during endoprosthetics of joints. For reinfusion we used the system Elmd-500 (Electromedics Inc., USA). The concentration of hemoglobin in peripheral blood remained stable in early and late post-operation period. No complications after transfusion of washed erythrocytes were observed.

Adult↗
PubMed2000

[Analgesia after orthopedic interventions].

The efficacy of application of tramadol and naclofen for analgesia after performance of orthopedic operations was studied up. There were examined 112 patients, to whom were done total endoprosthesis of coxofemoral joint, 19--total endoprosthesis of the knee joint, 54--the knee joint arthroscopy. The analgesia efficacy was estimated according to visual-analogue scale and to the sensations index. High efficacy of the tramadol application for postoperative analgesia was established. In patients, to whom tramadol and naclofen were administered, maximal analgetic effect was noted.

Analgesics, Opioid↗
PubMed2000

[Analysis of complications of operation for appendicular peritonitis in children].

Complications, occurred after the operation for appendicular peritonitis in children, were analyzed. The frequency of the complications occurrence in patients with an acute catarrhal appendicitis had constituted 1.4%, with phlegmonous one--3.5%, gangrenous--12.1%, gangrenous appendicitis with local restricted peritonitis--18.9%, with diffuse purulent peritonitis--42%. The dependence of the complications frequency on character and severity of primary changes in abdominal cavity was established.

Adolescent↗
PubMed1999

[Endoprosthesis of the knee joint].

The experience of primary total endoprosthesis of a knee joint for restoration of its motility and stability was presented. Prostheses "Zimmer MG II", "Zimmer I B II", "Richards-Genesis", "Richards-Trigon-C", "Aesculap Mul. II", "Howmedica-kinematics" were implanted in 16 patients with gonarthrosis and rheumatoid arthritis stage III. One to four-year follow-up result after the operation was excellent in 68.75% patients, good--in 25%, fair--in 6.25%.

Aged↗
PubMed1989

[Neurodystrophic syndrome in patients with fractures of the distal epimetaphysis of the radius].

The authors analyse the development of the neurodystrophic syndrome (NDS) after fracture of the distal epimetaphysis of the radius in 67 patients. Rapidly and slowly progressive forms of NDS development were distinguished. Thermographic examination of 20 patients gives evidence of disturbed tonus of the microcirculatory channel in NDS. Laser therapy, magnetic field, and hypothermia were used in the treatment of patients with NDS. The developed system of NDS prognostication in fractures of the distal radial epimetaphysis and preventive treatment of risk group patients allowed the frequency of this complication to be reduced.

Adult↗
PubMedDate not supplied

[Arthroscopy techniques in the treatment of extension contractures of the knee joint after total knee arthroplasty].

Results are analyzed of treatment of four patients presenting with extension contractures of the knee joint after total knee replacement with the aid of the arthroscopic arthrolysis technique. All patients demonstrated increase in the joint movement size. The conclusion reached was that in the incipient manifestations of the knee joint extension contractures, the arthroscopic arthrolysis technique is superior to the conventional one.

Adult↗
PubMedDate not supplied

[Effect of chondroprotectors in the treatment and prophylaxis of the knee joint osteoarthrosis].

An analysis is presented of employment of hyalgan (1% solution of hyaluronic acid) in 29 patients with osteoarthrosis of the knee joint (KJOA). The patients were divided into three groups. Group I comprized 9 patients with prior arthroscopic interventions in the knee joint with stage I KJOA; group II was 5 patients having undergone plasty of the anterior cruciate ligament with stage I KJOA; group III was 15 patients with stage II-III KJOA. Hyalgan (20 mg) was administered once per week for 5 weeks. Intensity of the pain syndrome was assessed by using a visual-analogue scale together with time-related thermal gradient with the aid of the remote infrared thermography technique. Hyalgan enhances efficiency of treatment of KJOA.

Adult↗