Online ISSN: 2515-8260

Keywords : osteosynthesis


THE CURRENT STATE OF THE PROBLEM OF PROVIDING ASSISTANCE TO VICTIMS WITH ACETABULAR INJURIES IN THE BUKHARA REGION

E. Yu. Valiev; A. S Yakhyoev; J.Yu. Jabbarov; Khasanov Z. R

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 1, Pages 1440-1445

In recent years, there has been an increase in patients with acetabular fractures, while the rates of unsatisfactory treatment results and disability remain high. There is a widespread trend, as well as in the Bukhara region, to increase the number of patients with injuries of the acetabulum. The difficulties of diagnosis and the choice of treatment tactics remain relevant. Low rates of active surgical tactics for treating injuries, which affects the results of treatment. There is a need for a more in-depth study of this problem with the introduction of modern methods of damage visualization and the development of minimally invasive treatment methods

EXPERIENCE OF APPLICATION OF SIMULTANE SURGERY IN PATIENTS WITH SKELETAL INJURY COMPLICATED WITH DEEP VENOUS THROMBOSIS OF THE LOWER LIMBS AND PELVIS

Muminov Shuxrat Manapovich; Valiev Erkin Yuldashevich; Xamidov Baxtiyar Pulatovich; Kim Dmitriy Lvovich; Alimuxamedov Jahangir Jamalovich; Valiev Odil Erkinovich; Tilyakov Xasan Azizovich; Ismailov Anvar Djamshidovich

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 2110-2121

The analysis of the results of examination and treatment of 15 operated patients with deep vein thrombosis of the lower extremities and pelvis in combination with skeletal trauma in the departments of vascular surgery and traumatology of the RSCEMP for the period from 2017 to 2019 was carried out. All patients underwent a simultaneous operation, the purpose of which was the prevention of pulmonary embolism and the elimination of skeletal trauma. Depending on the level of the thrombotic process, 13 patients underwent IVC clipping and 2 patients underwent ligation of the femoral vein in combination with the traumatological stage of the operation.

Application Of An External Fixator In Fractures Of Lower Third Three Diaphysis

Asilova Saodat Ubaevna; Muminov Umid Rustamovich; Nazarov Ravshanbek Bakhodirovich

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 6, Pages 3025-3029

Experience in treating diaphysis fractures of the lower third of the thigh was analyzed in 82 patients. We have determined the indications for the use of methods of osteosynthesis of these fractures and the terms of implementation. The indications for surgery were closed and open fractures of the diaphysis fractures of the lower third of the femur. In closed cases, external osteosynthesis was performed using external extra-bone fixators, which were both the final and intermediate stages of treatment. For open fractures, operations were performed on a delayed basis using the Ilizarov apparatus in 5 (6%) cases. In 38 patients, osteosynthesis with fixation developed by us with a plate was performed, BIOS was performed in 8 patients and in 12 patients with AO plates, in 19 patients, various external fixators. The long-term results of treatment were studied in -66 (80.4%) patients: excellent in 27 (41%), good in 21 (32%), satisfactory in 17 (25.5%), 1 (1.5%) unsatisfactory.

Experience In The Treatment Of The Elderly And Additional Patients With Fractures Of The Femoral Neck With Account Of Comorbidal Pathology

Valiev Erkin Yuldashevich; Valiev Odil Erkinovich; Azizov Abror Mirxakimovich; Tilyakov Hasan Azizovich

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 5170-5179

Damage to the bone structures in the area of the hip joint refers to severe injuries of the musculoskeletal system for the elderly and senile, usually leading to an unfavorable outcome. One of the important problems of geriatric practice is comorbidity, which affects the prognosis for life, increases the likelihood of death.The aim of the work was to study the factors influencing the choice of tactics and methods of treatment of fractures of the femoral neck in elderly and senile people, taking into account the level and severity of comorbid pathology. The analysis of the incidence and level of comorbidity in 201 patients with fractures of the femoral neck was carried out, the mean age was 71.4 ± 7.1 g. The results of evaluating the comorbidity indices revealed its high rates, for example, the Charleston index averaged 9.12 ± 1.05 points, the CIRS index was 16.2 ± 3.9 points. The main contingent of treated patients - 147 (73.1%) - were people with a high level of physical activity.

Comparison Of Two Different Osteosynthesis Technique To Evaluate Skeletal Stability In Advancement Genioplasty: A Retrospective Study

Dr. Manoj Kumar Rawat; Dr. Mohammed Ibrahim; Dr. Hemanadh Kolli; Dr.Sriram Choudary Nuthalapati; Dr Shilpa Sunil Khanna; Dr. Gowri Swaminatham Pendyala; Dr. Rahul VC Tiwari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 5685-5690

Aim: To evaluate the skeletal stability in wiring and plating fixation technique after genioplasty advancement. Methodology: Patients who came for repair of cleft alveolus were enrolled within the study. Retrospectively all the Lateral Cephalogram were taken for patients undergoing Orthognathic Surgery; pre-operatively, 1-week post-operative and 1-year post-operatively after advancement genioplasty. Two groups were divided in keeping with the osteosynthesis technique used, Group 1- Wiring Osteosynthesis (n=38) and Group 2- Miniplate Osteosynthesis (n=38). Linear measurements were done after tracing all the Lateral Cephalograms. Results: In the semi rigid group (wire fixation) a mean horizontal advancement of 5.97 mm was in the midst of a relapse of 1.623 mm. The mean superior repositioning of menton was 0.7 mm. This was in the middle of a relapse of 0.3 mm during a period of 1 year. Within the rigid group (miniplate) a mean horizontal advancement of 4.815 mm was in the course of a relapse of 0.2 mm. The mean superior repositioning of menton was 0.975 mm. Conclusion: The results of our study and our clinical experience indicate that this single plate is a particularly simple and extremely useful method of stabilization.