Saratov JOURNAL of Medical and Scientific Research

Rusanov A.G.

Scientific Research Institute of Traumatology, Orthopedics and Neurosurgery of Saratov State Medical University n.a. V I. Razumovsky, Department of Innovation Projects in Traumatology and Orthopedics, Research Scientist, Candidate of Medical Science

Treatment of bone defects of tibia edge during external anchorage of fragments

Year: 2017, volume 13 Issue: №3 Pages: 727-731
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Grazhdanov К.А., Barabash А.Р., Barabash Yu.A., Rusanov A.G., Kauts O.A.
Organization:
Summary:

The aim: to identify the efficiency of the improved technology of treatment of tibia marginal defects with the use of granular composite osteoplastic materials during external fixation of fragments. Material and Methods. The observation group was made up of 12 patients with the consequences of lower extremity traumas who had undergone osteosyn-thesis of fractures by an external fixation device with defect alloplasty We used clinical and ray-tracing testing methods and also standardized system of assessment of outcomes of bone fractures and their consequences to control the processes of restoration of bone structure integrity. Results. According to the standardized system of assessment of outcomes in 12-18 months in the course of the rehabilitation measures degree of restoration of anatomic functional indices was 92±5%. Bone density made up 91,3±0,54 HU (p<0,05) before surgery according to the Hounsfield scale, increase in the given parameter was observed in a month and a half after surgery up to 153,1 ±0,97 HU and in 3 months up to 162,7±0,78 HU. Conclusion. Application of granular composite osteoplastic materials for plastic surgery of tibia marginal defects during external fixation of fragments allow us to carry out anatomic reconstruction of the bone reducing surgery injury rate based on the absence of necessity of taking autogenous tissues from the other zones.

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Treatment technique of diaphyseal fractures of shin bones according to biomechanical influence on reparative osteogenesis phases

Year: 2010, volume 6 Issue: №4 Pages: 829-834
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Barabash А.Р., Rusanov A.G., Barabash Yu.A., Alfimov R.A.
Organization: Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics, Central Municipal Hospital of Pyatigorsk
Summary:

The article deals with new treatment technique in fractures of shin bones. It combines ideal reduction of damaged bone with reposition device without transition of transosseous elements through muscular masses, adequate fixation of bone fragments and change of biomechanical efforts in apparatus according to reparative osteogenesis phases. It is performed due to application of external fixation apparatus

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Fixation of periarticular fractures of proximal femur on biomechanical basis

Year: 2010, volume 6 Issue: №2 Pages: 411-414
Heading: Traumatology and Orthopedics Article type: Original article
Authors: A.P. Barabash, O.A. Kauts, Yu.A. Barabash, A.G. Rusanov
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

In the work comparison of two methods of pertrochanteric fracture fixation has been carried out: external one, with the help of the transosseous device and immersed one, by the dynamic femoral system. The investigation of the process of dislocation of fragments has been done on biophantomes. The dynamic compression in the external fixation device increases stability of the biomechanical system «bone-fixator» in 3-4 times. The use of single-stage fracture compression with dynamic femoral system allows to create stable fixation of fragments, adequate for early mobilization of patients

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The Analysis of Treatment Modes of Juxta-articular Fractures of Proximal Part of a Femur and their Effect (Literature Review)

Year: 2010, volume 6 Issue: №1 Pages: 154-159
Heading: Traumatology and Orthopedics Article type: Review
Authors: O.A. Kauts, A.P. Barabash, A.G. Rusanov
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

The article concerns the current status of the topical problem in traumatology - treatment of juxta-articular fractures of proximal part of a femur and their effect. Analytical review of domestic and foreign literature has allowed to determine the basic problems in treatment of the particular group of patients and to define long-term trends of osteosynthesis of juxta-articular fractures of proximal part of a femur at the present stage

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Comparative Characteristics Of Linear Displacement Of Proximal Femoral Department Fragments In Transosseous Fixation. Saratov Journal of Medical Scientific Research

Year: 2009, volume 5 Issue: №3 Pages: 399-403
Heading: Traumatology and Orthopedics Article type: Original article
Authors: A.P. Barabash, A.G. Rusanov, О A. Kauts
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

In the present research a comparison of two techniques of transosseous fixation of pertrochanteric fracture has been drawn. By way of example linear relocations of fragments have been measured in 8 biodummies (femurs of cows) in two groups through three series of loadings along the long axis of a femur with a step of 490 N from 980 up to 2940 N. The specific load in the range of 16,08±0,65 N/sm2 — 16,32±0,065 N/sm2 causes linear fragment dislocation within 0,13±0,016 mm — 0,08±0,03 mm. Compressive variant of osteosynthesis improves stability of biomechanical system "a bone-fixator" 3-4 times as much

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ALTERNATIVE TO THE TECHNIQUE OF TRANSOSSEOUS OSTEOSYNTHESIS OF SHIN BONE FRACTURES

Year: 2008, volume 4 Issue: №4 Pages: 88-91
Heading: Traumatology and Orthopedics Article type: Original article
Authors: A.G.Rusanov, V.V. Stadnikov
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

The apparatus and the technique of osteosynthesis ofdiaphyseal fractures of shin bones are presented in the article. The technique combines the possibility of bone fracture fragments position control at compression and reduction in process of cyclic loads. This treatment technique provides the optimization of reparative osteogenesis conditions, earlier restored support-motor functions of an injured limb and prevents contamination of tissues which surround transosseous elements. The constructive solutions of pin-related osteosynthesis presented in the article are adapted in topographical anatomy aspect according to the location of fractures. The technique has been applied to 124 patients with diaphyseal shin bone fractures. Positive outcomes have been recieved in 99,6% of clinical observations.

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