Saratov JOURNAL of Medical and Scientific Research

Kireev S.I.

Saratov State Medical University n.a. V.I. Razumovsky, Department of Traumatology and Orthopedics, Professor, Doctor of Medical Science

Shock-wave therapy for combination treatment of plantar fasciitis

Summary:

The objective is enhancing outcomes of plantar fasciitis patients using proprietary shock-wave technique. Material and Methods. There were 65 active plantar fasciitis patients under our care, and we used shock-wave therapy as a part of their combination treatment. The patients were divided into 2 groups depending on the specifics oa shock-wave therapy applied to them. The proprietary technique based on the combination of local cryotherapy and heel area enthe-sises traction during shock-wave sessions was applied for patients of the main group (35 patients) while 30 patients of the control group had conventional shock-wave technique applied to them. Results. Patients of the main group showed better dynamics of pain syndrome reduction (p<0.05), as well as normalization of plantar fascia anatomy parameters on ultrasound evidence. Conclusion. The combined application of local cryotherapy as well as enthesises traction allows enhancing shock-wave therapy efficiency as a component of comprehensive medical rehabilitation of plantar fasciitis patients.

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Surgical correction of the first ray deformity using osteotomy biomechanical modeling

Summary:

Objective: to enhance the outcomes of the first ray surgical correction using osteotomy biomechanical modeling of the first metatarsal bone. It allows obtaining quantitative data for the «bone — fixator» system stability as additional criteria for selecting surgery methods and surgery therapeutic approaches. Material and Methods. 97 female patients underwent surgical corrections of static deformities in the anterior parts of the feet. Biomechanical modeling of osteotomies for the first metatarsal bone was used for the main group (50 patients) at the stage of pre-surgery planning. Results. Radiological results showed no significant differences between the groups of patients. The integrated ACFAS index in post- surgery period was statistically significant inpatients of the main group. The detection rate of the restriction of movements, pain syndrome and edema around the first metatarsal bone was higher in the control group. Conclusion. The identified differences in the dynamics of functional and restorative processes proved the efficiency of objective estimation and obtaining stability in «bone — fixator» system. Biomechanical modeling is an efficient tool of the decision making support system for surgical correction of the first ray deformities.

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The use of clinical analysis of movements in evaluation of motor functional status of patients after total hip replacement

Year: 2016, volume 12 Issue: №2 Pages: 185-190
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Romakina N.A., Kireev S.I., Reshetnikov A.N., Frolenkov A.V., Norkin I.A.
Organization: Saratov State Medical University
Summary:

Aim: to estimate functional status of coxarthrosis in patients requiring total hip replacement of the two hip joints. Material and methods. The biomechanical examination of 94 patients with bilateral primary coxarthrosis before and after total hip replacement was performed using clinical stabilometric software complex. The ability to perceive the mechanical load during standing and walking was evaluated at different stages of the treatment. The difference between the samples was estimated with the use of Mann — Whitney U-test. The rank correlation of biomechanical parameters was measured by Spearman coefficient. Results. It was revealed that the most responsive indicators are the transfer period, the first and second periods of double support and the deviation of the center of pressure relative to the average position in the frontal plane. Conclusion. After surgical treatment there was observed some improvement: the-left-and-right-step asymmetry decrease, rhythm rate increase, improved ability to maintain body balance, jog reactions increase.

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The access dependence of endoprosthetic ball dislocation in hip replacement

Year: 2016, volume 12 Issue: №2 Pages: 175-181
Heading: Traumatology and Orthopedics Article type: Review
Authors: Abdulnasyrov R.K., Kireev S.I., Markov D.A., Yusupov K.S., Letov A.S., Frolenkov A.V., Pavlenko N.N.
Organization: Saratov State Medical University
Summary:

In the course of the study the foreign and native publications concerning total hip replacement have been analyzed. The data from National Registers of various countries are presented in the study. They highlight some issues upon total hip replacement, technologies of surgical intervention advancing and most important risk factors for endoprosthetic ball dislocation.

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Using of Tendinous Plasty in Treatment of Patients with Flexor Tendons of 2–5 Fingers Injury in “Critical” Zone

Year: 2009, volume 5 Issue: №2 Pages: 248-250
Heading: Traumatology and Orthopedics Article type: Original article
Authors: O.V. Beidik, M.A. Shcerbakov, A.V. Zaretskov, K.K. Levchenko, S.I. Kireev
Organization: Saratov State Medical University
Summary:

Injury of both superficial and deep tendons of fingers flexors needs to carry out tendinous plasty with excision of distal part of superficial flexor muscle tendon. Use of length measuring method for tendinous transplant allows us to avoid the flexion contracture in future and appearance of functional insufficiency of flexion during postoperative period and rehabilitation of patient.

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QUALITY OF LIFE AS THE CRITERION OF TREATMENT EFFICACY OF PATIENTS WITH HAND BONES FRACTURES

Year: 2009, volume 5 Issue: №1 Pages: 98-100
Heading: Traumatology and Orthopedics Article type: Original article
Authors: O.V. Beidik, A.V. Zaretskov, K.V. Shevchenko, ; S.I. Kireev, K.K. Levchenko, M.A. Shcerbakov
Organization: Penza city hospital, Saratov City Hospital №9, Saratov State Medical University
Summary:

To compare the quality of life of patients treated for hand bone fractures, 120 patients after internal pin and external fixation were examined. For the study purposes, the special questionnaires were used to determine the quality of life. The data obtained give evidence that using of surgical treatment allows to achieve the positive dynamics of patients’ quality of life, the most marked in patients with external fixation technique. It should be mentioned that in cases of rehabilitation period elongation the level of quality of life has not been connected with effectiveness of used surgical technique.

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