Saratov JOURNAL of Medical and Scientific Research

Levchenko K.K.

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

Optimization of surgical treatment tactics at a customary shoulder dislocation

Year: 2018, volume 14 Issue: №2 Pages: 240-243
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Norkin A.l., Klimov S.S., Levchenko K.K., Shormanov A.M., Alieva A.M., Katerusha A.M., Amanova M.M., Ulyanov V.Yu.
Organization: Saratov State Medical University
Summary:

 Saratov Journal of Medical Scientific Research 2018; 14 (2): 240-243. The aim: the optimization of surgical treatment tactics at a customary shoulder dislocation, based on "on-track Hill-Sachs / off-track Hill-Sachs" concept. Material and Methods. The research group consists of 42 patients aged from 19 to 52 years with chronic recurrent anterior shoulder instability, who underwent a surgical treatment to restore previous shoulder anatomic and topographic correlations. Patients were divided into two subgroups according to diagnostic arthroscopy results. The first subgroup includes 14 patients with impaction visualized (off-track Hill-Sachs), the second one — 28 patients with head shoulder stability (on-track Hill-Sachs). Patients of the first subgroup underwent open surgical intervention according to Bristow — Latarjetand shoulder arthroscopic repair was carried out in the second group. Results. One month after the surgical treatment median total estimated figure exceeded by 1.8 times in patients of the first subgroup and by 1.2 times, by Rowe, in patients of the second subgroup and decreased by 2.1 times in patients of the first subgroup and by 1.7 times, by DASH, in the second subgroup in comparison with the indices before the operation, that was illustrative of a good treatment result. Six months after the operation median total estimated figure exceeded by 1.2 times, by Rowe, in patients both of the first subgroup and the second subgroup and decreased by 2 and 2.1 times, by DASH, in patients of the first and the second group, relatively in comparison with the indices found one month after the operation, that was illustrative of an excellent treatment result in the late postoperative period. Conclusion. Patients with anterior shoulder instability caused by a glenoid fossa deficiency less than 25% in combination with off-track Hill-Sachs lesion, the most convenient way is the replacement of the bone loss by coracoid process transposition. In patients with on-track Hill-Sachs lesion arthroscopic repair is preferable.

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MBST-exposure opportunities as a monotherapy of chronic dorsalgia

Year: 2017, volume 13 Issue: №3 Pages: 743-746
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Levchenko КК, Kitaev IV, Arleninova OV, Zaretskov AV, Adamovich GA, Belonogov VN, Tikhov AA, Chibrikova Yu.A., Biryukova AV.
Organization: "Clinic of Joint and Spine Diseases Artromedtsentr" (Saratov)
Summary:

The aim: to analyze the clinical effect of MBST-exposure monotherapy, a magnetic resonance method, on the pain syndrome caused by degenerative dystrophic changes of vertebral column structures. Material and Methods. 132 patients both male and female with cervical and lumbar dorsopathy were enrolled into the study. Treatment course included 9 sessions of 60 min. daily. MRI-results of corresponding spine regions and visual analogue pain intensity scale were used as assessment tools for treatment efficiency before, immediately after, 3, 6 and 12 months after MBST-treatment. Results. The objective results of structural transformation of pathological formations in vertebral motional segments correlated with significant decrease of pain syndrome at all stages of control tests. Conclusion. MBST-exposure is an effective method of non-invasive, notouch monotherapy for patients with chronic dorsalgia caused by degenerative dorsopathy.

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A competency-based model for training of specialists in vertebrology at higher medical school

Year: 2016, volume 12 Issue: №2 Pages:
Heading: Pedagogics and Education Article type: Short message
Authors: Norkin I.A., Fedonnikov A.S., Zaretskov V.V., Andriyanova E.A., Levchenko K.K., Zaretskov A.V., Belonogov V.N.
Organization: Saratov State Medical University
Summary:

The field of medicine facing the issues of diagnosis and treatment of spine diseases and injuries requires training of specialists in vertebrology taking into consideration the modern standards of higher professional education and medical care conditions. The article deals with the training of the specialists using a competency-based model

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Perspectives for vertebrology teaching development in higher medical schools

Year: 2015, volume 11 Issue: №2 Pages: 210-212
Heading: Pedagogics and Education Article type: Author's opinion
Authors: Norkin I.A., Zaretskov V.V., Levchenko K.K., Fedonnikov A.S., Zaretskov A.V., Kireev S.N.
Organization: Saratov State Medical University
Summary:

The article deals with the issues on improving the efficiency of vertebrology teaching in specialist training at pre-and postgraduate stages. Modern epidemiologic trends for spine traumas and diseases form the increasing interest to the problems of care and prevention of the considered pathology and define the necessity of single-skilled specialists training. Developing vertebrology into a separate discipline that is studied at medical universities at both pre- and postgraduate stages is one of the topic issues for higher medical schools where the search of effective ways of its realization is stressed.

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Quality of life of patients with upper extremity fractures

Year: 2011, volume 7 Issue: №2 Pages: 510-512
Heading: Traumatology and Orthopedics Article type: Short message
Authors: Sholomova E.I., Levchenko К.К., Arutunyan T.R., Ninel V.G.
Organization: Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

90 patients with upper extremity fractures took part in the study. The injured patients were treated with rod and pin-and-rod type external fixation devices and by means of external immobilization. It was demonstrated that quality of life to the moment of device removal was 8-9 points higher in patients treated with pin type external fixation in comparison with pin-and-rod type. Quality of life was higher in patients with proximal upper extremity injuries

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Surgical Treatment Of Diaphyseal Femur Fractures

Year: 2009, volume 5 Issue: №4 Pages: 594-596
Heading: Traumatology and Orthopedics Article type: Original article
Authors: D.M. Puchinyan, D.A. Markov, K.K. Levchenko, O.A. Kauts, R.G. Fazilov, V.V. Mironenko, R.P. Nemolyaev, E.V. Kostenko, D.N Peregorodov, I.R. Iriskhanov
Organization: Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

In this article advantages and disadvantages of author's transosseous osteosynthesis methods of diaphyseal femur fractures are described. Sort-term and long-term results of patients treatment with femur fractures are disscussed

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Biomechanical Basis Of External Fixation In Patients With Femur Fractures

Year: 2009, volume 5 Issue: №4 Pages: 591-593
Heading: Traumatology and Orthopedics Article type: Original article
Authors: D.A. Markov, K.K. Levchenko, V.P. Morozov, O.A. Kautz, A.G. Kurmanov, R.K. Abdulnasirov, A.G. Khachatryan, A.N. Peregorodov, A.V. Mandrov
Organization: Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

Advantages of osteosynthesis of femur fractures by means of rod type external fixation devices have been under the study. Computer modelling on the basis of methods of deformable firm body mechanics for pin and rod devices for external fixation has been performed

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Surgical Treatment of Patients with Multitrauma of Hand Fingers

Year: 2009, volume 5 Issue: №3 Pages: 407-409
Heading: Traumatology and Orthopedics Article type: Original article
Authors: O.V. Beidik, A.V. Zaretskov, M.A. Shcerbakov, K.K. Levchenko
Organization: Penza city hospital, Smolensk State Medical Academy
Summary:

For treatment of hand multitrauma including proximal phalanx fracture of finger with damaging of tendons of flexors muscles, we successfully used mini devices for external fixation. After stabilization of bone fragments tendinous palsy carried out. Measuring of transplant right length is very important for future good functional results

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STIMULATION OF REPARATIVE OSTEOGENESIS

Year: 2007, volume 3 Issue: №3 Pages: 79-84
Heading: Traumatology and Orthopedics Article type: Original article
Authors: D.A. Markov, Wang Kai, K.K. Levchenko
Organization: Saratov State Medical University
Summary:

Advantages of osteogenesis stimulation by аlloplant are discussed.

Keywords: osteogenesis
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