Saratov JOURNAL of Medical and Scientific Research

Anisimova E.A.

Saratov State Medical University, Department of Human Anatomy, Candidate of Medical Science

Endovascular treatment for critical limb ischemia in patients with diabetes mellitus (review)

Year: 2019, volume 15 Issue: №4 Pages: 873-876
Heading: Surgery Article type: Review
Authors: Bakhmetyev A.S., Anisimova Е.А., Temerezov T.Kh., Zotkin V.V., Rudakov M.O.
Organization: Medical Di Center, Regional Vascular Center of the Karachay-Cherkess Republican Clinical Hospital, Saratov State Medical University
Summary:

The literature review is devoted to the contemporary possibilities of endovascular surgery for patients with critical lower limb ischemia and diabetes mellitus. Surgical indications based on non-invasive methods such as measuring ankle-brachial and shoulder-finger indexes, as well as transcutaneous oximetry are considered. The material outlines both positive and negative aspects of interventional surgery in this cohort of patients included in the group of extremely high atherosclerotic risk.

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PRP-therapy efficiency analysis for various shoulder tendinopathies

Year: 2019, volume 15 Issue: №3 Pages: 648-653
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Norkin A.I., Malanin D.A., Tregubov A.S., Demeshchenko M.V., Cherezov L.L., Shormanov A.M., Emkuzhev O.L., Anisimova E.A.
Organization: Saratov State Medical University, Volgograd Medical Scientific Center, Volgograd State Medical University
Summary:

Objective: to perform comparative analysis of PRP-therapy efficiency in patients with various shoulder tendinopathies. Material and Methods. 122 patients with rotator cuff tendinopathies (66%), subacromial impingements and rotator cuff tendinopathies (16%), CLB tendon tendinopathies (18%) participated in the research. The diagnostic scales for estimation of pain syndrome and shoulder joint function, as well as ultrasound and MRT examinations were employed to assess the outcomes in 1 and 6 months after PRP-therapy. Results. Patients of all groups had significant improvements by scales compared to their condition at the beginning of PRP-therapy. The positive response obtained in one month after the treatment still subsisted in 6 months. The most impressive responses to treatment were observed in patients with rotator cuff and CLB tendinopathies (strong middle effect 0.8-0.88). The patients of these groups self-estimated their outcomes relatively high. The scores defining outcomes were somewhat lower in the group of patients with both rotator cuff tendinopathies and subacromial impingements. Both MRT and ultrasound examinations revealed improvements in shoulder joint structures: edema reduction and dissipation, hypoechoic signal areas. Conclusion. PRP-therapy at shoulder tendinopathies may be referred to safe effective biological methods of treatment.

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Variability and connections of parameters characterizing hip dysplasia in 4-7-year-old children

Year: 2019, volume 15 Issue: №1 Pages: 61-66
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Zotkin V.V., Anisimova Е.А., Bakhteeva N.Kh., Anisimov D.l.
Organization: Saratov State Medical University
Summary:

Objective: to identify the variability and contingency of parameters characterizing the structure of the hip joint in children 4-7 years of age, among themselves and with the severity of dysplastic changes in the bone and soft tissue structures of the hip joint. Material and Methods. 132 children aged 4-7 years with dysplasia TBS with different degrees of severity of dysplastic changes (177 joints) were examined. The following characteristics of dysplasia joint were under the study: angular radiological parameters, cartilage defect, electroneuromyographic signs, indicators of the biomechanics of gait. The degree of dysplasia (mild, moderate, severe) was assessed by the method developed by the authors to determine the severity of hip dysplastic changes in points. Results. Light changes in the hip joint were diagnosed in 9 patients aged 4-7 years (15 joints); moderate dysplastic disorders were found in 74 patients (96 joints); pronounced signs of dysplasia were found in 49 patients (66 joints). The coefficient of variation of signs characterizing TDS dysplasia varies from 2.8 to 18.8%. The module of correlation coefficients characterizing the binding force of the studied features is in the range from 0.7 to 0.9. Conclusion. The angular radiological parameters, cartilage defect, electroneuromyographic signs, indicators of the biomechanics of gait characterized by considerable variability and are correlated with strong and close power among themselves and with the degree of dysplastic changes of the bone and soft tissue structures of TBS.

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The assessment system of the grade of dysplastic changes in hip joint of children of early age

Year: 2018, volume 14 Issue: №3 Pages: 505-511
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Bakhteeva N.Kh., Anisimova Е.А., Zotkin V.V., Anisimov D.l.
Organization: Saratov State Medical University
Summary:

 Aim: to analyze the method of choice of treatment for children aged 1-3 yrs. with hip joint dysplasia with respect to the complex of pathological changes by the elaboration of CAD programs. Material and Methods. We defined the grade of dysplastic changes in joint components of 82 children with hip joint dysplasia (113 joints) aged 1-3 yrs by CAD program. Results. The grade of dysplastic changes in hip joint (mild — I, moderate — II, severe — III) was identified with the elaborated program and the treatment was administered. We identified 28 children (33 joints) to have mild (I) dysplasia grade, moderate (II) 31 children (42 joints) and severe (III) 23 (38 joints). Mild dysplasia grade (I) corresponded to the score from 5 to 13, and to the option of conservative treatment with dynamic follow-up and coxarthritis prevention, moderate (II) — to the score from 14 to 26 and the option of intertrochanteric detorsion varus corrective osteotomy, severe (III) — to the score from 27 to 39 and the option of pelvis osteotomy and intertrochanteric detorsion varus corrective osteotomy. Conclusion. The treatment of patients with hip dysplasia depends on the grade of dysplastic changes. The elaborated program allows effectively define dysplasia grade and choose treatment method for the patients.

Biomechanical criteria of orthopedic status of patients with dysplastic coxarthrosis (Crowe) IV before and after treatment

Year: 2017, volume 13 Issue: №3 Pages: 520-526
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Yusupov K.S., Barabash Yu.A., Pavlenko N.N., Romakina N.A., Anisimova E.A., Letov A.S., Sertakova A.V., Anisimov D.l.
Organization: Scientific Research Institute of Traumatology Orthopedics and Neurosurgery of Saratov State Medical University n.a. V.I. Razumovsky
Summary:

The aim: to analyze locomotor function of lower limbs in patients with dysplastic coxarthrosis Crowe IV type before and after single-step hip joint endoprosthesis and femoral bone osteotomy conducted by our own technology. Material and Methods. 42 patients with one-side dysplastic coxarthrosis Crowe IV type were examined and operated. The mean age at the time of admission in men was 47.3±1.2 years, women — 46.1 ±1.1 years. Static and kinematic function of lower limbs was evaluated with the help of stabilometrics and podometry before and one year after the operation. Results. Before treatment, the patients had deviations of static and dynamic function of locomotor system stabilometri-cally seen as instability in upright position and podographically as a compromised gait. One year postsurgically we indicated static balance between the limbs within the normal range, expanded motoring mode, which was supported by significant improvement in the biomechanical characteristics of locomotor function of the patients. Conclusion. Total hip replacement in combination with modifying osteotomy of the hip conducted by a unique technique restores static and kinematic function of lower limbs in patients with high congenital hip dislocation (dysplastic coxarthrosis Crowe type IV) which is proved by stabilographic and podographic indices one year after operation.

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Age variability of massiveness of bones in the forearm at men

Year: 2016, volume 12 Issue: №3 Pages: 323-327
Heading: Macro- and Micromorphology Article type: Original article
Authors: Popov A.N., Anisimova Е.А., Anisimov D.l., Popryga D.V.
Organization: Saratov State Medical University
Summary:

Aim: to detect the regularities of age variability of bones in the forearm at adult men. Material and Methods. By the method of a direct osteometry the greatest length and the circle of the middle diaphysis of radial and ulnar bones were determined. The thickness-length index reflecting massiveness of a bone was defined as a percentage of a circle of middle diaphysis to the greatest length of a bone. Results. Age features of the greatest length, the greatest circle of a diaphysis and the thickness-length index of bones in the forearm, and also correlation of the studied parameters with a body length were revealed. Conclusion. The greatest length of radial and ulnar bones changes with age slightly whereas the circle of the middle diaphysis of bones in the forearm significantly increases with age according to the statistics that affects the increase in an index of massiveness of bones.

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Comparative analysis of morphological and topometric parameters of lumbar spine in normal state and in degenerative-dystrophic changes

Year: 2015, volume 11 Issue: №4 Pages: 515-520
Heading: Macro- and Micromorphology Article type: Original article
Authors: Anisimova Е.А., Emkuzhev O.L., Anisimov D.l., Popryga D.V., Lukina G.A., Yakovlev N.M.
Organization: Saratov State Medical University
Summary:

Objective: to carry out comparative analysis and identify patterns of topographic variation patterns of lumbar spine in normal and degenerative changes. Material and methods. CT- and MRT-grams for men and women I (M1-22-35 years; W — 21-35 years) and II (M2-36-60 years; W2-36-55 years) periods of mature age with no signs of trauma, scoliosis and systemic diseases of the spine (n=140) and CT- and MRT-grams in patients with revealed degenerative changes in the lumbar spine degree II-III (n=120). The pictures with digital PACS system measure the height of the vertebral body, intervertebral disc height, vertical, horizontal diameter and the area of intervertebral foramen. Results. The height of the lumbar vertebral bodies normally increased from27,90±0,38mmatthe level of L, to 29,93±0,33 mm Lm, and then decreased to 24,35±0,27 mm at level L^, in osteochondrosis it is statistically significantly lower at all levels on average by 20%. The height of the intervertebral disc with osteochondrosis below at all levels by an average of 25% of its value in the range 5,27±0,19 to 6,13±0,17mm, while the normal disc height varies from 6,88±030 to 9,36±0,28mm. The area of intervertebral holes normally ranging from 103,29±5,78 to 127,99±5,92mm2, with osteochondrosis aperture area is reduced to a greater extent by decreasing the vertical diameter in comparison with the horizontal. Conclusion. For the studied parameters characteristic topographic variability has been determined. The maximum values parameters are marked at the top of the lumbar lordosis, at chest height, lumbar and lumbosacral junctions sizes are reduced. In osteochondrosis the intervertebral disc height and the height of lumbar vertebral bodies are reduced; intervertebral foramina area is also reduced to a greater extent by reducing the vertical diameter than the horizontal one.

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Morphometric characteristics of the forearm bones in subjects of childhood, adolescence and early adulthood

Year: 2015, volume 11 Issue: №3 Pages: 249-254
Heading: Macro- and Micromorphology Article type: Original article
Authors: Popov A.N., Anisimova Е.А., Anisimov D.l., Popryga D.V., Kesov L.A., Kesov A.L.
Organization: Saratov Regional Clinical Hospital, Saratov State Medical University
Summary:

Objective: to identify patterns of typology, age and variability of bilateral forearm bones in children, adolescents and young adults. Material and methods. The method of direct linear osteometry determined length (maximum length) and circumference (maximum circumference of the diaphysis) size of the bones of the forearm. Calculated thickness-length index as a percentage of the maximum circumference of the diaphysis to the greatest length of the bone. Results. The age characteristics of greatest length, the greatest circumference of the diaphysis and thickness-length index, as well as communication with the studied parameters of body length. Conclusion. The largest relative increase in the parameters identified in the second childhood and adolescence. Thickness-length index with age decreases slightly from 16,82 to 15.28% in the ulna (9%) and from 20,26 to 19,24% at the radius (5%). A direct close and substantial connection between the length and circumference of the bone and medium-reverse thickness-length index of forearm bones with age and body length.

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Morphometric justification of algorithm of the choice of method of surgical treatment of dysplastic coxarthrosis

Year: 2015, volume 11 Issue: №2 Pages: 182-186
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Norkin I.A., Anisimova Е.А., Voskresensky O.Yu., Yusupov K.S., Anisimov D.l., Letov A.S., Popryga D.V., Popov A.N.
Organization: Saratov State Medical University
Summary:

Purpose: to define regularities of variability of bone structures of a hip joint depending on type of dysplastic coxarthrosis and to develop tactics of total endoprosthesis replacement. Objects of research. 106 patients with dysplastic coxarthrosis of varying severity, passing treatment on the basis of Federal State Budget Institution of Saratov Scientific Research Institute of Traumatology and Orthopedics from 2005 to 2014 applying methods X, KT-, MRT-metry variation and statistical methods. Results: According to anatomic features of a hip joint at dysplastic coxarthrosis of various types algorithms of choice of acetabularand femoral components of endoprosthesis, and also tactics of total endoprosthesis replacement in groups of research are developed. Conclusion. The choice of a standard size of an endoprosthesis of a hip joint needs to be carried out taking into account X-ray anatomic features of a hip joint and degree of expressiveness of the dysplastic changes. At dysplastic coxarthrosis of the l-ll types it is necessary to carry out standard total endoprosthesis replacement; at coxarthrosis of the III type —total endoprosthesis replacement in combination with plasticity of a roof of acetabular hollow; at coxarthrosis of the IV type — total endoprosthesis replacement in a combination from the shortening femur osteotomy.

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Morphology of bone structures of hip joint in normal state and in dysplastic coxarthrosis

Year: 2014, volume 10 Issue: №3 Pages: 373-377
Heading: Macro- and Micromorphology Article type: Review
Authors: Anisimova Е.А., Yusupov K.S., Anisimov D.I.
Organization: Saratov State Medical University
Summary:

The review of literature concerns the questions of development, structure, function, blood supply and innervation of structures of hip joint. The characteristics of changes of these structures in dysplastic coxarthrosis of various degree of expressiveness has been presented. Radiological and biomechanical features of hip joint have been described in various types of dysplastic coxarthrosis.

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