Кафедра травматології та ортопедії
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Item A Study of the Effect of Specific Antibacterial Therapy on the Course of Tuberculous Spondylitis in an Experiment(2024) Holka, H.; Vesnin, V.; Burlaka, V.; Oliynyk, A.; Fadeev, O.; Hoptsii, O.; Frolova-Romaniuk, E.Objective — to assess the impact of modern antibacterial therapy on the development of a specific destructive process in experimental tuberculous spondylitis in animals. Based on the histological examination of the vertebral bodies, it was established that the animals treated with specific first-line ABD showed clear morphological features of tuberculous inflammation. In animals treated with specific second-line ABD, inhibition of the pathological process. This study showed that the implementation of modern intensive specific antibacterial therapy in experimental conditions allows to achieve the delimitation of the destructive process in the relatively early stages of the disease development (4—5 weeks). The obtained new knowledge about the pathomorphological features of the course of TS against the background of carrying out specific antibacterial therapy allows radical surgical interventions on the musculoskeletal system without the risk of generalization of the tuberculosis process at an earlier time (compared with the generally accepted ones).Item Analysis of the prevalence of femoral fractures due to the car accidents depending on age, sex and location(ХНМУ, 2020-10-08) Timoshenko, Darya; Dobrovolska, OlenaThere are many factors that contribute to the risk of a hip fracture. The prevalence of hip fractures after an accident according to the gender, age, and fracture location was analyzed. According to the results, it can be concluded that the prevalence of fractures, mainly of the right femur, especially its middle part, is characteristic of young men (aged 18 to 25 years). The prevalence of these fractures at a young age coincides with the onset of driving, non-compliance with traffic rules, as well as the largest proportion of car accidents in this age group. At the same time, the increased prevalence of proximal fractures in women may be associated with early osteoporosis under the influence of sex hormones, pregnancy and requires further research.Item Biomechanical substantiation for external fixation of the pelvis using rods with different thread hands(KhNMU, 2021) Istomin, Andrii; Kovalyov, S.; Zhuravliov, V.; Istomin, Dmytro; Karpinskiy, Ì.The results of medical rehabilitation ofpatients with consequences of unstable pelvicfractures (UPF) depend upon many factors,among which the strength of fixation of thefragments that makes possible early recovery ofthe staticodynamic function of the lower girdle isparticularly important,External fixation rod devices are widely usedin treating fresh UPF and their consequences,but it is not always that strength characteristicsof these devices make it possible to realize moderntendencies in medical rehabilitation, which call forearly verticalization of the patients and use ofconstant passive movement and application ofelectromechanical splints. This is explained by thefact that in patients with UPF, who have underwentexternal osteosynthesis with a rod device, bothaxial load and repeated cycles of hip flexion andextension reduce the strength of rod fixation inthe iliac bone.Item Current clinical and pathomorphological features of the course of experimental extrapulmonary tuberculosis(2019) Golka, Grigoriy; Vesnin, V.; Fadeyev, O.; Oliynyk, A.; Garchusha, M.; Hanyk, T.The current epidemiological situation is characterized by spread of tuberculosis infection in all its manifestations, which is also accompanied by a gradual increase in the incidence of extrapulmonary tuberculosis (EPT). The difficulties of early detection lead to a relatively late diagnosis of the disease as late as in the period of development of the destructive process, abscesses and fistulasItem Deforming arthrosis : methodical instructions(ХНМУ, 2019) Голка, Григорий Григорьевич; Гаркуша, Максим Анатольевич; Фадеев, Олег Геннадиевич; Holka, H.; Harkusha, M.; Fadeyev, O.; Oliynyk, A.; Istomin, Dmytro; Burlaka, V.Deforming arthrosis is one of the most common diseases of the musculoskeletal system. About 5 % of all inhabitants of the globe suffer from it. They make up 1/3 among outpatients with orthopedic profile. In average of 7–10 years from the beginning of the disease deformative arthrosis of large in almost 100 % of cases leads to disability.Item Development of postmenopausal osteoporosis: pathophysiology and possible theraputical ways(ХНМУ, 2020-10-08) Ovsiannikova, Kseniia; Smoliar, StanislavDespite popular belief, treatment of postmenopausal osteoporosis could not have done with vitamin D or injections of calcium (considering the fact that abundance of calcium organism would fix with increasing its excretion by kidneys). While antioxidants, hormone replacement therapy and specific inhibitors of mentioned cytokines are able to treat and to stop the development of postmenopausal osteoporosis.Item Dorsopathy : manuals in discipline "Traumatology and orthopedics" for self-study of 5th year students(KhNMU, 2021) Holka, H.; Oliynyk, A.; Istomin, D.Dorsopathy (degenerative disc diseases) ‒ is a disease of the spine, which is based on primary dystrophies and degenerative process of the intervertebral disc (IVD), with the further development of reactive and compensatory changes intervertebral joints and ligaments, and then in the adjacent vertebral bodies and , as a result , totally defeat all elements of vertebrates at ‒ motor segment . At present, people aged 45 years often restrict their activities because of constant pain in the back and neck. The prevalence of chronic back pain is 26‒32 % among the adult population. In the structure of morbidity with disability of the adult population more than 50 % are diseases of the peripheral nervous system. Among the disabled with diseases of the peripheral nervous system in 80 % of cases occur by vertebral affection. Back pain is an extremely common human phenomenon, a price mankind has to pay for their upright posture. According to one study, almost 80 percent of persons in modern industrial society will-experience back pain at some time during their life. Fortunately, in 70 per cent of these, it subsides within a month. But, in as many as 70 per cent of these, the pain recursItem The experience in tuberculous spondylitis treatment taking into account the susceptibility of mycobacteria tuberculosis to antibacterial medicines(The experience in tuberculous spondylitis treatment taking into account the susceptibility of mycobacteria tuberculosis to antibacterial medicines / G. G. Golka, V. V. Vesnin, V. V. Burlaka, A. O. Oliinyk, O. G. Fadeev, E. Yu. Frolova-Romaniuk, O. V. Goptsii // Tuberculosis, Lung Diseases, HIV Infection (Ukraine). ─ 2023. ─ Vol. 1. ─ P. 29─36. ─ DOI: http://doi. org/10.30978/TB-2023-1-29., 2023-03) Golka, G.; Vesnin, V.; Burlaka, V.; Oliinyk, A.; Fadeev, O.; Frolova-Romaniuk, Elina; Goptsii, OlenaThe new method of TS treatment in the main group compared to traditional standards of surgical interventions in the control group allowed: 1) to avoid the progression of TS, the development of complications of the disease (p < 0.05) and complications related to the transplant (fractures, displacement of the autograft, cage) (p < 0.05), in the early postoperative period; 2) significantly increase the effectiveness of treatment due to an increase in excellent results (46.7 and 26.7 %, respectively) and a decrease in satisfactory (13.3 and 23.3 %) and unsatisfactory (0.0 and 10.0 %; p < 0.05) of the results in the remote terms of observation; 3) significantly shorten the inpatient stage of treatment ((96 ± 12) and (190 ± 21) bed-days; p < 0.001).Item Fractures of the lower limb(KhNMU, 2013) Golka, Grigoriy; Bitchuk, Dmytro; Oliynyk, Anton; Istomin, DmytroLower limb fractures are quite frequent, and in case of natural disasters and ac-cidents their quantity increases significantly. Lower limb fractures are mostly attributed to traumas, which involve inpatient treatment. Generally displaced fractures involve surgical treatment. The period of fusion of long bones is the longest, which may lead to temporary incapacitation. The proper organization of medical help for the patient with lower limb fracture plays an important role in restoration of function and vocational rehabilitation. It is the proper diagnosis, the amount of help on all levels and stages of medical evacuation of the patients with lower limb fractures that is the guaranty of satis-factory functional outcome.Item Improvement of the Effectiveness of Treatment Patients with Tuberculosis Spondylitis(2021) Holka, H.; Vesnin, V.; Burlaka, V.; Oliinyk, A.; Fadieiev, O.The protocols of clinical and radiological examination, analysis of treatment of 60 patients with active tuberculous spondylitis have become the clinical material of this study. The main group included patients (n = 30) with TS of the thoracic and lumbar vertebrae operated with the use of a sliding titanium cage for ventral intercostal spondylodesis. The comparison group includes patients (n = 30) using traditional approaches to the surgical treatment of the TS. The comparative study of the effectiveness of treatment of patients of the main and control group with TS showed that the use of the proposed technique in patients of the main group made it possible to significantly improve the results of treatment. Tuberculosis spondylitis (TS) in the structure of bone-joint tuberculosis in adults occupies a leading position and reaches 40 - 61.5% and it presents the great medical and social problemItem Injuries of Pelvis(ХНМУ, 2015-11-12) Голка, Григорий Григорьевич; Олейник, Антон Александрович; Фадеев, Олег Геннадиевич; Истомин, Дмитрий Андреевич; Битчук, Дмитрий Денисович; Oliynyk A.; Golka, Grigoriy; Fadeyev, O.; Istomin, Dmytro; Bitchuyk, D.Pelvic fractures are devastating injuries that are associated with a number of complications that often require extensive rehabilitation. Pelvic fractures represent about 0.3% to 6% of all fractures and occur in 20% of all polytrauma cases.1 High-velocity trauma accounts for most pelvic fractures, including motor vehicle accidents, motor vehicle-pedestrian accidents, crush injuries, and falls.2 A bimodal distribution of age is seen in pelvic trauma, as most injuries occur between the ages of 15 to 30 and 50 to 70 years. The overall average age is reportedly 31.5 years. Men account for more pelvic fractures than women, representing about 57% to 75% of all pelvic injuries. Reported mortality rates range from 6.4% to 30%,5 depending on the type of pelvic fracture and extrapelvic injuries and complications.Item Injuries of the vertebral column(KhNMU, 2012) Golka, Grigoriy; Ryabov, Oleg; Oliynyk, Anton; Istomin, DmytroItem Mathematical Modeling of Changes in ‘Lumbosacral Region of the Spine–Pelvis’ Kinematic Chain in Iliolumbar Ligament Syndrome(2018-09) Istomin, Dmytro; Banit, Oleg; Istomin, AndriiThe pain in the lower back in several ocasions can be caused by iliolumbar ligament pathology. At a certain stage of pathogenesis of iliolumbar ligament syndrome recurring microtraumas of its fiber cause to their fibrosis that has an influence on stiffness of injured structure and biomechanics of kinematic chain ‘lumbosacral region of the spine–pelvis’. With a view to substantiating pathogenetic role of stiffness increase of iliolumbar ligament in pain formation in the lower back, by us there were made investigations of stress-strain state of kinematic chain ‘lumbosacral region of the spine–pelvis’ in iliolumbar ligament syndrome.Item Our experience of using external fixation apparatus in unstable pelvic injuries in patients with multiple injuries(2013-05-16) Istomin, Dmytro; Bitchuk, Dmytro; Oleynik, AntonEmergency operative stabilization of pelvic external fixation device is needed as an essential component of therapy and anti-shock method, aiming at a strong fixation of bone fragments, which can be used as the primary stabilizing, and the ultimate way to treat patients with multiple injuries.Item Our experience of using fixation apparatus of injuries in patients with spinal cord injury(2015-05-15) Юсіф, Адім Фаркед; Истомин, Дмитрий Андреевич; Adeem Farked Yousif AlaniThe Issue of treatment of patients with spinal cord injury SCI , despite the progress made in trauma, is still relevant. After conservative treatment of persistent disability are 40% of the victims, which is almost 3 times higher than in the operated patients. Mortality from spinal cord injury SCI is more than 30%. Treatment of spinal cord injury in patients with multiple injuries should combine the principles of treatment of traumatic shock with early rigid fixation of bone fragments. Currently in the treatment of spinal cord injury SCI received active surgical tactics.Item Physical stimulation of reparative osteogenesis(KhNMU, 2020-10-07) Ankutova, Anna; Atai SaidItem PRP-терапія для лікування механічного болю в спині(2024-11) Степанова, Карина Сергіївна; Овчаренко, Ніна Михайлівна; Фадєєв, Олег Геннадійович; Веснін, Володимир ВікторовичМеханічний біль у спині – поширена проблема працездатного населення, що схильна до хронізації, тому необхідно розглянути можливі альтернативні варіанти лікування при неефективності препаратів першої лінії. PRP-терапія може бути ефективним методом лікування LBP, що конкурує по ефективності з інʼєкціями кортикостероїдів та забезпечує довготривалий ефект.Item The Results of Surgical Treatment of Patients with Active Tuberculous Spondylitis(2022) Голка, Г.Г.; Фадєєв, О.Г.; Олійник, А.О.; Бурлака, В.В.; Веснін, В.В.; Литвишко, В.О.; Golka, G.; Vesnin, V.; Burlaka, V.; Oliinyk, A.; Fadeev, O.; Litvishko, V.; Frolova-Romaniuk, E.Проведено аналіз результатів оперативного лікування 60 пацієнтів з активним туберкульозним спондилітом. В основну групу (n=30) включені пацієнти з ураженням грудних та поперекових хребців, оперовані із застосуванням телескопічного титанового кейджу для вентрального міжтілового спондилодезу після проведення некрсеквестректомії. Особливістю передопераційної підготовки пацієнтів основної групи було обов'язкове проведення етіологічної діагностики перед початком лікування, призначення короткострокового передопераційного курсу специфічної антибактеріальної терапії з урахуванням результатів етіологічної діагностики протягом 2–3 тижнів з подальшим проведенням оперативного втручання. До контрольної групи увійшли пацієнти (n=30) із застосуванням традиційних підходів до лікування – передопераційна підготовка з використанням 3–5 специфічних антибактеріальних препаратів без визначення чутливості протягом 2–3 місяців з наступним оперативним втручанням – декомпресивна некректомія уражених хребців та переднім спондилодезом аутотрансплантатом. При порівняльному аналізі найближчих та віддалених результатів хірургічного лікування пацієнтів обох груп отримано результати, що достовірно підтверджують високу клінічну ефективність запропонованої методики лікування пацієнтів основної групи з використанням сучасних досягнень вертебрології.Item Structural asymmetry of lumbar vertebrae as a risk factor for the developmental of paravertebral muscle dysfunction(2018-09-12) Kolesnichenko, Vira; Golka, Grigoriy; Gresko, IgorTo study the relationship between the lumbar vertebrae structural asymmetry and motor control dysfunction in patients with lumbar disc degeneration diseases.Item The prevention of tromboembolithical complications in cases of fractures proximal part of the femur(ХНМУ, 2015-05-15) Mayorova, M.; Istomin, DmytroThe most common variants of the damage of the femoral fractures have its proximal part. Thromboembolism are severe complications of fractures of the proximal femur and occupy first place in the mortality rate of all complications. Surgical treatment for injuries of the proximal femur is the most rational in relation to minimizing the probability of occurrence of thromboembolic complications and shorten hospitalization