Diachkova G.V.

Ilizarov’s Traumatology and Orthopaedics | RSCRTO · Radiology

The aim of the study was to compare the informative value of standard radiography of the shoulder joint using computer processing software with the capabilities of multislice computed tomography (MSCT) before surgery in the volume of reverse total shoulder arthroplasty. The radiographs of shoulder joints in standard projections and computed tomogra...

The article presents data on the state of the paravertebral muscles studied by magnetic resonance imaging (MRI) in 26 patients with idiopathic scoliosis with various degrees of spinal deformity. A decrease in muscle area and fatty degeneration, expressed from the concave side, were noted. The area of the paravertebral muscles on the concave side in...

Relevance Diabetic neuroosteoarthropathy (DNOAP) complicated by chronic osteomyelitis (CO) is one of the most common complications (up to 7.5 %) in patients with diabetes mellitus. Treatment failure of such patients leads to amputation of the segment, and in some cases, to death. The use of the method of transosseous osteosynthesis is the only alte...

Background: Talus fractures are one of the most dangerous injuries leading to serious consequences. Quite a lot of treatment methods have been proposed, but the use of the Ilizarov apparatus is relatively rare. Objective: To justify the use of the Ilizarov apparatus in the talus fracture treatment by studying radiomorphological parameters of the fo...

Introduction Multifactoriality in the etiology of idiopathic scoliosis (IS) requires an integrated approach to diagnosis, while the regular examination of patients is limited to radiography, computed tomography without a detailed analysis of the data obtained on the state of the musculoskeletal system. The problem of complex diagnosis of IS is prac...

X-ray and MSCT-differential diagnostics between neurogenic arthropathy, diabetic osteoneuroarthropathy (DONAP), complicated by osteomyelitis and chronic osteomyelitis, has not been studied enough. The purpose of the study was to study the MSCT semiotics of various variants of neurogenic arthropathy, DONAP complicated by osteomyelitis and chronic po...

Objective: Analysis of the results of the study of mineral metabolism and bone formation markers in patients with idiopathic scoliosis, depending on the magnitude of the deformity. Material and methods : Based on the retrospective single‑center study in 30 patients diagnosed with scoliosis the preoperative parameters of calcium metabolism (total an...

Background Conventional radiography, magnetic resonance imaging, nuclear medicine scintigraphy are the imaging techniques currently in use for the evaluation of diabetic neuroosteoarthropathy (DN) with computed tomography being not commonly employed even for cases complicated by chronic osteomyelitis. The objective was to explore MSCT-semiotics of...

Introduction It is known that the function and structure of the muscles of the thigh and lower leg are closely related to the function of the lower limb, which is impaired to one degree or another in all patients with chronic osteomyelitis. However, the nature of structural changes in the muscles, which, in turn, affect the condition of the bones,...

Introduction It is known that the density of the cortical plate of long bones in patients with chronic osteomyelitis changes throughout its extension. However, the nature of structural disorders in the cortical layer outside the inflammation zone has not been studied well. Purpose To study the structural features of the cortical plate of the femur...

Introduction Literature data and analysis of our own material indicate a change in the density of the long bone cortical plate in patients with chronic osteomyelitis along its extension; however, the nature and degree of structural disorders of the cortical layer beyond the inflammation zone is an unexplored area of radiomorphology. Objective To st...

Background. Evaluation of treatment results and control over the condition of operated patients is the most important task, which allows increasing the effectiveness of treatment and improving its results. Purpose of work. To study the immediate and long-term results of treatment of patients with idiopathic scoliosis of varying severity by the metho...

Idiopathic scoliosis, as many authors think, being idiopathic in terms of not fully clear etiology of the disease, due to the most complicated long-term studies, has a certain theory of the pathogenesis of scoliosis, which includes the disharmony of the longitudinal growth of the spine and spinal cord and the formation of vertebral torsion. The app...

The question of the state of mineral metabolism in patients with idiopathic scoliosis, the presence of osteoporosis and its effect on formation or progression of deformity, especially in connection with the age of patients, cannot be considered conclusively resolved. Objective. To study indicators of calcium metabolism and markers of bone formation...

Introduction The changes that occur in the femoral head in Legg-Calvet-Perthes disease and aseptic necrosis in the early stages have been described sufficiently. The aim of the work was to study the condition of the hip joint in patients with Legg-Calve-Perthes disease and aseptic necrosis of the femoral head with magnetic resonance imaging (MRI) i...

Introduction Analysis of the literature and our own data confirm that changes in bone structure in chronic osteomyelitis vary in extension and severity, the boundaries of which are very difficult to determine. Purpose To analyze the extension of the lesion and the depth of bone structure destruction with the method of MSCT in various types of osteo...

FIELD: medicine. SUBSTANCE: invention refers to medicine, namely to vertebrology and beam diagnostics, is intended for a quantitative assessment of the gluteus muscle state in order to develop a preoperative preparation and postoperative rehabilitation strategy in the patients with idiopathic scoliosis.Method involves convex and concave sides and...

Introduction. Tibial lengthening is one of highly popular surgical procedures that can be associated with complications of the knee joint related to surgical intervention or baseline changes in the bones forming the knee. Objective. To explore preoperative and postoperative changes in the bones forming the knee joint of patients with tibial shorten...

This article is about Professor Ilizarov G.A. a famous scientist and an excellent clinician who has done very many for traumatology and orthopedics. These are memories of his professional and human qualities, colossal hard work and vast surgical experience. I hope readers will have a desire to read this article, published in JLLR, USA

Objective . To study the gluteal muscles in patients with scoliosis of various etiologies using multislice computed tomography (MSCT). Material and methods . MSCT was first used to study the gluteal muscles of 27 patients with idiopathic scoliosis. The patients were examined to study the vertebral column in order to determine a method and tactics f...

Introduction Total hip arthroplasty (THA) is one of the most successful orthopedic procedures performed today. Rates of THA have been steadily increasing over the past several decades with increasing number of patients who need proper effective rehabilitation therapy after orthopaedic surgery. Evaluation and introduction of new rehabilitation techn...

Objective To explore the gluteal muscles in patients with avascular necrosis of the femoral head and Legg-Calve-Perthes disease using magnetic resonance imaging (MRI). Material and methods MRI was used to examine gluteal muscles in 20 patients with avascular necrosis of the femoral head and Legg-Calve-Perthes disease. There were 8 female and 12 mal...

The review presents the results of diagnostic imaging techniques for evaluation of distractional regenerate bone starting from classical polypositional radiography to modern imaging modalities such as magnetic resonance imaging and computed tomography. There are described the modifications of the known techniques for evaluation of regeneration bone...

Purpose: To assess age related manifestations of the femur and tibia in patients with vitamin D-resistant rickets (VDR) and explore causes for recurrent deformity using imaging modalities. Methods: Computed tomography (CT), magnetic resonance imaging (MRI) and dual energy X-ray densitometry (DEXA) were used to assess conditions of long bones of...

Background: There has been a lot of research done on Ilizarov's limb lengthening; however, very few publications focus on the quantitative assessment of the distractional bone regeneration in tibial and femur lengthening. Data regarding quality of the bone after lengthening are needed to consider the time of frame removal and develop a rehabilitat...

Introduction Osteomyelitic cavity is one of manifestations of chronic osteomyelitis (cOM) that requires continuous application of both non-operative and surgical interventions. The condition is often recurrent. The study of bone quality, techniques for identifying boundaries of pathological process should contribute to the development of advanced m...

To develop magnetic resonance imaging (MRI) protocol for assessing acromioclavicular joint (ACJ) in patients with dislocation of the acromial end of the clavicle, grading severity of injury after trauma and evaluating outcome of surgical treatment. Material and methods MRI was performed for 15 patients with ACJ injury before and after treatment. Ba...

Introduction Total hip replacement and total knee replacement are one of the most commonly performed orthopaedic procedures and available assessment tools designed to measure functional outcomes are widely discussed in the literature. Organization and assessment of results of restorative treatment are important issues of total joint arthroplasty. T...

Introduction Achondroplasia is the most common skeletal dysplasia with limb shortening that can be symptomatically be treated with the Ilizarov method developed in the 20th century. Achondroplasia patients were shown to have medical and surgical possibilities for height increase with indications being controversial, and psychological and social imp...

Introduction Severe chest injury with associated trauma to the rib cage, hemothorax, contusion of the lung, heart, ruptures of the mediastinal vessels, diaphragm is an important cause of morbidity and mortality in patients with polytrauma. Methods An algorithm for the examination and treatment of patients with severe chest trauma was developed, and...

Introduction: Osteoarthrosis (OA) is a locomotor system disease which often leads to disability. Overall OA affects 13.9% of adults aged 25 and older and 33.6% (12.4 million) of those 65+; an estimated 26.9 million US adults in 2005 up from 21 million in 1990 [1]. Issues concerning relationship between osteoarthrosis and osteoporosis were studied f...

Purpose To study the dynamics of tibial cortical plate density during treatment of tibial fractures with transosseous osteosynthesis using computed tomography Material and methods Multislice computed tomography was used to study the density of the cortical plate in 35 patients with closed tibial fractures managed with Ilizarov fixation at various s...

Objective. To investigate the characteristics of lengthening the lower limb in its proximal portion in patients with subjectively short stature and varus deformity.Material and methods. Computed tomography was used to analyze the features of distracted regeneration in the proximal tibia in 65 patients with subjectively short stature, limb shortenin...

Study Design: Technical note. Objectives: The objective of this study is to check out safety and rationality of standardized and fast tricks to select trajectory of subaxial cervical pedicle screw (SCPS) insertion, based on simple angles to bony landmarks. Materials and Methods: Stage 1 – Computed tomography (CT)-morphometric analysis of C3–C7 vert...

The method of multislice computed tomography has been used to study qualitative and quantitative changes in the spine of the Carassius auratus goldfish that featured multiplanar spinal deformity in the areas of truncal and tail vertebrae.

Radiography and multi-slice computed tomography (MSCT) were used to examine 30 patients with chronic osteomyelitis of lower limb whose age was over 60 years. There were more male patients with posttraumatic osteomyelitis of tibia. 16 patients were treated for chronic osteomyelitis for more than 5 years and 9 patients for more than 15 years. Control...

Hip joint replacement in trauma and orthopedic practice has become a standard surgery for adult patients. Among all complications, which have negative effect on the outcome of joint replacement, the special place is taken by a deep infection of the surgical wound, chronic osteomyelitis. Timely diagnostics and revealing the character of the infectio...

Objective: to study radiographic morphological changes in the bones of the foot in its chronic osteomyelitis and to develop indicators for assessing bone quality. Material and methods. The results of foot bone multislice computed tomography (MSCT) using 64 detector rows were analyzed in 29 patients with chronic osteomyelitis of the talus, calcaneus...

1666. Приглашаем авторов публиковать различные материалы клинической направ-ленности: оригинальные статьи, обзоры, лекции, случаи из практики.

The purpose of the study was to review quantitative and qualitative radiological manifestations of coxarthrosis and gonarthrosis in patients over 60 years. Radiography, computed tomography, and multislice computed tomography were performed in 48 patients aged 60–70 years with deforming arthritis of the hip and knee joints. Idiopathic and dysplastic...

A comprehensive evaluation of renal function in 59 patients with spinal cord injury was performed. Excretory urography, biochemical and ion-selective analysis of serum and daily urine were used. Excretory urography had showed a reduction in the cumulative and excretory renal functions, which was accompanied by an increase in glomerular filtration r...

Titanium nickelide mesh constructs were used to repair proximal tibial metaphyseal defect in experimental mongrels and monitoring of reparative osteogenesis was performed with radiography and multislice computed tomography (MSCT). Mesh constructs had different shapes. Workstations software was applied for data processing MSCT. Standard units of Hou...

Purpose - to study the roentgenomorphological features of the lower limb long bones in patients with chronic osteomyelitis using the technique of multi-spiral computer tomography (MSCT), and to propose the complex of parameters to assess bone quality. Material and methods. Roentgenography and computer tomography of the hips were performed in 49 pat...

The system of rehabilitative treatment of patients with congenital pseudoarthroses of leg bones is based on using the technologies providing bone mass increase in pseudoarthrosis zone through adaptation of bone fragments with their mutual descending, splitting, paired bone use, osteoplasty of different variants, intraosseous reinforcement and bioco...

The quantitative description of distraction regenerated bone for lengthening and the correction of posterior and middle foot deformities by the data of computer tomography (CT). Transosseous osteosynthesis according to Ilizarov was performed for the purpose of correcting posterior foot deformities in patients with deformities and developmental anom...

Treatment outcomes were studied in 45 patients with scoliosis of various severity that were treated with the system of internal transpedicular fixation (Vertebra Stabilization System Ř 5,5-6,35) OIM (Turkey). The results showed that there was no loss of correction one year after surgery. Long-term follow ups were studied by clinical, radiological a...

Semiotics of osteonecrosis and sequestration in femur has been studied on the basis of the data from roentgenography, linear tomography and computer tomography in 39 patients with transformation of acute hematogenous osteomyelitis into chronic one with the purpose of revealing the possible and most typical variants of proliferative changes in bone....

The muscles of 70 patients with lower limb shortening due to various etiologies were studied using three radiographic diagnostic methods: contrast radiography (CR), ultrasonography (US), and computed tomography (CT). The studies were performed before surgery, during lengthening using the Ilizarov external fixator, during the fixation period followi...

Soft tissue reaction to limb elongation was studied experimentally using anatomic, histologic and radiologic studies. The character and expressiveness of the changes in the soft tissues of the limb at various elongation times depended upon many factors: the type of osteotomy; rate of distraction; its graduatedness; and the amount of elongation. Cha...

The evaluation of muscles and thus limb function is significant in the choice of treatment, as well as an indicator of the results achieved with the Ilizarov method of external fixation. The use of plain film radiology for the diagnosis of soft tissue changes has proven to be insufficient for a detailed evaluation--its data are difficult to interpr...