[The use of parnaparin sodium (Fluxum) in the prevention of thromboembolic complications after surgical treatment of fractures associated with high risks of thrombosis]. / Primenenie parnaparina natriya (flyuksum) pri profilaktike tromboembolicheskikh oslozhnenii posle operativnogo lecheniya perelomov, sopryazhennykh s bol'shimi riskami tromboobrazovaniya.

The need for thromboprophylaxis in traumatological and orthopedic operations is determined by a constant increase in the level of injuries of the population, and as a result, fluctuating coagulation indicators. Risk factors inherent in modern society that correlate primarily with reduced physical activity and excessive consumption of unbalanced (carbohydrate) nutrition, bad habits (nicotinism, alcoholism and other toxic dependencies), increased life expectancy and comorbidity - these and other causes can lead to an increase in the incidence of vascular accidents in patients with large limb bone fractures. The goal is to compare the effectiveness and clinical safety of using parnaparin sodium (Fluxum) and enoxaparin sodium as the prevention of thrombosis in the treatment of lower limb bone fractures. MATERIAL AND METHODS: A comparative assessment of the effectiveness and clinical safety of thrombosis prevention in the treatment of lower limb bone fractures using low-molecular weight heparins: parnaparin sodium (Fluxum) and enoxaparin sodium. RESULTS: Taking into account the literature data on the significant risk of venous thromboembolic complications, we successfully conduct the thromboprophylaxis in patients with the traumatological and orthopedic profile, including in 2019 using the drug parnaparin sodium (Fluxum, «Alfasigma¼). Our own comparative clinical experience has shown that with the convenience of taking enoxaparin sodium and the completeness of the scheme, the prevention of thrombosis with the use of parnaparin sodium shows the tendency to better clinical effectiveness and safety. CONCLUSION: The choice of anticoagulants in traumatological and orthopedic practice, with obvious ease of use, provides the complete scheme for the prevention of thrombosis. Further research is needed on the routine use of sodium parnaparin in order to prevent thronbosis in the treatment of fractures of various localization.

[The experience of the using Tolperisone in a complex conservative therapy of an osteoarthrosis of a hip joint]. / Opyt primeneniia tolperizona v kompleksnoi konservativnoi terapii osteoartroza tazobedrennogo sustava.

AIM: The comparison of the efficiency of the standard scheme of a conservative medicinal therapy of an OA of a hip joint and the modified scheme (with the muscle relaxant of the central action - Tolperisone) was the research objective. MATERIAL AND METHODS: The prospective research of the complex conservative therapy of two pools of patients with initial stages of a coxarthrosis from 2014 for 2017 with the subject assessment articulary treatment components is conducted. RESULTS: As a result of the studying of the clinical performance of the modified scheme in comparison with the standard scheme of the therapy at patients with the prevalence of an arthritic component of a disease established the best results of the therapy.

[Balance of hemostasis and anticoagulation therapy techniques for hip arthroplasty].

UNLABELLED: Studied a rational balance of prevention and control of blood loss and antithrombotic therapy in hip arthroplasty. MATERIAL AND METHODS: In view of literature data about significant blood loss during and after the intervention, as well as the formation of the group of patients who refuse blood transfusions for social (including religious) reasons, taken innovative methods for reducing blood loss and needs for blood transfusions. RESULTS: Complex of techniques, including conducting spinal anesthesia, controlled hypotension with nitroglycerin and pentamine, intraoperative use of systemic hemostatic and preventive use of erythropoietic stimulating agents, was formed in our proprietary technology to reduce blood loss. Its use has allowed to reach a statistically significant reduction of blood loss and transfusion rate in hip arthroplasty patients.

[One-stage correction of heart defect and funnel chest in the Marfan syndrome]. / Odnoétapnaia korrektsiia poroka serdtsa i voronkoobraznoi grudnoi kletki pri sindrome Marfana.

The first experience of simultaneous operations for heart defect and funnel chest in adult patients with the Marfan syndrome is presented. One-stage correction permits simultaneous removal the underling (valvular disease) and concomitant (laterocaudal ectopia of the heart and central vessels due to deformity of the anterior thoracic wall) causes of hemodynamic disorders. It is concluded that this policy is expedient in strictly selecting patients.

[Restorative-reconstructive surgery of the sequelae of osteomyelitis of the lower extremities]. / Vosstanovite'lno-rekonstruktivnaia korrektsiia posledstvii osteomielita nizhnikh konechnostei.

Results of reconstructive-restorative operations on 40 patients with sequellae of acute hematogenic osteomyelitis of lower extremities are described. Most frequent of them are pathologic dislocations, axial extremity, ankylosis and contractures of large vessels in a faulty position. Extrafocal compression-distraction osteosynthesis after Ilizarov was used. Little-traumatic character of the method, stable fixation and early functional loading gave smooth course of the postoperative period and good anatomo-functional results in most of the patients.