[Control of pain in the early post-traumatic period in the outpatient practice. Results of the multi-center observational study RAPTOR (Rational Analgesia PostTraumatic: an Observational Research)].

AIM: Evaluate the frequency, nature and course of PTP, as well as the effectiveness and safety of NSAIDs in PTP in real clinical practice. MATERIALS AND METHODS: The assessment of the condition and need for NSAIDs (original meloxicam) in 1115 outpatient patients who suffered a fracture of the radius (32.2%), injury to the knee (35.2%) or ligaments of the ankle (32.6%); women/men 51.5 and 48.5%, average age 46.915.5 years. We evaluated the dynamics of pain intensity (on a numerical rating scale NRS 010) at rest and during movement, the preservation of moderate and severe pain, as well as the development of adverse drugs reactions (ADR) to NSAIDs 48 weeks after injury. RESULTS: The average intensity of pain during movement decreased from 7.031.66 to 2.211.38 (p0.001), at rest from 4.462.07 to 0.710.989 (p0.001). The number of people with pain severity 4 in the NRS in 48 weeks after the radius fracture, injury of the knee and ligaments of ankle was 21.0, 16.9 and 11.9%, with moderate or severe impairment of the injured limb 40.4, 26.2 and 16.3%, respectively. The need for taking NSAIDs up to 7 days was noted in 43.3%, 714 days-in 41.8%, more than 2 weeks or constantly in 14.9% of patients. Weak or moderate ADR were observed in 20.8% of patients, mainly dyspepsia and hypertension. Discontinuation of NSAIDs due to ADR was required in only 2.6% of patients. Pain retention 4 in NRS was associated with initially expressed pain (7 in NRS) OR 2.75 (95% CI 0.834.13; p0.001) and the presence of osteoarthritis of knee and/or hip OR 1.56 (95% CI 1.032.34; p=0.039). CONCLUSION: PTP decreases rapidly in most patients after a radius fracture, injury of the knee, and ankle ligament injury while taking the original meloxicam. However, in a significant part of patients, moderate or severe PTP persists after 48 weeks, which requires prolonged analgesic therapy and active rehabilitation.

[Topical x-ray anatomic parameters of the anterior foot].

Roentgenometric parameters estimated by Russian radiologists and orthopedic surgeons fail to provide a complete and objective assessment of anterior foot deformity. Of practical interest is the larger number of indices the aggregate of which makes it possible not only to evaluate the severity of an abnormality, but also to choose a surgical treatment option that is optimal for the given foot. The authors' review of the most actual characteristics of a foot X-ray image does not substitute for more complex studies (computed tomography, magnetic resonance imaging), but it completely meets the requirements of current surgery of the anterior foot. Most parameters may be estimated in the dorsal plain (posterior) projection of the anterior foot under load.

[Influence of proximal articular set angle on the result of surgical treatment for hallux valgus: an X-ray aspect].

Surgery correcting talipes varus and hallux valgus was conducted in 128 female patients (150 feet). The group of the patients was studied in accordance with the proximal articular set angle (PASA). The results of treatment were assessed, by taking into account this index; they were found to depend on the outcome of PASA correction. It has been concluded that the efficiency of surgery is determined only by the procedures used with regard to the individual anatomic features of each foot and the PASA calculated from preoperative X-ray films is one of the most important factors. Intraoperative normalization of this index with congruency recovery in the hallus metatarsophalangeal articulation yields long-term good results of treatment in most patients.

[Detection of metals in human tissues by spectrum analysis]. / Opredelenie metallov v tkaniakh cheloveka s pomoshch'iu spektral'nykh metodov issledovaniia.

Potentialities of spectrography experts were demonstrated to be helpful to the employees of patient-care facilities (expertise and research institutions) in solving a variety of burning issues by joint effort. Tissue samplings, hairs and daily urine were comparatively analyzed, by the example of using the low-friction hip arthroplasty by comochrome friction Protasu-21WF, for the content of microelements (ME) belonging to the hip endoprosthesis. We found that MEs (Co, Cr, Mo) are mostly discharged during the first year of endoprosthesis utilization, after which, a regular reduction of concentrations was noted. No exceeding norms were registered in any cases, which denotes a minimal wear of the friction pair.