N.N. Priorov Journal of Traumatology and Orthopedics
type: channel
description: ISSN (print): 0869-8678, ISSN (online): 2658-6738 Founder: National Medical Research Center for Traumatology and Orthopedics named after N.N. Priorov Editor-in-Chief: Sergey P. Mironov, academician of RAS, Doctor of Sc. Frequency / Access: 4 issues per year / Subscription Included in: White List (4th level), Higher Attestation Commission List, RISC
publisher: Eco-Vector
language: ru-RU
publication name: N.N. Priorov Journal of Traumatology and Orthopedics
issn: 0869-8678
copyright: Authors who publish with this journal agree to the following terms: Authors retain copyright and grant the journal exclusive license to first publication. Authors are able to distribute the manuscript and/or the article in accordance with Self-Archiving policy of the journal (see details). The manuscript can be accepted for publication only by decision of the Editor-in-Chief and the Editorial board of the journal in accordance with the Manuscript stelection policy of the journal (see details). Published Article will be distributed in print and electronic version an will be available under subscription with Delayed Open Access or in Immediate Open Access under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). The access model depends on the publisher's decision or is determined by a separate Open Access publishing agreement with the authors. An exclusive license for publication granted by authors allows the publisher to use the article in the following ways: Reproduction of the Article or its sections or parts, as well as the metadata of the Article in any languages, in any material form, including on paper and electronic media, as a separate work in the journal and/or databases (local or in the Internet) of the publisher and/or other persons, at the discretion of the publisher; Distribution of the Article or its sections or parts, as well as the metadata of the Article in any languages, on any medium as part of the journal and/or databases of the publisher or other persons, at the discretion of the publisher, or as an independent work around the world whether on Open-Access terms or for a fee without remuneration to the Author; Making the Article or any of its sections or parts, as well as the Article’s metadata in any languages, publicly available in such a way that any person can access the Article from any place, including via the Internet, and at any time of their own choosing; Granting permission/s for the…
items: Sequential osteosynthesis in the context of modern armed conflicts
items: Minimally invasive treatment for spinal osteoid osteomas
items: Total hip arthroplasty in patients with Gaucher disease: characteristics and outcomes
items: Surgical outcomes in patients with spinal deformities associated with neurological deficit
items: Lumbar decompression and stabilization in degenerative disease: essential preoperative examinations
items: Biomechanical evaluation of foot function after distraction subtalar arthrodesis: a prospective study
items: Rehabilitation after shoulder arthroplasty
items: Conservative treatment of chronic nonbacterial osteomyelitis using zoledronic acid in children
items: Autologous bone marrow aspirate concentrate in the treatment of early-stage avascular necrosis of the femoral head
items: Opportunistic screening for osteoporosis using artificial intelligence services
items: Arthroscopic surgery for synovial chondromatosis of the hip joint
items: Microbiological monitoring of major pathogens in infected long bone fractures treated with external osteosynthesis
items: Masquelet technique in a patient with defect nonunion of the ulna
items: Single-stage treatment of chronic subtalar dislocation: a case report
items: Potential use of SMART implants in traumatology and orthopedics: a review
items: Partial-thickness rotator cuff tears: a systematic review
items: Enhanced recovery after spine surgery
items: Potential use of medical thermography in the prevention and diagnosis of perioperative complications in emergency trauma care
items: Staff of the N.N. Priorov National Medical Research Center of Traumatology and Orthopedics during the World War II
items: On the 80th anniversary of Vladimir P. Abeltsev
items: In memory of Eduard V. Ulrikh
items: In memory of Vyacheslav V. Klyuchevsky

Sequential osteosynthesis in the context of modern armed conflicts
type: item
description: BACKGROUND: Limb injuries remain the most prevalent combat injuries in modern armed conflicts, accounting for 55% to 75% of all cases. The transosseous compression-distraction osteosynthesis technique developed by Ilizarov has long been used in Russia to treat this patient population. However, given the current rate of mass casualty admissions to central military medical facilities, there is a growing need to improve treatment quality while shortening treatment time. Sequential internal osteosynthesis is one way for improving care. Antibiotic-coated implants reduce the risk of infectious complications during sequential osteosynthesis. AIM: This study aimed to assess the efficacy of sequential osteosynthesis in the treatment of gunshot fractures of long bones of the limbs in the current armed conflict setting, based on our clinical experience and global scientific data. METHODS: The study is based on an analysis of treatment outcomes in 320 patients with upper and lower limb injuries who received specialized medical care at the Department of Traumatology and Orthopedics of the N.N. Burdenko Main Military Clinical Hospital, Ministry of Defense of the Russian Federation. Patients were divided into three groups based on the osteosynthesis technique used. All patients were male, aged 18 to 59 years, with a mean age of 32.2 ± 9.02 years. Stepwise X-ray examinations were performed in all patients following osteosynthesis. Functional outcomes of humeral fracture treatment were assessed using the DASH score, whereas functional outcomes of femoral and tibial fracture treatment were evaluated using the Neer–Grantham–Shelton scale. RESULTS: The study included 90 patients (28.125%) with humeral fractures and 230 patients (71.875%) with lower limb injuries associated with femoral or tibial fractures. Shrapnel wounds and/or blast injuries predominated in 288 cases (90%). An intergroup comparison showed that antibiotic-coated implants significantly (p < 0.0167) accelerated the tran…
creator: Artur Kerimov
creator: Igor Khominets
creator: Sergey Perekhodov
creator: Nikolay Kozlov
creator: Kazbek Bekshokov
creator: Maksim Nelin
creator: Evgeniy Kukushko
creator: Vladimir Besedin
creator: Sergey Tverdokhlebov
creator: Anna Kozelskaya
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 325
ending page: 335
doi: 10.17816/vto643121

Minimally invasive treatment for spinal osteoid osteomas
type: item
description: BACKGROUND: Osteoid osteomas are benign bone-forming tumors that frequently affect the spine. The primary treatment method is surgical removal of the neoplasm. However, if osteoid osteomas are anatomically difficult to access, surgical intervention may require extensive resection of unaffected bone, resulting in loss of vertebral support and the need for further stabilization. Alternative techniques, such as percutaneous radiofrequency ablation and laser thermal ablation, are highly effective; however, their use is limited due to the proximity of the spinal cord and neural structures. Therefore, advanced navigation systems, as well as minimally invasive and endoscopic approaches, are required to enable localized osteoid osteoma resection without destabilizing the spinal segment. This approach prevents damage to supporting structures, especially when the tumor is located in the middle supporting column of the vertebra, eliminating the need for internal fixation. AIM: The work aimed to review surgical treatment options in children with confirmed spinal osteoid osteomas and to assess the outcomes of minimally invasive and open surgeries, including in patients with lesions in the middle supporting column. METHODS: The study included 36 patients diagnosed with spinal osteoid osteoma. The age range was 8 to 18 years. Surgical outcomes were evaluated based on the chosen approach, extent of resection, and the use of internal fixation. RESULTS: Radiofrequency ablation was successfully performed in four patients with lesions located in thermally accessible areas. Open surgeries were performed in 32 cases. The most challenging cases were reported in seven patients with tumors located in the middle supporting column. Patients who underwent minimally invasive procedures had a shorter recovery period than those who had conventional (open) surgery. CONCLUSION: A personalized surgical strategy, taking into account tumor location and optimal access route, with the use of advanced mi…
creator: Aleksandr Snetkov
creator: Ilyas Ishkinyaev
creator: Roman Gamayunov
creator: Vladimir Klimov
creator: Anna Pleskushkina
creator: Sergey Kolesov
creator: Dmitry Gorbatyuk
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 337
ending page: 345
doi: 10.17816/vto633576

Total hip arthroplasty in patients with Gaucher disease: characteristics and outcomes
type: item
description: BACKGROUND: Avascular necrosis of the femoral head (ANFH) is the indication for total hip arthroplasty (THA) in patients with Gaucher disease (GD). Due to the rarity of GD, the surgical procedure and long-term outcomes in large patient populations have been insufficiently studied. AIM: This study aimed to analyze the perioperative period as well as medium- and long-term outcomes of THA in patients with GD. METHODS: A retrospective, single-center study was conducted in 26 patients with GD who underwent 30 primary THAs and 9 revision hip arthroplasties between 2005 and 2023. RESULTS: Good and excellent THA outcomes were achieved in 87% of cases, with follow-up periods ranging from 1 to 10 years (median: 7 years). Unsatisfactory results during the 10-year follow-up were due to periprosthetic infection (2 cases) and aseptic loosening (3 cases). Both cases of periprosthetic infection were caused by osteoarticular tuberculosis, which was not detected at the prehospital stage. High intraoperative blood loss was associated with the duration of enzyme replacement therapy (ERT). Blood loss of >1000 mL was reported in 57%, 22%, and 0% of surgeries when ERT lasted less than 5 years, 5–10 years, and more than 10 years, respectively (p = 0.047). Implant survival without revision 3, 6, and 12 years post-surgery was 97%, 93%, and 61%, respectively. At 12 years, the survival rates for cemented and uncemented implants without revision were 33% and 67%, respectively. Twelve years post-surgery, implant survival without revision was 43% for the CoCr/PE bearing surface and 83% for other combinations (ceramic/ceramic, ceramic/PE, and modified metal / PE). CONCLUSION: THA improves quality of life in patients with GD after ANFH. Uncemented implants with ceramic-on-ceramic, ceramic-on-polyethylene, or modified metal-on-polyethylene bearings demonstrated greater longevity and lower revision rates. A high risk of perioperative hemorrhagic complications was observed in patients who received ERT…
creator: Vasily Mamonov
creator: Yulya Chabaeva
creator: Vladimir Khomenko
creator: Rodion Ponomarev
creator: Elena Lukina
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 347
ending page: 359
doi: 10.17816/vto634044

Surgical outcomes in patients with spinal deformities associated with neurological deficit
type: item
description: BACKGROUND: The surgical treatment in patients with spinal deformities associated with neurological deficit remains a subject of debate. Existing research is mostly limited to case-control studies or case series, with no statistical assessment of treatment outcomes. The absence of a standardized surgical approach and the scarcity of statistically significant outcome data highlight the relevance of further research into this topic. AIM: The work aimed to assess treatment efficacy in patients with spinal deformities associated with neurological deficit. METHODS: A retrospective analysis of surgical treatment outcomes was conducted in 51 patients with spinal deformities associated with neurological deficit. Patients were divided into three groups based on the surgical technique used. All patients underwent standard diagnostic examinations. Based on CT myelography findings, individualized 3D models of the spine and spinal cord were created (n = 23), and customized implants were manufactured (n = 8). Patient questionnaires were used, and neurological status was assessed using the Frankel, ASIA, and FIM scales. RESULTS: A significant regression of neurological deficit was observed in patients classified as Frankel B, C, or D. Motor function improved within days after surgery, whereas sensory function improved on average within six months. Spinal cord decompression at the site of maximal stenosis was found to be a key factor influencing neurological deficit regression. CONCLUSION: Postoperative neurological deficit regression is determined by its severity and duration prior to surgery, as well as adequate spinal cord decompression at the site of maximal spinal stenosis. Patient-specific 3D models of the spine and spinal cord are a valuable tool for assessing local spinal cord compression.
creator: Alexander Kuleshov
creator: Anton Nazarenko
creator: Alexander Krupatkin
creator: Igor Militsa
creator: Marchel Vetrile
creator: Uliya Strunina
creator: Sergey Makarov
creator: Igor Lisyansky
creator: Vladislav Sharov
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 361
ending page: 374
doi: 10.17816/vto656745

Lumbar decompression and stabilization in degenerative disease: essential preoperative examinations
type: item
description: BACKGROUND: There is currently no mandatory set of preoperative examinations for patients undergoing elective lumbar spine surgery for degenerative disorders, making it difficult to account for critical predictors and achieve predictable clinical and radiological outcomes. AIM: The work aimed to define the scope of preoperative examinations in patients scheduled for decompression and stabilization surgery for degenerative lumbar spine disease. METHODS: A retrospective cohort analysis was performed to identify predictors of successful outcomes following single-level decompression and stabilization. Based on the identified predictors and their threshold values, a set of essential preoperative examinations for decompression and stabilization surgery planning was developed. The effectiveness of the predictive model and the feasibility of the proposed set of preoperative examinations were assessed in a prospective patient cohort. RESULTS: Multivariate analysis identified the following as significant predictors of treatment success: preoperative ODI score, preoperative HADS score, DN4 score, presence of interbody fusion, postoperative lower lumbar lordosis angle, bone mineral density in HU, and postoperative segmental angle. The threshold value for lower lumbar lordosis (Low LL, L4–S1) was 26° (sensitivity, 71.7%; specificity, 91.3%); the segmental angle (SL) threshold was 7° (sensitivity, 87.9%; specificity, 70.6%). The proposed set of essential preoperative examinations for single-level decompression and stabilization surgery planning includes clinical scales (ODI, HADS, DN4), standing spinal radiographs, and lumbar CT and MRI. This set of essential preoperative examinations resulted in a 9.3% increase in clinical success rate (from 74.8% to 84.1%). CONCLUSION: The set of essential preoperative examinations includes three questionnaires (ODI, HADS, and DN4) and three imaging modalities (standing radiographs, lumbar CT, and lumbar MRI), all of which are typically availab…
creator: Olga Leonova
creator: Evgenii Baykov
creator: Aleksandr Krutko
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 375
ending page: 384
doi: 10.17816/vto636804

Biomechanical evaluation of foot function after distraction subtalar arthrodesis: a prospective study
type: item
description: BACKGROUND: Conservative or inadequate surgical treatment of intra-articular, depressed calcaneal fractures with fragment displacement may result in significant orthopedic complications. Subtalar arthrodesis is indicated after calcaneal fractures with progressive osteoarthritis. Distraction subtalar arthrodesis is recommended in cases of severe depression of the posterior articular facet to restore hindfoot alignment. AIM: The work aimed to improve the surgical management strategy for post-traumatic calcaneal deformities. METHODS: Between 2021 and 2024, 27 patients with severe post-traumatic calcaneal deformities underwent surgery at the Department of Traumatology and Orthopedics No. 4, N.N. Priorov National Medical Research Center of Traumatology and Orthopedics, Moscow, Russia. The cohort included 7 women and 20 men, with a mean age of 35 years (22–56 years). All procedures were performed by the same surgeon. The mean time from injury to surgery was 24.8 months (9–72 months). RESULTS: Treatment outcomes in patients included in the study were assessed 12 and 24 months after surgery. The mean follow-up period was 26.2 months (12–56 months). The mean preoperative visual analog scale (VAS) score was 5.1 (2–9), which decreased to 0.8 (0–3) postoperatively, indicating a significant reduction in pain (p > 0.001). The mean AOFAS hindfoot score was 42 preoperatively (39–72) and 85 postoperatively (60–92), with an improvement in questionnaire scores (p > 0.001). Complications were reported in 13 patients; two patients required revision surgery. Dynamic pedobarography showed an increase in peak and mean pressure integrals across the foot. The mean heel contact time decreased significantly from 640 ± 166 ms preoperatively to 515 ± 141 ms postoperatively (p < 0.003). These values were comparable to those of the contralateral healthy foot: 530 ± 177 ms, respectively. CONCLUSION: Distraction subtalar arthrodesis was performed in patients with severe post-traumatic calcaneal defo…
creator: Anatoly Orletsky
creator: Igor Kosov
creator: Konstantin Shkuro
creator: Irina Arapova
creator: Dmitry Vasilyev
creator: Vadim Zeynalov
creator: Anatoly Mursalov
creator: Viktor Mitskevich
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 397
ending page: 411
doi: 10.17816/vto633337

Rehabilitation after shoulder arthroplasty
type: item
description: BACKGROUND: Reverse shoulder arthroplasty is an effective surgical treatment for severe degenerative and post-traumatic conditions of the shoulder joint. However, despite its proven clinical efficacy, the optimal scope of medical rehabilitation required to maximize functional outcomes and quality of life remains unclear. AIM: This study aimed to assess the efficacy of a specialized medical rehabilitation program after reverse shoulder arthroplasty based on modern techniques, including isokinetic dynamometry and biofeedback training. METHODS: A comparative cohort study was conducted in 33 patients with omarthrosis who underwent reverse shoulder arthroplasty. The patients were divided into two groups. The treatment group (n = 17) underwent a structured rehabilitation program developed by the authors, whereas the control group (n = 16) did not receive organized rehabilitation. The primary endpoint was recovery of shoulder joint function, including range of motion, muscle strength, coordination, and patient-reported quality of life. Assessment methods included goniometry, isokinetic dynamometry, evaluation of complex coordinated movement abilities, volumetric analysis of upper limb motion using a spherical motion sector, and patient questionnaires (DASH, PSS, SF-36). RESULTS: Patients who underwent the medical rehabilitation program had significantly better functional outcomes than the control group. Abduction range was 150° [150°–160°] in the treatment group vs. 107.5° [93.75°–140°] in the control group (p < 0.001). Flexion range was 160° [150°–165°] in the treatment group vs. 120° [107.5°–133.8°] in the control group (p < 0.001). External rotation range was also greater in the treatment group: 45° [40°–55°] vs. 25° [20°–36.3°], p < 0.001. Abduction strength reached 23.6 Nm [19.3–32.4] in the treatment group vs. 16.7 Nm [9.93–20.6] in the control group (p = 0.005). The spherical motion sector volume in the treatment group was 230,778 cm³ [207,921–268,565], exceeding th…
creator: Ivan Chugreev
creator: Ivan Marychev
creator: Mikhail Tsykunov
creator: Yago Gudushauri
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 385
ending page: 395
doi: 10.17816/vto659791

Conservative treatment of chronic nonbacterial osteomyelitis using zoledronic acid in children
type: item
description: BACKGROUND: Currently, there is no etiological treatment for chronic nonbacterial osteomyelitis. The insufficient efficacy of all available treatment modalities remains a major concern. Among the most effective approaches are genetically engineered therapy and bisphosphonate treatment. Pamidronate is the most frequently reported option in scientific publications. However, given pamidronates’ lower efficacy compared to zoledronic acid, we developed a treatment protocol that includes zoledronic acid at a dose of 0.05 mg/kg every 3 months, three infusions in total, along with active vitamin D metabolites and calcium carbonate. AIM: This study aimed to demonstrate the efficacy of zoledronic acid in the treatment of chronic nonbacterial osteomyelitis. METHODS: The study included 22 children aged 6 to 17 years. A prospective pilot study was conducted to assess the efficacy of zoledronic acid in children with chronic recurrent multifocal osteomyelitis. All patients underwent biopsy with morphological and microbiological verification of the diagnosis, as well as laboratory and imaging assessments before and 3, 6, and 12 months after treatment. Clinical disease activity was assessed using a visual analog scale for pain and the PedsQL 4.0 quality of life questionnaire. RESULTS: Preliminary treatment outcomes in patients receiving this regimen are promising. Pain was significantly reduced, quality of life improved, and the number of bone lesions decreased, with clinical remission achieved in all patients. CONCLUSION: Zoledronic acid rapidly inhibits osteoclast activity, leading to both clinical and radiological remission, as evidenced by decreased pain, reduction of bone marrow edema on MRI, and sclerosis of lytic lesions. Given the reduced osteoclast activity in the post-injection period, this therapy must be combined with active vitamin D metabolites and calcium carbonate to maintain calcium-phosphorus homeostasis.
creator: Gazinur Tairov
creator: Anton Nazarenko
creator: Alexander Ochkurenko
creator: Alexander Kuleshov
creator: Marchel Vetrile
creator: Igor Lisyansky
creator: Sergey Makarov
creator: Uliya Strunina
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 413
ending page: 423
doi: 10.17816/vto637078

Autologous bone marrow aspirate concentrate in the treatment of early-stage avascular necrosis of the femoral head
type: item
description: BACKGROUND: The use of bone marrow aspirate concentrate in the treatment of avascular necrosis improves outcomes and may delay or prevent joint replacement. However, the method of preparation of bone marrow aspirate concentrate determines both the cellular composition and treatment outcomes. AIM: This study aimed to assess the efficacy and safety of a novel method for obtaining bone marrow aspirate concentrate for the treatment of early-stage avascular necrosis of the femoral head (ANFH). METHODS: The study included 35 patients (64 hip joints) with ARCO stage II–IIIA ANFH. Treatment at the N.N. Priorov National Medical Research Center of Traumatology and Orthopedics involved core decompression combined with administration of bone marrow aspirate concentrate obtained using an original method. The follow-up period was 12 months. Functional outcomes (HHS, WOMAC), pain (VAS), quality of life (SF-36), and ANFH stage and activity (MRI of both joints ≥1.5 T before and 3, 6, and 12 months after treatment; CT before and 6 and 12 months after treatment) were assessed. RESULTS: The proposed method significantly increased cell yield in the bone marrow aspirate concentrate after centrifugation compared to native bone marrow. Following treatment, HHS and WOMAC scores improved significantly, as did pain intensity according to VAS. Progression from stage II to IIIA by ARCO was observed in 4 hips (4 patients), and from stage IIIA to IIIB by ARCO in 5 hips (4 patients). After 12 months, the necrotic lesion size remained stable in all joints. Total hip arthroplasty was required in 4 patients (5 hips; 7.7% of all joints). CONCLUSION: The proposed method for obtaining bone marrow aspirate concentrate enables the injection of the desired amount of cells into the femoral head, restoring normal cellular composition. The efficacy of bone marrow aspirate concentrate has been demonstrated in early-stage avascular necrosis of the femoral head (ARCO stage II), which was observed in the majority…
creator: Alina Baikova
creator: Alexander Torgashin
creator: Sergey Rodionov
creator: Svetlana Rodionova
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 425
ending page: 438
doi: 10.17816/vto646328

Opportunistic screening for osteoporosis using artificial intelligence services
type: item
description: BACKGROUND: An osteoporosis (OP) diagnosis technique based on routine CT examinations, which allows detecting radiological signs of OP, is currently being actively implemented. Given the issue of underdiagnosed compression fractures (CFs) on CT images, radiologists could benefit from artificial intelligence (AI) services. AIM: This study aimed to assess the potential use of AI services for OP diagnosis based on routine CT findings for opportunistic screening. METHODS: The project involved three health facilities (HFs). Chest CT scans obtained in these HFs between October 2022 and October 2023 in patients over 50 years of age were selected, in which AI services detected signs of OP (CFs and/or reduced vertebral bone density). All cases were re-evaluated by radiologists to identify potential errors made by the service. The final list of patients eligible for dual-energy X-ray absorptiometry (DXA) to confirm osteoporosis was provided to attending physicians in each participating HF. RESULTS: Over a 12-month period, AI services analyzed 5394 CT scans. CFs and/or reduced vertebral bone density were identified in 1125 patients. Patients with a previously confirmed OP, as well as those who refused or were unable to undergo further testing, were excluded. A total of 66 patients underwent DXA. Age ranged from 54 to 86 years; the median (Q1–Q3) age was 70 (62–74) years; the male to female ratio was 21% and 79%, respectively. According to DXA findings, bone mineral density (BMD) values consistent with OP, osteopenia, and normal BMD were reported in 26 patients (39.4%), 37 patients (56.1%), and 3 patients (4.5%), respectively. Diagnostic performance metrics were calculated for both DXA and CT-based vertebral bone density assessment, with sensitivity of 0.71 vs. 0.91, specificity of 0.80 vs. 0.55, and accuracy of 0.76 vs. 0.67, respectively. Significant differences were observed between osteoporosis, osteopenia, and normal BMD groups, as well as between age-norm groups and those…
creator: Zlata Artyukova
creator: Nikita Kudryavtsev
creator: Alexey Petraikin
creator: Dmitry Semenov
creator: Anton Vladzimirskyy
creator: Yuriy Vasilev
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 439
ending page: 448
doi: 10.17816/vto634918

Arthroscopic surgery for synovial chondromatosis of the hip joint
type: item
description: BACKGROUND: The hip joint is an essential anatomical and functional component of the human skeleton, providing support and mobility for the lower limbs. Hip joint disorders significantly impair quality of life. Hip joint diseases are a major concern in modern medicine, particularly considering the increased life expectancy and prevalence of degenerative conditions. Recent studies demonstrate that hip arthroscopy for chondromatosis and other joint pathologies provides favorable clinical outcomes, high patient satisfaction, and low recurrence rates. AIM: This study aimed to assess the efficacy of hip arthroscopy in the treatment of synovial chondromatosis, including the development and implementation of a novel surgical technique, assessment of clinical outcomes, patient satisfaction, and recurrence rates, and analysis of postoperative rehabilitation. METHODS: This was a single-center, prospective, interventional, controlled study. It included patients with synovial chondromatosis of the hip treated at the N.N. Priorov National Medical Research Center of Traumatology and Orthopedics between October 29, 2012, and July 25, 2024. Medical interventions included preoperative assessment (medical history, physical examination, MRI), surgical treatment (placement of a damper system on the hip joint, hip arthroscopy with removal of intra-articular loose bodies, coblation of affected capsular areas, and joint debridement), and personalized rehabilitation (exercise therapy to restore joint range of motion). The 12-year follow-up period enabled the assessment of both short- and long-term treatment outcomes. The primary endpoint was improved hip function and pain reduction. Assessment methods included pre- and postoperative clinical examinations, follow-up MRI, and assessment of joint mobility. RESULTS: The study included 9 patients, all of whom completed follow-up. The mean age was 37 years. The findings demonstrated improved hip function, pain reduction, and absence of intra-art…
creator: Daria Gushchina
creator: Alexander Yeltsin
creator: Dmitry Mininkov
creator: Anton Nazarenko
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 449
ending page: 456
doi: 10.17816/vto642588

Microbiological monitoring of major pathogens in infected long bone fractures treated with external osteosynthesis
type: item
description: BACKGROUND: The development of fracture-related infection disrupts osteoreparative processes at the fracture site, which may result in the need for repeated surgical interventions. It is well known that the etiology of fracture-related infection involves microorganisms, whose spectrum may vary considerably across healthcare facilities. Staphylococcus aureus and coagulase-negative staphylococci are the predominant pathogens in this condition, whereas Gram-negative bacteria, anaerobes, and fungi are less common. AIM: The work is aimed to determine the spectrum and changes of major pathogens in patients with long bone fracture-related infection and post-traumatic chronic osteomyelitis treated with external osteosynthesis from 2019 to 2024. METHODS: A single-center retrospective analysis was conducted based on microbiological findings in 247 patients with long bone fracture-related infection and chronic osteomyelitis as its sequela, all treated with external osteosynthesis. The spectrum of major pathogens and their changes over time were examined. The statistical analysis was performed using Pearson’s chi-square(χ2) test. RESULTS: Positive cultures were obtained in 70.4% of cases, whereas 29.6% were negative. A total of 230 microorganisms were identified: 158 (68.7%) Gram-positive, 71 (30.9%) Gram-negative, and 1 (0.4%) fungal isolate. Monomicrobial infections were revealed in 76.4% of cases, whereas in 23.6% of cases, the infection was polymicrobial. A microbial shift was observed in 18.4% of patients: in 15.5% during treatment and in 2.9% upon recurrence. DISCUSSION: The major causative pathogens of fracture-related infection were S. aureus (36.9%), S. epidermidis (10%), K. pneumoniae (9.1%), E. faecalis (7.8%), A. baumannii (6.1%), P. aeruginosa (4.3%), E. cloacae and Corynebacterium (3.5% each). Between 2019 and 2024, the incidence of MRSE and E. faecalis increased from 0.6% to 5.7% and 8.2%, respectively; Corynebacterium from 0% to 3.2%; K. pneumoniae from 2.8% to …
creator: Archil Tsiskarashvili
creator: Regina Melikova
creator: Anton Nazarenko
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 457
ending page: 475
doi: 10.17816/vto655983

Masquelet technique in a patient with defect nonunion of the ulna
type: item
description: INTRODUCTION: Orthopedic trauma surgeons face major challenges when dealing with defect nonunions of the upper limb. In cases of treatment failure in forearm pseudarthroses, the incidence of secondary osteomyelitis and bone defects can reach 22% and 7%, respectively. The conventional approach, which includes surgical debridement of the bone cavity, single-stage grafting of the defect, and fragment fixation, is frequently ineffective. According to various authors worldwide, the Masquelet technique has demonstrated favorable outcomes with minimal complications. This method consists of two stages: first, a biological membrane is formed around the defect using a cement spacer; second, the spacer is replaced with an autologous bone graft after the membrane has formed. This technique has several advantages, including improved vascularization and favorable conditions for osteointegration. CASE DESCRIPTION: We present a successful case of surgical treatment in a patient with defect nonunion of the ulna and chronic osteomyelitis, following failed previous attempts at osteosynthesis and defect grafting. The first stage included modeling resection of the ulnar bone ends to bleeding surfaces, tunnelization, placement of a gentamicin-loaded spacer overlapping the fragment ends, and stabilization using an external fixation device. The second stage consisted of removing the external fixation device and cement spacer, autografting the defect zone with cancellous bone harvested from the iliac crest, closing the graft with the induced membrane, and osteosynthesis of the ulna using a locking compression plate (LCP). CONCLUSION: The Masquelet technique, when applied step by step in complex cases of forearm bone defect replacement, allows for the restoration of both the ulna and the anatomical and functional integrity of the forearm, improving limb function and facilitating the patient’s return to everyday life and work.
creator: Gleb Bugaev
creator: Anna Gridina
creator: Antonina Romanova
creator: Arina Struchok
creator: Alexander Vinogradsky
creator: Dmitriy Prokopyev
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 477
ending page: 485
doi: 10.17816/vto632772

Single-stage treatment of chronic subtalar dislocation: a case report
type: item
description: BACKGROUND: Chronic subtalar dislocation can develop in patients with severe, long-standing flatfoot or in those with neuroarthropathy or neglected trauma. We report a rare case of chronic subtalar dislocation, wherein treatment was effectively performed employing subtalar joint complex arthrodesis, involving the talo-navicular and talo-calcaneal joints and cuboido-talar pseudoarthrisis. CLINICAL CASE DESCRIPTION: A 55-year-old female patient was referred to the specialist orthopedic clinic with complaints of progressively worsening right ankle pain for 12 months. She had been diagnosed with acquired flatfoot five years prior, which had since deteriorated. Computed tomography revealed lateral dislocations of both the subtalar and talonavicular joints. A single-stage surgery using cannulated screws was performed for achieving arthrodesis. Within just 4.5 months of this procedure, the patient was able to bear weight and walk independently. CONCLUSION: Incorporating talo-cuboid fusion is crucial for a stable outcome. The outcome seems to be unaffected by subtalar dislocation duration, provided the soft tissue and skin coverage are manageable.
creator: Miodrag Vranješ
creator: Kristian Dudaš
creator: Predrag Rašović
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 487
ending page: 492
doi: 10.17816/vto636328

Potential use of SMART implants in traumatology and orthopedics: a review
type: item
description: This review presents current scientific data on the use of biosensors in traumatology and orthopedics. Biosensors are specialized devices that detect various physicochemical parameters in the body. These parameters can be used to monitor, predict, and manage a variety of processes in orthopedic and trauma care. Technological advances enable the integration of biosensors and the development of customized implants. Their introduction has marked a significant breakthrough in trauma and orthopedic surgery, particularly with the emergence of SMART (Self-Monitoring Analysis and Reporting Technology) implants, which integrate microchips, wireless connectivity, and data analysis algorithms. With the expected increase in surgeries and the growing need for implants, technological progress in this field is bound to continue and accelerate. Existing issues such as implant instability, infectious complications, and nonunions further underscore the relevance of this topic and the need for further research. This analytical review was conducted using medical scientific databases and search engines, including PubMed (MEDLINE), Google Scholar, and eLibrary. The review addresses the following aspects: relevance, types of biosensors, their clinical applications, and prospects in traumatology and orthopedics. The review aims to improve understanding of biosensor uses in this medical field.
creator: Olga Dontsova
creator: Anton Nazarenko
creator: Alexander Krupatkin
creator: Alexander Kuleshov
creator: Elena Kleimyonova
creator: Marchel Vetrile
creator: Gazinur Tairov
creator: Elena Zavyalova
creator: Elena Agina
creator: Kamilya Kydralieva
creator: Nikolay Syrchenko
creator: Taimuraz Khudalov
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 493
ending page: 505
doi: 10.17816/vto678583

Partial-thickness rotator cuff tears: a systematic review
type: item
description: Partial-thickness tears of the rotator cuff (RC) of the shoulder joint (SJ) are a common condition that causes pain and limits SJ function, significantly reducing quality of life. The prevalence of such tears reaches up to 32% among SJ injuries and disorders. Among all isolated RC tendon injuries, supraspinatus tendon lesions are predominant, accounting for up to 13%. This work aimed to conduct a systematic review of research assessing radiographic parameters of SJ bone anatomy as risk factors for RC injury, as well as the outcomes of surgical treatment for partial-thickness RC tears. A search was conducted in the eLIBRARY, PubMed, and Scopus databases. The search depth was 10 years (2013–2023). The inclusion criteria for the quantitative analysis were a mean follow-up duration of at least 6 months and a minimum of 10 cases per study. Following a keyword-based screening, 18 publications were included in the quantitative analysis. The most significant radiographic risk factors for RC tears included the critical shoulder angle (CSA), lateral acromial angle (LAA), and acromial index (AI). Two principal surgical techniques for managing Ellman grade III partial-thickness RC tears were identified: tear completion and transtendinous tendon repair. Both techniques yielded satisfactory outcomes; however, it remains unclear which method should be preferred. Although the majority of studies report a direct association between CSA and RC injury, this parameter requires further investigation, as angular values obtained from radiographs without adherence to the Suter–Henninger protocol may differ significantly from those obtained in accordance with the protocol, as well as from CT or MRI findings. The majority of publications did not consider parameters like LAA and AI to be key predictors of RC injury. The analyzed outcomes of surgical treatment for partial-thickness RC tears showed no significant differences despite the use of different surgical techniques, such as tear complet…
creator: Artem Avdeev
creator: Anton Gofer
creator: Aleksandr Alekperov
creator: Dmitriy Rubtsov
creator: Vitaliy Pavlov
rights: 版权所有 © Eco-Vector, 2025 https://eco-vector.com/for_authors.php#07
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 507
ending page: 519
doi: 10.17816/vto635144

Enhanced recovery after spine surgery
type: item
description: Enhanced recovery after surgery (ERAS) protocols are actively evolving in modern surgical practice. The primary goal of ERAS is to standardize perioperative care and improve rehabilitation potential. ERAS effectiveness has been demonstrated across various surgical fields. Historically, spine surgery was considered challenging for ERAS implementation. However, over the past decade, this perception has changed significantly, and ERAS protocols have become widely used in spine surgery. Initially, the use of ERAS in spine surgery was limited to lumbar spine procedures. Over time, however, ERAS began to be actively implemented in cervical spine surgery, neuro-oncology, and spine surgery in older and comorbid patients. Studies have shown that ERAS reduces length of hospital stay, treatment costs, perioperative opioid use, and complication rates. This review highlights the key features of ERAS in spine surgery.
creator: Sergey Krylov
creator: Igor Pasechnik
creator: Sergey Guzhev
creator: Iulia Udovenko
creator: Pavel Kiriukhin
rights: 版权所有 © Eco-Vector, 2025 https://eco-vector.com/for_authors.php#07
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 521
ending page: 527
doi: 10.17816/vto634003

Potential use of medical thermography in the prevention and diagnosis of perioperative complications in emergency trauma care
type: item
description: Body temperature is one of the key indicators for diagnosing a variety of surgical and trauma-related conditions. Infrared thermography is one of the most relevant and widely used methods in modern clinical practice. This technique has not yet received general acceptance, and its use is currently underrepresented in the scientific community. The aim of this study was to analyze existing data on the practical significance and role of medical thermography in diagnosing and predicting postoperative complications in trauma patients. An analysis of both Russian and international publications was conducted to explore the potential and future prospects of medical thermography in current trauma practice. In orthopedic and trauma practice, infrared thermography is more commonly used to diagnose chronic musculoskeletal conditions such as scoliosis, osteoporosis, and osteochondrosis. In acute traumatic injuries, it is more commonly used for intraoperative and postoperative monitoring to prevent complications or enable their early detection, as treatment outcomes largely depend on timely and adequate diagnosis and identification of the primary injury. Opinions within the scientific community on the use of medical thermography remain divided. On the one hand, the vast majority of researchers studying the potential of medical thermography consider it a valuable supplement to conventional imaging methods. However, despite its numerous advantages and significant application potential, the technique has yet to be widely adopted. Infrared thermography is a promising diagnostic tool in modern medicine, especially in traumatology. Conducting more studies to explore its capabilities could help raise awareness and promote its integration into trauma care practice.
creator: Artem Morozov
creator: Pavel Kogan
creator: Konstantin Khorak
creator: Maria Piskareva
rights: 版权所有 © Eco-Vector, 2025 https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 529
ending page: 542
doi: 10.17816/vto636883

Staff of the N.N. Priorov National Medical Research Center of Traumatology and Orthopedics during the World War II
type: item
description: This paper commemorates the staff members of the Center of Traumatology and Orthopedics who served during World War II. When the war broke out, many employees, including physicians, nurses, and orderlies, were mobilized. Doctors led trauma teams within specialized medical support units and served in military hospitals, selflessly contributing to the collective victory. Forty-seven staff members of the Center of Traumatology and Orthopedics are World War II veterans. Their wartime and professional accomplishments live on in the memory of their descendants and students.
creator: Board Editorial
rights: 版权所有 © Eco-Vector, 2025 https://eco-vector.com/for_authors.php#07
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 543
ending page: 550
doi: 10.17816/vto683474

On the 80th anniversary of Vladimir P. Abeltsev
type: item
description: A brief biography and an overview of the scientific achievements of Vladimir P. Abeltsev, in celebration of his 80th birthday.
creator: Team Editorial
rights: 版权所有 © Eco-Vector, 2025 https://eco-vector.com/for_authors.php#07
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 551
ending page: 553
doi: 10.17816/vto679037

In memory of Eduard V. Ulrikh
type: item
description: Eduard V. Ulrikh, an outstanding pediatric surgeon and orthopedic traumatologist, passed away on June 2, 2025, at the age of 87. He was one of the pioneers of Russian spinal surgery and the founder of the Saint Petersburg school of pediatric spinal surgeons. His colleagues and students are devastated by this irreparable loss.
creator: Board Editorial
rights: 版权所有 © Eco-Vector, 2025 https://eco-vector.com/for_authors.php#07
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 555
ending page: 558
doi: 10.17816/vto684875

In memory of Vyacheslav V. Klyuchevsky
type: item
description: On May 16, 2025, Professor Vyacheslav Vasilievich Klyuchevsky, the prominent traumatologist and orthopedist, Honored Scientist of the Russian Federation, founder of the Yaroslavl School of Traumatology and Orthopedics, honorary member of the Association of Traumatologists and Orthopedists of Russia, Doctor of Sciences in Medicine, passed away at the age of 86 years. His students, followers, and colleagues mourn this profound and irreparable loss.
creator: Board Editorial
rights: 版权所有 © Eco-Vector, 2025 https://eco-vector.com/for_authors.php#07
date: 2025-07-22
publication date: 2025-07-22
volume: 32
number: 2
starting page: 559
ending page: 562
doi: 10.17816/vto685100