Endoprosthesis replacement-operational treatment of diseases and damages of hip joint. The problem of prevention of complications and their negative effects is extremely actual today. However the role of different beam techniques in identification of adverse effects and complications of endoprosthesis replacement of joints is studied insufficiently. Results of clinic and diagnostic and beam researches of 40 patients with pathology of hip joint are analyzed. The used beam methods of research - roentgenography, multispiral computed tomography. At presurgical stage the main objective was detection of pathology of joint, definition of indications and planning of operative measure. Situation and relationship of components of endoprosthesis, condition of bone tissue, and also bone cement round cup and leg of prosthesis were key parameters of radiological assessment of outcomes of endoprosthesis replacement. Complex use of radiological techniques (roentgenography and spiral computed tomography) allows to specify and add semiotics of changes of bone tissue at the level of acetabular hollow and proximal department of femur after endoprosthesis replacement. by Janibekov J. J 2020. The role of radiation diagnostic methods in pathological changes of the hip joint before and after endoprosthetics. International Journal on Integrated Education. 3, 11 (Dec. 2020), 203-205. DOI:https://doi.org/10.31149/ijie.v3i12.918. https://journals.researchparks.org/index.php/IJIE/article/view/918/866 https://journals.researchparks.org/index.php/IJIE/article/view/918
Quantitative analysis of patellar tendon size and structure in asymptomatic ...Medical_Lab
Risultati dello studio ecografico in relazione all'analisi quantitativa della dimensione e della struttura del tendine rotuleo in un giocatore professionista asintomatico.
Quantitative Analysis of Patellar Tendon Abnormality in Asymptomatic Professi...Medical_Lab
Abnormalities in B-mode ultrasound images of the patellar tendon often take place in asymptomatic athletes but it is still not clear if these modifications forego or can predict the development of tendinopathy. Subclinical tendinopathy can be arbitrarily defined as either the presence of light structural changes in B-mode ultrasound images in association with mild
neovascularization (determined with Power Doppler images) or the presence of moderate/severe structural changes with or without neovascularization. Up to now, the structural changes and neovascularization of the tendon are evaluated qualitatively by visual inspection of ultrasound images. The aim of this study is to investigate the capability of a quantitative texture-based approach to determine tendon abnormality of “pallapugno” players. B-mode ultrasound images of the patellar tendon were acquired in 14 players and quantitative texture parameters were calculated within a Region of Interest (ROI) of both the non-dominant and the dominant tendon. A total of 90 features were calculated for each ROI, including 6 first-order descriptors, 24 Haralick features, and 60 higher-order spectra and entropy features. These features on the dominant and non-dominant side were used to perform a multivariate linear regression analysis (MANOVA) and our results show that the descriptors can be effectively used to determine tendon abnormality and, more importantly, the occurrence of subclinical tendinopathy.
A comparative study on the clinical and functional outcome of limb salvage su...NAAR Journal
The aim of this study was to analyze the survival, recurrence, complications as well as the quality of life (QOL) in tibial osteosarcoma (OSA) patients managed by limb salvage surgery (LSS), either by a prosthesis, resection or graft or by amputation. 106 tibial osteosarcoma patients were enrolled where 39 had custom-designed endoprosthetic arthroplasty (LSS1), 36 underwent resection and bone graft (LSS2) while only 31 underwent amputation. A Comparison was done based on post-operative survival rates, postoperative recurrence, and complications. The impact of the patient’s QOL was also evaluated.
Short Term Analysis of Clinical, Functional Radiological Outcome of Total Kne...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Quantitative analysis of patellar tendon size and structure in asymptomatic ...Medical_Lab
Risultati dello studio ecografico in relazione all'analisi quantitativa della dimensione e della struttura del tendine rotuleo in un giocatore professionista asintomatico.
Quantitative Analysis of Patellar Tendon Abnormality in Asymptomatic Professi...Medical_Lab
Abnormalities in B-mode ultrasound images of the patellar tendon often take place in asymptomatic athletes but it is still not clear if these modifications forego or can predict the development of tendinopathy. Subclinical tendinopathy can be arbitrarily defined as either the presence of light structural changes in B-mode ultrasound images in association with mild
neovascularization (determined with Power Doppler images) or the presence of moderate/severe structural changes with or without neovascularization. Up to now, the structural changes and neovascularization of the tendon are evaluated qualitatively by visual inspection of ultrasound images. The aim of this study is to investigate the capability of a quantitative texture-based approach to determine tendon abnormality of “pallapugno” players. B-mode ultrasound images of the patellar tendon were acquired in 14 players and quantitative texture parameters were calculated within a Region of Interest (ROI) of both the non-dominant and the dominant tendon. A total of 90 features were calculated for each ROI, including 6 first-order descriptors, 24 Haralick features, and 60 higher-order spectra and entropy features. These features on the dominant and non-dominant side were used to perform a multivariate linear regression analysis (MANOVA) and our results show that the descriptors can be effectively used to determine tendon abnormality and, more importantly, the occurrence of subclinical tendinopathy.
A comparative study on the clinical and functional outcome of limb salvage su...NAAR Journal
The aim of this study was to analyze the survival, recurrence, complications as well as the quality of life (QOL) in tibial osteosarcoma (OSA) patients managed by limb salvage surgery (LSS), either by a prosthesis, resection or graft or by amputation. 106 tibial osteosarcoma patients were enrolled where 39 had custom-designed endoprosthetic arthroplasty (LSS1), 36 underwent resection and bone graft (LSS2) while only 31 underwent amputation. A Comparison was done based on post-operative survival rates, postoperative recurrence, and complications. The impact of the patient’s QOL was also evaluated.
Short Term Analysis of Clinical, Functional Radiological Outcome of Total Kne...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Megaprosthetic replacement of knee in a young boy of 14 yearsApollo Hospitals
Now a days, Total Knee Replacement (TKR) is a common for elderly patients but is an uncommon procedure in young individuals. Recently, limb conservation surgery for malignant bone tumours like osteosarcoma around the knee has become a common indication for TKR in young. We report, here a histologically confirmed osteosarcoma in right
proximal tibia of a 14-year-old boy who was managed successfully by limb salvage surgery using Global Modular Replacement System (GMRS, Stryker).
Predictors of Patients’ Functional Outcome after Motor Nerve Transfers in Man...Professor M. A. Imam
To maximize outcome in nerve transfers:
1- The recipient nerve reinnervated close to the target muscle.
2- Direct repair without intervening grafts.
3- Similarly behaving neuromuscular units (agonistic donors and recipients)
Crimson Publishers-Management of Heterotopic Ossification of the Elbow in Pat...CrimsonPublishersOPROJ
Management of Heterotopic Ossification of the Elbow in Patients with Elbow and Brain Injury a Retrospective Study by V Psychoyios in Orthopedic Research Online Journal
This study demonstrates that 3D-MRI is able to evaluate the anterolateral ligament fully in all normal knees. The classification system for injury to the ALL described shows high inter- and intra-observer reliability
Background:
The anterolateral ligament (ALL) is a true well-defined ligament in the knee first described in 1879 by Segond. After the work of Claes et al., several studies were conducted about biomechanics and its role in stability of the knee. The anatomical existence of the ALL has been studied by and various radiographic diagnostic modalities and in cadavers. It originates from lateral femoral epicondyle and is inserted between Gerdy’s tubercle and the fibular head. There has been controversy about the existence of ALL in pediatric patients. The aim of this work was to confirm the presence of ALL in pediatric patients by using MRI.
Materials and Methods:
We reviewed the knee MRI scans of 100 pediatric patients (ages between one and 12 yr) who had no knee injury or congenital deformity and had been evaluated by an expert radiologist.
Results:
The ALL was detected in 90% of the pediatric patients with the use of MRI.
Conclusions:
The main finding of this study was that ALL can be seen in pediatric patients using MRI. Despite numerous studies, additional research is needed to further define the role of the ALL in knee function.
Level of Evidence:
Level IV.
Presentation at American Academy of Orthopaedic Surgeons, New Orleans 2018. This study demonstrates that re-operation rates after this procedure are broadly comparable to those seen after isolated ACLR. The high rates of stiffness and complications seen with non-anatomical ITB based procedures was not observed in this series
Open debridement and radiocapitellar replacement in primary and post-traumati...Alberto Mantovani
Background: Postmortem and clinical studies have shown an early and prevalent involvement of the radiohumeral
joint in primary and secondary arthritis of the elbow. The lateral resurfacing elbow (LRE) prosthesis
has recently been developed for the treatment of lateral elbow arthritis. However, few data have been
published on LRE results.
Materials and methods: A prospective multicenter study was designed to assess LRE preliminary results.
There were 20 patients (average age, 55 years). Preoperative diagnosis were primary osteoarthritis in 11
and post-traumatic osteoarthritis in 9. All patients underwent open debridement and LRE prosthesis.
Patients were evaluated preoperatively and postoperatively with the Mayo Elbow Performance Score
(MEPS), modified American Shoulder Elbow Surgeons (m-ASES) elbow assessment, and the Quick
Disabilities of the Arm, Shoulder and Hand (Quick-DASH). Mean follow-up was 22.6 months.
Results: At the last follow-up, the mean improvement of MEPS and m-ASES was 35 (P ¼ .001) and 34
(P ¼ .001) respectively; the average Quick DASH decreased by 29 (P ¼ .001). Average range of motion
was improved by 35 (P ¼.001). MEPI results were excellent in 12 patients, good in 2, and fair and poor in
3 each. Mild overstuffing was observed in 5 patients, and an implant malpositioning in 3. The implant
survival rate was 100%.
Conclusion: LRE showed promising results in this prospective investigation. Most patients had an
uneventful postoperative course and have shown a painless elbow joint, with satisfactory functional
recovery at short-term follow-up. Further studies with longer follow-up are warranted.
Megaprosthetic replacement of knee in a young boy of 14 yearsApollo Hospitals
Now a days, Total Knee Replacement (TKR) is a common for elderly patients but is an uncommon procedure in young individuals. Recently, limb conservation surgery for malignant bone tumours like osteosarcoma around the knee has become a common indication for TKR in young. We report, here a histologically confirmed osteosarcoma in right
proximal tibia of a 14-year-old boy who was managed successfully by limb salvage surgery using Global Modular Replacement System (GMRS, Stryker).
Predictors of Patients’ Functional Outcome after Motor Nerve Transfers in Man...Professor M. A. Imam
To maximize outcome in nerve transfers:
1- The recipient nerve reinnervated close to the target muscle.
2- Direct repair without intervening grafts.
3- Similarly behaving neuromuscular units (agonistic donors and recipients)
Crimson Publishers-Management of Heterotopic Ossification of the Elbow in Pat...CrimsonPublishersOPROJ
Management of Heterotopic Ossification of the Elbow in Patients with Elbow and Brain Injury a Retrospective Study by V Psychoyios in Orthopedic Research Online Journal
This study demonstrates that 3D-MRI is able to evaluate the anterolateral ligament fully in all normal knees. The classification system for injury to the ALL described shows high inter- and intra-observer reliability
Background:
The anterolateral ligament (ALL) is a true well-defined ligament in the knee first described in 1879 by Segond. After the work of Claes et al., several studies were conducted about biomechanics and its role in stability of the knee. The anatomical existence of the ALL has been studied by and various radiographic diagnostic modalities and in cadavers. It originates from lateral femoral epicondyle and is inserted between Gerdy’s tubercle and the fibular head. There has been controversy about the existence of ALL in pediatric patients. The aim of this work was to confirm the presence of ALL in pediatric patients by using MRI.
Materials and Methods:
We reviewed the knee MRI scans of 100 pediatric patients (ages between one and 12 yr) who had no knee injury or congenital deformity and had been evaluated by an expert radiologist.
Results:
The ALL was detected in 90% of the pediatric patients with the use of MRI.
Conclusions:
The main finding of this study was that ALL can be seen in pediatric patients using MRI. Despite numerous studies, additional research is needed to further define the role of the ALL in knee function.
Level of Evidence:
Level IV.
Presentation at American Academy of Orthopaedic Surgeons, New Orleans 2018. This study demonstrates that re-operation rates after this procedure are broadly comparable to those seen after isolated ACLR. The high rates of stiffness and complications seen with non-anatomical ITB based procedures was not observed in this series
Open debridement and radiocapitellar replacement in primary and post-traumati...Alberto Mantovani
Background: Postmortem and clinical studies have shown an early and prevalent involvement of the radiohumeral
joint in primary and secondary arthritis of the elbow. The lateral resurfacing elbow (LRE) prosthesis
has recently been developed for the treatment of lateral elbow arthritis. However, few data have been
published on LRE results.
Materials and methods: A prospective multicenter study was designed to assess LRE preliminary results.
There were 20 patients (average age, 55 years). Preoperative diagnosis were primary osteoarthritis in 11
and post-traumatic osteoarthritis in 9. All patients underwent open debridement and LRE prosthesis.
Patients were evaluated preoperatively and postoperatively with the Mayo Elbow Performance Score
(MEPS), modified American Shoulder Elbow Surgeons (m-ASES) elbow assessment, and the Quick
Disabilities of the Arm, Shoulder and Hand (Quick-DASH). Mean follow-up was 22.6 months.
Results: At the last follow-up, the mean improvement of MEPS and m-ASES was 35 (P ¼ .001) and 34
(P ¼ .001) respectively; the average Quick DASH decreased by 29 (P ¼ .001). Average range of motion
was improved by 35 (P ¼.001). MEPI results were excellent in 12 patients, good in 2, and fair and poor in
3 each. Mild overstuffing was observed in 5 patients, and an implant malpositioning in 3. The implant
survival rate was 100%.
Conclusion: LRE showed promising results in this prospective investigation. Most patients had an
uneventful postoperative course and have shown a painless elbow joint, with satisfactory functional
recovery at short-term follow-up. Further studies with longer follow-up are warranted.
The temporomandibular joint is a fundamental articulation for professionals performing orthodontic treatments. Different etiologic agents may alter hard and soft tissues. Treatment of TMJ pathologies through Electronic Mandibular Deprogramming, validated by surface electromyography, allows a muscle position to be used as a correct benchmark of the mandible to initiate an orthodontic treatment. Although these parameters offer better results and more stability, doubts about condyle position in the mandibular fossa always remained. The objective was to determine the three-dimensional condylar position in the mandibular fossa of post-treatment patients with TMJ disorders based on Cone Beam Computed Tomography (CBCT) images.
The temporomandibular joint is a fundamental articulation for professionals performing orthodontic treatments. Different etiologic agents may alter hard and soft tissues. Treatment of TMJ pathologies through Electronic Mandibular Deprogramming, validated by surface electromyography, allows a muscle position to be used as a correct benchmark of the mandible to initiate an orthodontic treatment. Although these parameters offer better results and more stability, doubts about condyle position in the mandibular fossa always remained. The objective was to determine the three-dimensional condylar position in the mandibular fossa of post-treatment patients with TMJ disorders based on Cone Beam Computed Tomography (CBCT) images.
Ilizarov Methods versus Masquelet’s Technique in Management of Segmental Skel...Abdallah El-Azanki
** PhD Thesis protocol submitted for partial fulfillment of PhD Degree in orthopedic surgery.
**By:
Abdallah Ibrahim Jomaa El Azanki MD, MSc
Faculty of Medicine -- Mansoura University
** Supervisors
Prof. Brakat Sayed Elalfy
Professor of orthopedic surgery
Faculty of Medicine - Mansoura University
Prof. Nabil Ahmed Elmoghazy
Professor of orthopedic surgery
Faculty of Medicine - Mansoura University
Dr. Sallam Ibrahim Fawzy
Assistant Professor of orthopedic surgery
Faculty of Medicine - Mansoura University
Abstract
Objective: To assess the outcome of arthroscopic release in patients with cronicalchronic lateral epicondylitis. Materials and methods: Arthroscopic release in three patients with lateral epicondylitis was performed. The Mayo Elbow Performance Index (or Mayo Elbow Performance score) was used pre and post surgical treatment. Sample: Two females and one male. The patients were principal labourers and not athletes. Patients had significant pain and pain was the principal symptom that affected the score of the performance index.
Results: Scores on the performance index improved after surgery. No neurological complications were reported and early return to normal daily activities was noted.
Conclusion: Arthroscopic treatment was an alternative safe and effective method for treating chronic lateral epicondiyitis in three cases. This method makes it possible to simultaneously scan the articulation to diagnostic and treatment associated diseases. It is necessary most wide assays and comparative studies for establish sure treatment protocols.
"Differential diagnosis of patients with temporomandibular joint pain dysfunc...SubmissionResearchpa
The article presents the results of a study of a specially developed map proposed by the authors in 84 patients with TMJ DM aged from 20 to 60 years, and 36 patients without TMJ dysfunction were selected as a control. According to the results of the study, the authors found that the main number of patients accounted for 59.6% after 40 years and among women - 61.9% of cases; also found in patients 46.42% occlusive-articulatory syndrome, 33.33% neuromuscular syndrome and 20.23% dislocation of the intra-articular disc; that the relationship between the amplitude of the vertical movement of the lower jaw, changes in the bioelectric potential of the masticatory muscle and the occurrence of these pathologies by Gafforov Sunnatullo Amrulloevich and Astanov Otabek Mirjonovich 2020. "Differential diagnosis of patients with temporomandibular joint pain dysfunction syndromes". International Journal on Integrated Education. 3, 9 (Sep. 2020), 229-234. DOI:https://doi.org/10.31149/ijie.v3i9.634. https://journals.researchparks.org/index.php/IJIE/article/view/634/600 https://journals.researchparks.org/index.php/IJIE/article/view/634
Dr jehad al sukhun gives modelling of orbital deformationjehadsukhun
The purpose of this study was to develop a three-dimensional finite-element model (FEM) of the human orbit, containing the globe, to predict orbital deformation in subjects following a blunt injury
Modelling of orbital deformation - Jehad Al Sukhun and othersDr Jehad Al Sukhun
The purpose of this study was to develop a three-dimensional finite-element model (FEM) of the human orbit, containing the globe, to predict orbital deformation in subjects following a blunt injury. This study investigated the hypothesis that such deformation could be modelled using finite-element techniques. To know more about modelling of orbital deformation contact to Jehad Al Sukhun at http://drjehadalsukhun.com.
Background: Distal femur fractures make up 6 to 7% of all femur fractures. Various plating options for distal femur fracture are conventional buttress plates, fixed-angle devices, and locking plates. This study was planned to evaluate and explore locking compression plate fixation in distal end femur fractures which is expected to provide a stable fixation with minimum exposure, early mobilization, less complications and a better quality of life.
Methods: The study was conducted as prospective clinical study in 20 skeletally mature patients with x-ray evidence of distal femur fracture fulfilling inclusion and exclusion criteria, operated with distal femur LCP plating. Patients were assessed radiologically and classified according to distal femur fracture classification and outcome graded as excellent, good, fair and poor based on Lysholm Knee Score.
Results: Out of 15 excellent outcome cases, 3 cases were type A1 fracture, 1 case had type A3, 2 cases had type B1 and B2 each, 5 cases had type C2 and 2 cases had type C3 fracture. 1 case with good outcome was type C3. 1 case with fair outcome was type B2. While 3 cases with poor outcome were type A1, A2 and C3.
Conclusions: The DF-LCP is an ideal implant to use for fractures of the distal femur. However, accurate positioning and fixation are required to produce satisfactory results. We recommend use of this implant in Type A and C, osteoporotic and periprosthetic fractures.
Keywords: Distal femur, DF-LCP, Lysholm score, Periprosthetic fracture
Functional and radiological assessment of displaced midshaft clavicle fractures treated through open reduction and internal fixation surgery using pre-contoured locking compression plates
Harmony between society and personality, and its influence on the phenomenon ...SubmissionResearchpa
This article deals with the phenomenon of happiness as a socio-anthropological phenomenon that requires consideration in harmony between social reality and a person, society and personality with their dreams, desires, experiences and ideas. A person, although he thinks about happiness alone, although he considers happiness as a phenomenon that concerns only his life, this does not mean that happiness manifests itself according to his absolute will and absolutely touches and obeys his desires. Society influences the happy or unhappy life of a person not only by established rules, but also by careful contributions and traditions by Eshonkulova Nurjakhon Abdujabborovna 2020. Harmony between society and personality, and its influence on the phenomenon of happiness. International Journal on Integrated Education. 3, 12 (Dec. 2020), 87-88. DOI:https://doi.org/10.31149/ijie.v3i12.925 https://journals.researchparks.org/index.php/IJIE/article/view/925/873 https://journals.researchparks.org/index.php/IJIE/article/view/925
Establishment of the Institute and Waqf aspects of its development in Central...SubmissionResearchpa
The article describes the essence of waqf institution and some aspects of its development in Central Asia. The importance of the endowment institution not only as a philanthropist, but also as a social institution that embodies many functions in society is highlighted by Nargiza Ismatova 2020. Establishment of the Institute and Waqf aspects of its development in Central Asia (until the second half of the 19th century). International Journal on Integrated Education. 3, 12 (Dec. 2020), 71-75. DOI:https://doi.org/10.31149/ijie.v3i12.916 https://journals.researchparks.org/index.php/IJIE/article/view/916/864 https://journals.researchparks.org/index.php/IJIE/article/view/916
The history of the Kokand Khanate in the press of Turkestan (According to Sut...SubmissionResearchpa
Suttorkhon Abdulgafforov's book "A Brief Essay on the Internal Situation of the Kokand Khanate Before the Russian Invasion", published in the Turkestan press, provides valuable information on the history of Kokand. In particular, it reflects governance, traditional education, the judicial system and the military situation in the last days of the khanate by Rakhimjanova Nigora Kudratillaevna 2020. The history of the Kokand Khanate in the press of Turkestan (According to Suttorkhon Abdulgafforov). International Journal on Integrated Education. 3, 12 (Dec. 2020), 68-70. DOI:https://doi.org/10.31149/ijie.v3i12.915 https://journals.researchparks.org/index.php/IJIE/article/view/915/863 https://journals.researchparks.org/index.php/IJIE/article/view/915
Of partial defects of the dental rows of dynamic study of the state of the mu...SubmissionResearchpa
Despite the rapid development of dentistry and advances in the prevention of diseases of the maxillofacial region, implantology, and the treatment of dental diseases, the number of patients who need prosthetics with removable orthopedic structures of dentures remains high, and only increases with age, due to the increasing rate of aging. society of the planet (M.Yu. Ogorodnikov, 2007; V.I.Shemonaev, 2012; E.S. Kalivradzhiyan, 2013; E.A.Zholudev, 2014; CE. Bragin, 2014; L.D. Veisheim, 2014). Among the reasons for the high demand for orthopedic treatment with removable dentures, the leading position is still held by insufficient sanitation of the oral cavity, untimely access of patients to the dentist. In addition, an important role is played by the problem of imperfection of materials and technologies used for the manufacture of dentures, leading to a deterioration in the condition of the dentition by A.Kh. Zhumaev 2020. Of partial defects of the dental rows of dynamic study of the state of the mucosa of the oral cavity in the new conditions of functioning. International Journal on Integrated Education. 3, 12 (Dec. 2020), 61-63. DOI:https://doi.org/10.31149/ijie.v3i12.913 https://journals.researchparks.org/index.php/IJIE/article/view/913/861 https://journals.researchparks.org/index.php/IJIE/article/view/913
The essence and specifics of modern social and cultural activities in Karakal...SubmissionResearchpa
Socio-cultural activity as a process of active development, dissemination and creation of cultural values is ultimately focused on the formation of the cultural environment of human life, the elaboration of mechanisms for its socialization, enculturation and self-realization, the creation of methodological directions for the development of spiritual interests and requirements of people in order to realize the essential forces and capabilities of each person by Ahimbetova Gulbahar Kanatbaevna 2020. The essence and specifics of modern social and cultural activities in Karakalpakstan. International Journal on Integrated Education. 3, 12 (Dec. 2020), 56-60. DOI:https://doi.org/10.31149/ijie.v3i12.912 https://journals.researchparks.org/index.php/IJIE/article/view/912/860 https://journals.researchparks.org/index.php/IJIE/article/view/912
International commercial arbitration in Uzbekistan: current state and develop...SubmissionResearchpa
This article is devoted to a number of issues relating to the functioning of international commercial arbitration as a non-State mechanism for the settlement of international commercial disputes in the Republic of Uzbekistan. In article also found a brief introduction on the history of arbitration in Uzbekistan since its independence. Special attention is paid to the rules introduced since the entry into force of the Law of the Republic of Uzbekistan “On international commercial arbitration”. Moreover, the author highlights some problematic issues and inconsistencies that exist in the legislation on legal proceedings in arbitration courts. The author also addresses several issues regarding the recognition and enforcement of arbitral awards by Ziyoda Boratova 2020. International commercial arbitration in Uzbekistan: current state and development prospects . International Journal on Integrated Education. 3, 12 (Dec. 2020), 47-49. DOI:https://doi.org/10.31149/ijie.v3i12.911 https://journals.researchparks.org/index.php/IJIE/article/view/911/859 https://journals.researchparks.org/index.php/IJIE/article/view/911
Obtaining higher fatty alcohols based on low molecular polyethylene and their...SubmissionResearchpa
One of the ways to change the physicochemical properties of diesel fuels is to add so-called additives to it. The purpose of this work is to obtain higher fatty alcohols and the use of qualitatively new imported - substituted additives, synthesized on the basis of the use of local secondary raw materials, which is increases their efficiency by Fozilov Hasan Sadriddin Ugli 2020. Obtaining higher fatty alcohols based on low molecular polyethylene and their useage as lubricating additives for diesel fuels. International Journal on Integrated Education. 3, 12 (Dec. 2020), 44-46. DOI:https://doi.org/10.31149/ijie.v3i12.910 https://journals.researchparks.org/index.php/IJIE/article/view/910/858 https://journals.researchparks.org/index.php/IJIE/article/view/910
Re-positioning adult education for development to thrive in NigeriaSubmissionResearchpa
The paper examines adult education practice in agriculture-led development strategy from pedagogical perspective. The paper believes that adult education has the potentialities for development but argues that there are missing elements in the adult education practice that are critical if sustained agricultural growth will be achieved. Instead of andragogy, transformative learning and liberatory method should be embraced. Also, instead of focusing on scientific knowledge systems alone, indigenous practices should be encouraged by Ephraim Wordu 2020. Re-positioning adult education for development to thrive in Nigeria . International Journal on Integrated Education. 3, 12 (Dec. 2020), 1-6. DOI:https://doi.org/10.31149/ijie.v3i12.902 https://journals.researchparks.org/index.php/IJIE/article/view/902/853 https://journals.researchparks.org/index.php/IJIE/article/view/902
This study examines adult basic education in the 21st century world. The study identifies a new paradigm in response to global changes particularly concerning employment. Preparation for additional training as the basis for basic education for adults in the 21st century. The study also indicates that there is relationship between literacy, environment and development by Ephraim Wordu 2020. Re-thinking adult basic education in the 21st century . International Journal on Integrated Education. 3, 11 (Nov. 2020), 227-230. DOI:https://doi.org/10.31149/ijie.v3i11.1041. https://journals.researchparks.org/index.php/IJIE/article/view/1041/989 https://journals.researchparks.org/index.php/IJIE/article/view/1041
This article provides valuable information about the genres of Uyghur folk singing. The article also provides a detailed overview of the Uyghur musical heritage, which speaks to the ancient history of Uygur music culture. by Muyassarkhon Achildiyeva and Dilafruz Madalieva 2020. Uyghur folk singing genre. International Journal on Integrated Education. 3, 11 (Dec. 2020), 222-226. DOI:https://doi.org/10.31149/ijie.v3i11.923. https://journals.researchparks.org/index.php/IJIE/article/view/923/871 https://journals.researchparks.org/index.php/IJIE/article/view/923
The term cerebral palsy has been around for more than a century, and the disease itself has probably existed without a name throughout human history. However, despite its long history, there is still no unity in views on this issue. by O. E. Idiev 2020. Infantile cerebral palsy and dental anomalies. International Journal on Integrated Education. 3, 11 (Dec. 2020), 212-215. DOI:https://doi.org/10.31149/ijie.v3i12.921. https://journals.researchparks.org/index.php/IJIE/article/view/921/869 https://journals.researchparks.org/index.php/IJIE/article/view/921
An innovative mechanisms to increase the effectiveness of independent educati...SubmissionResearchpa
This article provides recommendations for the organization of methodological services based on innovative approaches that affect the quality of education in general and special education institutions. by Mahmudova Madinahon Sobirkhonovna 2020. An innovative mechanisms to increase the effectiveness of independent education of future defectologists. International Journal on Integrated Education. 3, 11 (Dec. 2020), 210-211. DOI:https://doi.org/10.31149/ijie.v3i12.920. https://journals.researchparks.org/index.php/IJIE/article/view/920/868 https://journals.researchparks.org/index.php/IJIE/article/view/920
Proverbs are one of the oldest popular genres of Uzbek folklore, which reflects the worldview, attitude to society and moral norms of the people. In this article, spiritual and idealistic features of proverbs are elucidated and salient examples from masterpieces are given. by Kodirova Saodat Abdurakhimovna 2020. Idealistic study of proverbs. International Journal on Integrated Education. 3, 11 (Nov. 2020), 201-202. DOI:https://doi.org/10.31149/ijie.v3i11.888. https://journals.researchparks.org/index.php/IJIE/article/view/888/843 https://journals.researchparks.org/index.php/IJIE/article/view/888
Positive and negative features of mythological images in the epics “Beowulf” ...SubmissionResearchpa
At the time of what is considered primitive today, our ancestors were a hundred times more poets than we are. Thousands of years ago, the way of thinking of our ancestors was in the form of “poetic observation”: they accepted their life and everything in nature as a symbol of their imaginary concepts. At that time it was understood that the sky, water, greenery, sun, moon, light and darkness had a soul; the day was replaced by night, and the struggle between good and evil was thought to be over. by More Citation Formats https://journals.researchparks.org/index.php/IJIE/article/view/887/842 https://journals.researchparks.org/index.php/IJIE/article/view/887
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The role of radiation diagnostic methods in pathological changes of the hip joint before and after endoprosthetics
1. e-ISSN : 2620 3502
p-ISSN : 2615 3785
International Journal on Integrated Education
Volume 3, Issue XI, November 2020 | 203
The role of radiation diagnostic methods in pathological changes of
the hip joint before and after endoprosthetics
Janibekov J. J1
., Jumaeva M. M2
., R. R. Navruzov3
, Khudoyberdiev D. K4
.
1,2,3,4
Bukhara state medical Institute named after Abu Ali Ibn Sina
ABSTRACT
Endoprosthesis replacement-operational treatment of diseases and damages of hip joint. The problem of
prevention of complications and their negative effects is extremely actual today. However the role of different beam
techniques in identification of adverse effects and complications of endoprosthesis replacement of joints is studied
insufficiently. Results of clinic and diagnostic and beam researches of 40 patients with pathology of hip joint are
analyzed. The used beam methods of research - roentgenography, multispiral computed tomography. At presurgical
stage the main objective was detection of pathology of joint, definition of indications and planning of operative
measure. Situation and relationship of components of endoprosthesis, condition of bone tissue, and also bone cement
round cup and leg of prosthesis were key parameters of radiological assessment of outcomes of endoprosthesis
replacement. Complex use of radiological techniques (roentgenography and spiral computed tomography) allows to
specify and add semiotics of changes of bone tissue at the level of acetabular hollow and proximal department of femur
after endoprosthesis replacement.
Keywords: Roentgenography, multispiral computed tomography, endoprosthesis, hip joint.
I.Introduction
In modern traumatology and orthopedics, much attention is paid to the pathology of large joints, which is
accompanied by a decrease in the quality of life of patients, their temporary disability and disability. Treatment of
severe injuries, acquired or congenital diseases of the hip joint by endoprosthetics allows you to achieve a stable
positive rehabilitation effect in a short time and significantly increase the functional capabilities of the interested limb.
In parallel with the increase in the number of joint replacement operations, the number of complications is also
increasing. The problem of preventing complications and their negative consequences is extremely relevant today.
However, the role of various radiation techniques in detecting adverse effects and complications of joint replacement is
not well understood.
Purpose of research- improvement of radiation diagnostics in the assessment of changes in the hip joint
before and after endoprosthetics.
Material and methods of research. The results of clinical diagnostic and radiological studies of 40 patients
with hip joint pathology were analyzed. The radiographic methods used were radiography and multispiral computed
tomography (MSCT). Overview radiography of the hip joints in direct and lateral projections was performed on the
BMI model:JOLLY 4S (Italy). During the study, the patient was lying on his back, his lower limbs were stretched out
along the table. The examined limb was rotated 10-12° inwards. The focal length is 70 cm. Technical specifications:
kV-66, mAs-60.
2. Research result.
As you know, endoprosthetics-surgical treatment of diseases and injuries of the hip joint, which at the present
stage of development of traumatology and orthopedics is radical and effective. This high-tech method of surgical
treatment of hip pathology from a clinical point of view should be considered as a multi-stage process, at each stage of
which various diagnostic tasks are solved. The selection of patients in the observation groups was carried out according
to certain diagnostic criteria for hip joint pathologies and included: secondary deforming osteoarthritis of the hip joint
(50%), primary dysplastic coxarthrosis (5%), femoral neck fracture (36%), aseptic necrosis of the femoral head (5%),
false joint of the femoral neck (2%), fractures of the acetabulum and femoral head (2%).
Radiography was performed in all patients. Standard radiography was performed before surgery, in the early
postoperative period, and in dynamic follow-up. After surgical treatment, patients underwent radiation examination
immediately after the operation and 3 months later. Before planning hip replacement surgery, patients underwent
radiography of two hip joints in a direct projection, followed by radiography of the affected hip joint in a direct and
axial projection (if the patient did not have a pronounced pain syndrome).
When analyzing radiographs, attention was paid to the study of quantitative and qualitative features: the shape and
relationship of the articular ends of bones, their surface, the presence of marginal bone growths, and the structure of
bone tissue. The acetabulum, the shape of the head, neck, upper, outer and inner contours of the femur were evaluated
in a direct projection.
At the preoperative stage, the main task was to identify pathology of the joint determination of indications and
planning of surgical intervention. During the study, the nature of the detected pathological changes and their prevalence
were determined. MSCT was performed in 13 patients. At the final stage, MSCT results were compared with clinical
data and digital radiography results. The data obtained were analyzed, as well as the diagnostic effectiveness of
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radiography and MSCT was evaluated.
X-rays and computer tomograms were used to determine the size of the proximal femur and acetabulum.
Quantitative and qualitative features were studied on radiographs of the hip joint in 2 projections, as well as on
computer tomograms: the shape and relationship of the articular ends of the bones, their surface, and the structure of
bone tissue. In the direct projection, the computed tomogram repeated the x-ray examination and did not carry any
additional diagnostic information. A special feature of this method was the possibility of layer-by-layer scanning in the
horizontal plane of all tissues that fall into the section. When evaluating the upper parts of the femoral heads and the
most loaded part of the acetabulum, multi-plane and PO reconstruction of the image was used.
Radiologically deforming osteoarthritis of the hip joint stage III, detected in 20 patients, was characterized by
sharp changes in all elements of the joint. The articular gap was significantly narrowed, in some places could not be
traced or was difficult to determine. There were pronounced bone growths up to 3.3±2.1 mm in size along the edges of
the femoral head and acetabulum. The acetabular cartilage lip was 100% calcified. MSCT made it possible to detail the
nature and prevalence of structural changes, and to assess the relationship of joint ends. Thin computer sections
revealed small cyst-like clearings (1-2 mm in size) in the supra-acetabular region, as well as small areas of sclerosis that
were not visualized on x-rays.
After surgery radiographically assessed the quality of technical performance of the implantation, the spatial
position of the implant in the tissues, we evaluated the change in bone tissue structure based on the data of previous x-
ray studies revealed postoperative complications. The main parameters of x-ray evaluation of endoprosthesis outcomes
were the position and relationship of the endoprosthesis components, the state of bone tissue, and bone cement around
the Cup and leg of the prosthesis. After endoprosthetics, the interaction of the implant with the bone tissue begins,
which can be considered as a dynamic process that accompanies the patient throughout life, when there are significant
changes associated with new biomechanical conditions, structural restructuring of the bone and surrounding soft tissues.
Changes in the contralateral joint were visualized. Interpretation of the data obtained was limited in assessing the state
of the endoprosthesis and adjacent bone structures due to the presence of many artifacts from metal structures.
According to MSCT data, the condition of paraarticular soft tissues was additionally evaluated. Indications for MSCT
after endoprosthesis were: pain in the area of the operated joint; paraprosthetic fracture of the femur; aseptic instability
of the endoprosthesis components.
MSCT examination revealed artifacts around the metal Cup, head, and leg of the endoprosthesis. MSCT above
the upper contour of the metal parts of the prosthesis provided visualization of bone tissue with all the existing changes.
Artifacts were absent around the plastic Cup, and also did not extend to the collateral joint, which provided sufficient
assessment of it. In the early postoperative period, radiography revealed such complications as periprosthetic fractures
in 1 patient, dislocations of the prosthetic head from the Cup in 2 patients, which is consistent with the literature data.
Signs of these complications were reliably diagnosed using standard radiography. However, publications have identified
another large group of complications, including aseptic instability of the endoprosthesis components, post-traumatic
osteomyelitis, hematomas, and heterotopic ossification, which were difficult to detect by x-ray results. Taking this into
account, a comprehensive approach should be applied in the selection of methods of radiation diagnostics.
As you can see, radiography and MSCT are x-ray research methods that are not equal in their diagnostic
information content, radiation load, and cost. The diagnostic efficiency of spiral computed tomography exceeds the
diagnostic efficiency of radiography in the diagnosis of hip joint pathology during endoprosthetics. Changes in the
contralateral joint were visualized. Interpretation of the data obtained was limited in assessing the state of the
endoprosthesis and adjacent bone structures due to the presence of many artifacts from metal structures.
According to MSCT data, the condition of paraarticular soft tissues was additionally evaluated. Indications for MSCT
after endoprosthesis were: pain in the area of the operated joint; paraprosthetic fracture of the femur; aseptic instability
of the endoprosthesis components.
MSCT examination revealed artifacts around the metal Cup, head, and leg of the endoprosthesis. MSCT above
the upper contour of the metal parts of the prosthesis provided visualization of bone tissue with all the existing changes.
Artifacts were absent around the plastic Cup, and also did not extend to the collateral joint, which provided sufficient
assessment of it. In the early postoperative period, radiography revealed such complications as periprosthetic fractures
in 1 patient, dislocations of the prosthetic head from the Cup in 2 patients, which is consistent with the literature data.
Signs of these complications were reliably diagnosed using standard radiography. However, publications have identified
another large group of complications, including aseptic instability of the endoprosthesis components, post-traumatic
osteomyelitis, hematomas, and heterotopic ossification, which were difficult to detect by x-ray results. Taking this into
account, a comprehensive approach should be applied in the selection of methods of radiation diagnostics.
As you can see, radiography and MSCT are x-ray research methods that are not equal in their diagnostic
information content, radiation load, and cost. The diagnostic efficiency of spiral computed tomography exceeds the
diagnostic efficiency of radiography in the diagnosis of hip joint pathology during endoprosthetics. Therefore, a
comparison of the possibilities and expediency of separate or complex application of these methods is relevant and
necessary.
3. Conclusions.
Thus, it is necessary to improve the system approach in choosing the method of radiation diagnostics for
earlier and more accurate diagnosis of complications after endoprosthesis of large joints. The complex use of
radiological techniques (radiography and spiral computed tomography) allows us to clarify and Supplement the
semiotics of changes in bone tissue at the level of the acetabulum and the femoral proxy after endoprosthesis.
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p-ISSN : 2615 3785
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Volume 3, Issue XI, November 2020 | 205
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