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Biomedical subjects

B I Simenach

Publications and source records attributed to B I Simenach.

At least 19 recordsLinked to original sources

[Hereditary (dysplastic) diseases of the joints].

Using the intentional procedures to reveal systemic semantic interrelations between different phenomena that form the causative-sequential chain in joint diseases of dysplasia genesis and assuming the pathology theory laws as a basis, applying the methodologies of different interdisciplinary sciences and the technology of cognitive simulation, the conceptual model "joint dysplasia--dysplasia arthrosis" was developed. This model depicts the characteristic features of joint dysplasia. The use of the model permitted one to base and describe a group of inherited (depressional) diseases of joints as an independent scientific orthopedo-arthrological problem. The application of the conceptual model confirmed its high cognitive and reforming role. Using this model on a knee joint new syndromes of dysplasia have been described; the system of roentgenometric diagnosis of dysplasia anomalies and new methods of surgical intervention have been elaborated; the foundation has been laid of prophylactic surgery aimed at the exclusion or at the minimizing of the risk of gonarthrosis in persons suffering from different inherited syndromes.

Humans↗

[The rod apparatus for orthopedic treatment of pathology of the knee joint].

On the basis of study of remote results of application of wire apparatus, designed at KhNIIOT, for immobilization after correcting osteotomies in the area of knee joint due to varus-valgus deformation (114 cases, including 94 on crus, 14 on thigh, 6 on crus and thigh at the same time) there have been revealed essential advantages of this fixation method. It ensures possibility of additional postoperative correction, rated rigidity of fixation (depending on the stage of consolidation), strength of fixation, comfort for a patient and nursing. Consolidation has been achieved in all cases. Failure of rods in 6 cases (of 461 detected) and 5 cases of inflammation of soft tissues (skin bedsores-type).

Arthrodesis↗

[On "arthrosis"].

Explore the source record for details and available documents.

Arthritis↗

[Genetically determined diseases of the hip joint (a conceptual model)].

The authors consider the problem of pathology of the hip joint from the point of view of the conception "Dysplasia-coxarthrosis". A single system of the ideas concerning dysplastis pathology is presented, which will allow to unify the methods of diagnosis and treatment of dysplasia of the hip joint in children, adolescents and adults with the aim of prevention of crippling diseases of the joint.

Adolescent↗

[A program of prevention of dysplastic arthrosis (general principles)].

The authors put forward a program of prevention of dysplastic arthrosis which is presented in graphic form with textual description. It has been worked out on the basis of the formerly elaborated conceptual model "Dysplasia of the joint-dysplastic arthrosis" and it is a complex of general medical prophylactic measures oriented towards the elimination of mutagenous environmental factors, i.e. towards prevention of morbidity and towards the treatment-and-rehabilitation orthopaedic measures directed at reduction of the risk of development of dysplastic arthrosis in the conditions of dysplastic lesion of the joint (prevention of the disease). The conditions necessary for carrying out this program are supposed to be: a diagnostic algorithm providing for revealing dysplastic lesions already at the preclinical stage; thorough quantitative and qualitative characteristics of the dysplastic process providing for planning of correct surgical interventions; prognostic evaluations presuming a probability of evolution of the dysplastic process and its outcome; and a system of stage-by-stage diagnostic and treatment-and-rehabilitation measures providing for achievement of the effect expected in each particular case. Three groups of surgical interventions have been pointed out: prophylactic, which are performed on the dysplastic joint in case of absence of dystrophic changes; therapeutic, which are performed in case of presence of reversible dystrophic changes (e.g. chondromalation at stages I and II); and palliative, which only result in temporary stabilization of the arthrosis process, i.e. leading to improvement.

Adolescent↗