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Joint degradation occurs either as a result of progressing orthopeadic diseases or as a consequence of such factors as injury, age, congenial predisposition and obesity.



 
OSTEOARTHROSIS (osteoarthritis) - is one of the most widely known arthritis variety which is characterized by the breakdown of the articular cartilage within the joint. When articular cartilage breaks down the bones start grinding together. This causes the development of symptoms such as pain, swelling, bone spur formation and decreased motion. The desease is more typical for people of older age and can vary from a light to a very serious form. Osteoarthrosis commonly affects weight bearing joints such as carpal, knee and hip but can also be found in other types of joints.

OSTEONECROSIS - is a disease which develops in the result of a decreased blood flow to a certain part of the bone. The main abnormality is the formation of bone defects and microfractures that may grow in size in the course of time and lead to bone infarction. If the necrosis occurs next to the joint surface it is generally considered to cause joint deformity and loss of joint motion. Femoral head osteonecrosis may develop after femoral neck fractures or hip joint diseases.

RHEUMATOID ARTHRITIS - is a complex disease of the whole body which is characterized by synovial tissue inflamation. Cartilage destruction promoted by the components in the rheumatoid synovial fluids may become widespread and severe and result in joint space loss. The main symptoms include: acute pain in the joint area, local temperature increase, soft tissue swelling, etc. At later stages the disease causes joint deformity and total or partial loss of motion.
Rheumatoid arthritis is commonly a chronic disease, however it can also manifest itself in exacerbation and remission periods.
roentgenograms of an osteonecrotic and operated hip joint











roentgenograms of an osteoarthritic and operated knee joint

FEMORAL NECK AND FEMORAL HEAD FRACTURES

For elderly people such fractures are very harrasing as they present serious problems for effective conservative and surgical treatment. Potential complications of inadequate treatment may be nonunion, femoral head osteonecrosis, continuous inactivity and bedsore problems, which often lead to lethal outcomes.
 

At their final stages most joint diseases lead to disability and are accompanied by pain symptoms which may be so intense that patients are doomed to sleepless nights. Unfortunately, conservative methods of treatment in such cases prove to be inefficient leaving very little hope of complete recovery.
Thus the only cardinal treatment option which makes it possible to relieve pain and restore the extremety length and resume the volume of joint motion is the TOTAL JOINT REPLACEMENT.





Arthroplasty - is a modern effective method of treating joint diseases which allows the patient to avoid painful and depressing disablement and brings back the genuine happiness of active life. The main idea of the operation is to restore the parts of the joint which were ruined by the disease with the help of the artificial implants.
A guaranteed result - complete renewal of all vital joint functions, restoration of the the joint fuctions, cease of pain, the extremety lenght restoration.
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After a total knee or hip replacement, performed at our centre, patients are encouraged to stand and start exercising walking the same day they are operated. As exercising is the most important part of the recovery process our staff will provide every patient with an individual healing program. Upon complete recovery all patients
can resume their usual life activities: they can work, take long hiking trips, swim, bike etc.
On the picture: Leaving the center. Scientific advisor of the center prof. I.M.Rublenyk and our patient Basista L. after arthroplasty operations on both hip joints.
REVISION ARTROPLASTY

The specialists of our center have gained considerable experience in revision arthroplasty. This kind of operation is performed when the earlier implanted artificial joint construction (or its parts) mulfunction or are damaged. Technologically revision arthroplasty surgery is at least three times more complicated than primary arthroplasty as it reqires both high individual mastery and abundant experience of the operaing surgeon.
At our center such operations are performed with a 5-year warranty.
Roentgenograms of the hip joint before and after revision artrhroplasty
 

SURGICAL TECHNICS


Our new finding is an improved and less invasive operative technic which has been developed to reduce loss of blood during artroplasty operations.

We have managed to reduce the size of the surgical incision during total hip joint replacement to 10 cm (while it is generally accepted to be 20 - 25 ñm long).


Our less invasive technics and our constant attempts to reduce the general operative time are important factors allowing to avoid donor blood transfusion and to reduce the operative loss of blood to 200-400 ml.

 
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Copyright © 2003 Nick Mourarash. All rights reserved.
Your questions or comments abour this website are welcome at: trauma@connect.cv.ua
Last modified: June, 2005