N.N. Priorov Journal of Traumatology and Orthopedics
type: channel
description: Peer-review medical journal Editor-in-Chief: Anton G. Nazarenko, MD, PhD, Professor Indexation: SCOPUS, Russian Science Citation Index, Google Scholar, Ulrich's Periodicals Directory, CrossRef, Dimensions. Distribution & Publication frequency: issuing quarterly (4 times per year) and continuously in Online First; hybrid distribution model. Peer-Review & APC: double blind; no article processing charge, Fast-Track, optional Open Access. ISSN 0869-8678 (Print) ISSN 2658-6738 (Online)
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 transfer article copyright to the publisher only after the acceptance to publication. Authors are able to use and distribute the article in accordance with Self-Archiving policy of the journal (see details). The article 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. Other copyrights not directly transferred to the publisher under the License Agreement, including patent rights to any process, method etc., described by the Authors in the article, as well as trademark rights, are reserved for the Authors. All the Copyright statements for authors are present in the standart Publishing Agreement (Public Offer) to Publish an Article in an Academic Periodical 'N.N. Priorov Journal of Traumatology and Orthopedics'. READ the details online (tap to see in details) Copyright transfer agreement for publishing a scientific work in a scientific journal (public offer) ver. 18.11.2025 LLC "Eco-Vector", represented by its CEO Evgeniy Schepin acting on the basis of the Charter (“Publisher”), on the one part, offers an indefinite number of persons (“Author”), on the other part, hereinafter jointly referred to as the Parties, to execute this agreement (“Agreement”) on the transfer of the exclusive right to the intellectual property – the scientific article and its publication in the Publisher’s journal under the following conditions. I. General Provisions This Agree…
items: https://journals.eco-vector.com/0869-8678/article/view/678103
items: Comparative analysis of hand function after surgical repair of finger flexor tendons
items: The possibility of using infrared thermography in assessing the condition of the lower limbs
items: Multislice computed tomography with intravenous bolus contrast enhancement in the assessment of pulmonary arteries
items: Experimental study of the fixation properties of various biomechanical options for plate osteosynthesis of comminuted impaction fractures of the tibial plateau
items: Comorbidity in the context of medical rehabilitation in patients after total arthroplasty of major lower limb joints
items: Comparative evaluation of the efficacy and safety of combination drugs in wound healing and wound infection control in blast injuries, gunshot injuries, and diabetic foot
items: Treatment experience of congenital radioulnar synostosis in children: case reports
items: Two-stage treatment of neglected perilunate wrist dislocations
items: Review of contemporary robotic systems used in total knee arthroplasty
items: Sagittal morphology of the spine and its predictive role in the pathogenesis of degenerative conditions. Historical aspects and contemporary views on the problem
items: From acquired flatfoot to progressive collapsing foot deformity: a review of classifications
items: Renander–Müller disease: current state of the problem
items: Prospects for the use of radiolucent materials in the design of external fixation devices
items: Academician Nikolay N. Priorov as one of the founders of Russian traumatology and orthopedics (on the occasion of the 140th anniversary of his birth)
items: Edgar R. Mattis (22.03.1941 — 04.09.2025)

https://journals.eco-vector.com/0869-8678/article/view/678103
type: item
title: Approach to the treatment of osteomyelitis and fractures with critical bone loss using biocomposites containing nanoparticulate polymeric systems for intracellular delivery of BMP-encoding plasmids, tenoxicam, and vancomycin
description: BACKGROUND: Osteomyelitis remains a pressing problem due to its high recurrence rate and risk of serious complications. The situation is exacerbated by increasing antibiotic resistance, which reduces the effectiveness of conventional antibacterial therapy. In this context, the development of novel therapeutic strategies for osteomyelitis, especially in cases accompanied by critical bone loss, is of particular importance. AIM: The work aimed to test an approach to the treatment of purulent-septic inflammation complicated by bone tissue loss using biocomposite bone implants impregnated with a gel exhibiting multifunctional pharmacological activity, providing local antibacterial, anti-inflammatory, and osteogenic effects. The efficacy of the approach was evaluated in a rat model of experimental osteomyelitis. METHODS: The research methods included the development of polysaccharide gels with mechanical and rheological properties similar to those of soft tissues (G’ = 176–271 kPa, G’’ = 3.7–4.2 kPa), containing 250 mg/g of dry polymer of amikacin and vancomycin, 0.28 mg/mL of tenoxicam gel, and 12.83 ng/mL of a plasmid encoding bone morphogenetic protein (BMP), thereby ensuring the implants exert local antibacterial and targeted anti-inflammatory effects in combination with stimulation of bone tissue growth. Two types of nanoparticulate carriers of different diameters were introduced into the gel: hyaluronic gel nanoparticles with a bimodal size distribution (d = 100 and 3000 nm) for intracellular delivery of tenoxicam into phagocytic immunocompetent cells, and nanocapsules coated with a transfection agent (d = 50–100 nm) for transmembrane transport of the plasmid into non-phagocytic cells, whose ribosomes synthesize BMP-2, initiating differentiation via the osteogenic pathway. Antibiotics are released from the carrier only in response to bacterial attack on the implant via bacterial enzymes, ensuring a local concentration 200 times higher than the bactericidal threshold…
creator: Valery A. Dyatlov
creator: Tatyana S. Seregina
creator: Anna A. Belyaeva
creator: Anna B. Malashiceva
creator: Marchel S. Vetrile
creator: Anna A. Vaniushenkova
creator: Eva S. Kostandyan
creator: Mikhail L. Sulpovar
creator: Yuri V. Grigoriev
creator: Anna P. Kordyukova
creator: Alexander V. Dyatlov
rights: Copyright (c) 2025 Eco-Vector https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-08-01
publication date: 2025-08-01
volume: 32
number: 3
starting page: 568
ending page: 584
doi: 10.17816/vto678103

Comparative analysis of hand function after surgical repair of finger flexor tendons
type: item
description: BACKGROUND: Surgical treatment of flexor tendon injuries is associated with a high rate of poor outcomes and disability. Improving treatment results may be achieved by searching for new suture materials. Numerous reports in the scientific data describe the potential use of nickel-titanium–based materials in surgery; however, no references to the use of nickel-titanium wire in tendon surgical reconstruction have been reported. AIM: To conduct a comparative study of long-term outcomes in patients with flexor tendon injuries of the triphalangeal fingers in the osteofibrous canal zone, using a superelastic nickel-titanium wire and a polypropylene thread. METHODS: An interventional, single-center, prospective, controlled, non-randomized clinical study included 110 patients with injuries of the flexor digitorum profundus tendons in the osteofibrous canal zone. Patients were divided into two groups: the main group (n = 65), where a superelastic nickel-titanium wire was used, and the control group (n = 45), where polypropylene was applied. Surgical repair was performed using the M-Tang technique with a six-strand suture in both groups. Follow-up lasted 12 months, with control points at days 7–10, weeks 3 and 6, and months 3, 6, and 12. The primary endpoint was functional recovery of the finger assessed with the FingerSurg scale by measuring active joint motion and comparing it with the uninjured finger. Additionally, grip strength, pinch strength, and DASH questionnaire scores were recorded. RESULTS: Use of the superelastic nickel-titanium wire in tendon suturing of the flexor digitorum profundus demonstrated a higher rate of excellent results (78.5%) and a significantly lower rate of poor outcomes (1.5%) compared with the control group (p = 0.042). Grip and pinch strength recovery was also superior, especially in patients with incised wounds and early surgical intervention. No differences in quality of life as measured by the DASH score were found between the groups at 12 …
creator: Vladimir M. Malishevsky
creator: Roman V. Paskov
creator: Konstantin S. Sergeev
rights: Copyright (c) 2025 Eco-Vector https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-08-11
publication date: 2025-08-11
volume: 32
number: 3
starting page: 586
ending page: 594
doi: 10.17816/vto634380

The possibility of using infrared thermography in assessing the condition of the lower limbs
type: item
description: BACKGROUND: Medical infrared thermography (MIT) is a method of recording thermal radiation from the surface of the human body, which allows to identify pathological conditions of the body at the preclinical stage, as well as to monitor the treatment and rehabilitation process over time. The advantages of this method include non-contact examination, non-invasiveness, harmlessness, lack of need for highly specialized personnel and expensive consumables. AIM: To assess the condition of the lower extremities using medical infrared thermography. MATERIALS AND METHODS: The present study refers to experimental, blinded, single-stage, selective, uncontrolled, single-center. The study included respondents aged 18–21 years with no history of somatic diseases of the lower extremities. During the study, thermographic images of the anterior and posterior surfaces of both lower extremities were performed, after which points were placed on each of them indicating the temperature of the specified areas. These points were selected according to the anatomical location of the vessels of the lower extremities. The main outcome is the average values of the percentage change in temperature; an additional one is the identification of the relationship between the percentage change in temperature and the volume of subcutaneous fat. The study duration is 2,5 months. The chi-square criterion was used to calculate the statistical significance of the study. RESULTS: During this study, it was revealed that the physiological phenomenon of a decrease in temperature in the lower extremities from the proximal to the distal sections can be applied in practice (p <0.001). The graphs constructed in the course of the work proved that the percentage change in temperature does not depend on the state of subcutaneous fat, which differs from the temperature of anatomical points, the values of which completely depend on the volume of the fat layer in humans. CONCLUSIONS: this study is the first step towards …
creator: Artem M. Morozov
creator: Alexey N. Sergeev
creator: Kseniya D. Egorova
creator: Arina S. Burlakova
rights: Copyright (c) 2025 Eco-Vector https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-28
publication date: 2025-07-28
volume: 32
number: 3
starting page: 596
ending page: 612
doi: 10.17816/vto676947

Multislice computed tomography with intravenous bolus contrast enhancement in the assessment of pulmonary arteries
type: item
description: BACKGROUND: Patients with COVID-19-associated pneumonia are at high risk of thrombotic complications, including in the postoperative period. Multislice computed tomography with intravenous bolus contrast enhancement improves the visualization of the pulmonary vasculature, enabling accurate identification of thrombi, degree of stenosis, and occlusion. This noninvasive and highly informative method allows for the prompt and precise diagnosis of life-threatening conditions such as pulmonary embolism, as well as the confirmation or exclusion of other vascular conditions. Multislice computed tomography with intravenous bolus contrast enhancement is a modern, rapid, and accurate diagnostic tool for detecting and evaluating pathological changes in the pulmonary arteries, which is critical for an optimal treatment planning and improving patient outcomes. AIM: The work aimed to evaluate the use of multislice computed tomography with intravenous bolus contrast enhancement in diagnosing pulmonary embolism in patients with COVID-19-associated pneumonia; to analyze the correlation between the incidence of pulmonary embolism and the severity and stage of SARS-CoV-2-induced pneumonia. METHODS: A retrospective study was conducted including 184 patients with COVID-19-associated pneumonia and suspected pulmonary embolism based on laboratory findings. All patients underwent contrast-enhanced multislice computed tomography angiography to assess pulmonary arterial branches and parenchymal lung changes. RESULTS: Based on the study findings, pulmonary embolism was diagnosed in one out of five patients, most frequently presenting with mild perfusion deficits and minimal pulmonary parenchymal involvement due to pneumonia. CONCLUSION: The study demonstrated the high diagnostic value of multislice computed tomography angiography in detecting pulmonary embolism in patients.
creator: Ekaterina P. Kalinina
creator: Irina A. Snimshchikova
creator: Irina B. Belova
creator: Anna V. Konshina
rights: Copyright (c) 2025 Eco-Vector https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-31
publication date: 2025-07-31
volume: 32
number: 3
starting page: 614
ending page: 624
doi: 10.17816/vto678923

Experimental study of the fixation properties of various biomechanical options for plate osteosynthesis of comminuted impaction fractures of the tibial plateau
type: item
description: BACKGROUND: Various biomechanical options are used in surgical practice to fix osteochondral fragments, including support on a bone graft reinforced with subchondral wires, osteosynthesis with forked fixators, and specialized plates with screws placed directly under the articular surface fragments. In the work, a method of subchondral tensioned reinforcement was utilized. AIM: The work aimed to evaluate and compare the fixation properties of different biomechanical osteosynthesis options for comminuted intra-articular fractures using porcine tibial bone models. METHODS: An indented, single-center, non-blinded experimental study included two types of models that shared identical fracture configurations, bone defect parameters, and non-tensioned wire reinforcement: A, with the bone defect filled with a graft, and B, without a bone graft. The results of osteosynthesis in models A and B were examined: 1) plate osteosynthesis with support of the articular surface on a bone autograft, option A-I; 2) plate osteosynthesis with support of the articular surface on the plate’s fixing elements and the bone graft, option A-II; 3) plate osteosynthesis with fixation of articular surface fragments using U-shaped tensioned wires, option B-III; 4) osteosynthesis with fixation of the articular surface using tensioned subchondral wires in a modular plate-based fixation device, option B-IV. Testing was performed under static indentation on models from the proximal metaphyseal-epiphyseal region of porcine tibia. RESULTS: The best fixation properties were observed in the tensioned subchondral reinforcement options B-III and B-IV compared with non-tensioned wire reinforcement (model A). When comparing the four biomechanical options, the best strength characteristics were observed in the variants with tensioned subchondral reinforcement: B-III and B-IV. In the study of Option A-II, the resistance of the biomechanical system to vertical load was lower than in Options B-III and B-IV. The wors…
creator: Mikhail E. Kupitman
creator: Igor A. Atmansky
creator: Anastasia V. Ignatova
rights: Copyright (c) 2025 Eco-Vector https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-24
publication date: 2025-07-24
volume: 32
number: 3
starting page: 626
ending page: 635
doi: 10.17816/vto640844

Comorbidity in the context of medical rehabilitation in patients after total arthroplasty of major lower limb joints
type: item
description: BACKGROUND: The effectiveness of restoring motor activity after total arthroplasty of major lower limb joints (TAMLJ) is determined by baseline physical activity, demographic characteristics, body mass index, comorbidities, and the presence of chronic pain. AIM: To assess the impact of comorbid conditions on the effectiveness of medical rehabilitation in patients after TAMLJ and to substantiate optimal approaches to restorative treatment. METHODS: A prospective cohort study involving 120 patients aged 55–70 years was conducted. Four groups were formed: control (without comorbidity), with hypertension (HT), diabetes mellitus (DM), and overweight (OW). The rehabilitation program included individualized therapeutic exercise, mechanotherapy, physiotherapy, and locomotor correction using the HP Cosmos robotic system. Its effectiveness was evaluated with the visual analog scale (VAS), WOMAC score, Lequesne index, Harris Hip Score, goniometry, and biomechanical gait analysis. RESULTS: All groups demonstrated positive trends, though the degree of improvement depended on the presence and type of comorbidity. The most pronounced results were observed in the control group: VAS decreased from 5.56 ± 0.82 to 1.21 ± 0.07; flexion angle improved from 122.06 ± 3.39° to 95.58 ± 1.27°; Lequesne index decreased from 14.42 ± 0.33 to 7.24 ± 0.16; Harris Hip Score improved from 47.90 ± 1.55 to 79.92 ± 0.75; WOMAC score improved from 48.36 ± 1.54 to 13.42 ± 1.04. In patients with HT, DM, and OW, the trends were less pronounced: pain reduction was from 5.62 ± 0.95 to 1.45 ± 0.09, from 5.89 ± 0.98 to 1.68 ± 0.11, and from 5.93 ± 1.01 to 1.89 ± 0.12 points, respectively. The smallest functional gain was observed in OW patients (WOMAC: 48.33 ± 1.53 to 24.74 ± 3.47). CONCLUSION: The presence of comorbid conditions slows functional recovery after TAMLJ. The implementation of robotic mechanotherapy into early postoperative rehabilitation improves its effectiveness.
creator: Stella S. Khoziainova
creator: Oksana V. Kustova
creator: Gennady N. Ponomarenko
creator: Nina N. Makhotkina
rights: Copyright (c) 2025 Eco-Vector https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-08-11
publication date: 2025-08-11
volume: 32
number: 3
starting page: 636
ending page: 643
doi: 10.17816/vto655530

Comparative evaluation of the efficacy and safety of combination drugs in wound healing and wound infection control in blast injuries, gunshot injuries, and diabetic foot
type: item
description: BACKGROUND: Infected wounds, including those resulting from blast and gunshot injuries as well as diabetic foot, are a significant medical concern due to the high risk of complications and the need for long-term care. Therefore, the search for effective and safe topical therapies remains relevant. We performed a comparative evaluation of the efficacy of selected combination antimicrobial drugs and an antiseptic in treating such wounds, analyzing their effects on tissue regeneration, microbial burden, and clinical outcomes. AIM: The work aimed to assess the efficacy and safety of dioxomethyltetrahydropyrimidine + lidocaine + ofloxacin, dioxomethyltetrahydropyrimidine + chloramphenicol, and povidone-iodine in the treatment of infected wounds of various etiologies. METHODS: A single-center, open-label, non-interventional, observational, randomized controlled study was conducted in 60 patients (40 with blast/gunshot injuries and 20 with diabetic foot). Three drug products were selected for comparison: dioxomethyltetrahydropyrimidine + lidocaine + ofloxacin (Oflomelid, Sintez, Russia); dioxomethyltetrahydropyrimidine + chloramphenicol (Levomecol, Nizhpharm, Russia); and povidone-iodine (Betadine, Egis, Hungary). Treatment involved daily wound care throughout the observation period. Treatment outcomes included changes in wound healing (area, depth, exudate volume), pain intensity, and microbiological and biochemical parameters. RESULTS: Dioxomethyltetrahydropyrimidine + lidocaine + ofloxacin was associated with significantly greater changes in wound healing: reduction in wound area (p < 0.001) and depth (p = 0.008), and decreased exudate volume (72.7% of patients without exudate by visit 4). Pain reduction was also more pronounced in the dioxomethyltetrahydropyrimidine + lidocaine + ofloxacin group (p < 0.001). All therapies effectively suppressed the growth of Staphylococcus aureus; however, combination antimicrobial drugs outperformed the antiseptic by approximately 20%…
creator: Mikhail V. Parshikov
creator: Mikhail V. Govorov
creator: Nikolay V. Yarigin
creator: Arsentiy B. Koshkin
creator: Oleg D. Podkosov
rights: Copyright (c) 2025 Eco-Vector https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-09-05
publication date: 2025-09-05
volume: 32
number: 3
starting page: 644
ending page: 655
doi: 10.17816/vto679737

Treatment experience of congenital radioulnar synostosis in children: case reports
type: item
description: INTRODUCTION: Congenital radioulnar synostosis is a rare orphan condition that impairs a child’s ability to adapt to everyday life and causes difficulties in acquiring writing and hygiene skills. Parents of children with this condition typically note a pronated position of the forearm and hand, along with the absence of rotational movements in the forearm. The diagnosis is based on radiographs of the forearm, and the type of synostosis is determined according to the Cleary–Omer classification. There is no conservative treatment for this condition. Over 20 surgical techniques have been described, which makes the indications and choice of a particular surgical method a subject of ongoing debate. CASE DESCRIPTION: This paper presents the clinical experience of treating congenital radioulnar synostosis in 12 children between January 2018 and March 2024. A total of 16 surgical procedures were performed: 14 derotational osteotomies at the synostosis level according to the Green technique with wire fixation, and 2 procedures using a combined method involving derotational osteotomy at the synostosis level with wire fixation and a corrective radial osteotomy in the middle third with plate fixation. The surgical technique and specific features of the fixation method are described in detail. Possible complications are discussed. Treatment outcomes were evaluated over a follow-up period ranging from 1 to 5 years postoperatively. All patients achieved functional positioning of the forearm in the neutral position, improved quality of life, and acquired new hygiene and learning skills. In the postoperative period, transient neuropathy of the deep branch of the radial nerve was observed in 5 out of 16 surgical interventions for congenital radioulnar synostosis, manifested by finger extensor paresis. One case of delayed consolidation was also noted following the two-level osteotomy. CONCLUSION: Treatment of radioulnar synostosis at a younger age is less traumatic, as the deformity i…
creator: Elizaveta F. Shule
creator: Oleg V. Kozhevnikov
creator: Svetlana E. Kralina
creator: Inna V Gribova
rights: Copyright (c) 2025 Eco-Vector https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-26
publication date: 2025-07-26
volume: 32
number: 3
starting page: 656
ending page: 664
doi: 10.17816/vto629232

Two-stage treatment of neglected perilunate wrist dislocations
type: item
description: INTRODUCTION: The treatment of neglected perilunate dislocations of the wrist remains a complex challenge for surgeons. To address this issue, hand surgeons have several options in their arsenal: open reduction, lunate excision, proximal row carpectomy, arthrodesis, and arthroplasty. Open reduction appears to be an attractive approach, as it allows restoring normal wrist anatomy with preserving the possibility of future procedures in case of failure. However, there is no consensus among contemporary surgeons regarding the acceptable time interval between injury and surgery. Likewise, opinions differ on the technique of reduction itself. CASE DESCRIPTION: The treatment of 8 patients aged 24 to 42 years with neglected perilunate dislocations was analyzed. The interval between injury and surgery ranged from 1.5 to 19 months. The first stage involved application of an Ilizarov external fixator for gradual preoperative distraction of the wrist joint. After 2–4 weeks, the Ilizarov external fixator was removed, and open reduction followed by fixation with wires was performed. At the second stage, in three cases, scaphoid osteosynthesis with a screw and free bone grafting were additionally performed. In all cases, gradual distraction enabled progressive soft tissue elongation without ischemic or neurological complications. At the second stage, all perilunate dislocations were successfully reduced via open approach. Functional outcomes were assessed 6 to 60 months after open reduction using the Mayo wrist score. Hand function improved in 6 patients (60–80 points) and was fully restored in 2 patients with a 1.5-month injury duration (100 points). In patients (3) with scaphoid pseudarthrosis, bone union was achieved. In the long-term follow-up, 3 patients developed radiological signs of post-traumatic wrist osteoarthritis, including partial resorption of the lunate, capitate, and hamate in 2 cases. CONCLUSION: Preliminary wrist joint distraction facilitated and simplified the …
creator: Alexander S. Zolotov
creator: Yuliya A. Diachkova
creator: Bair N. Bochaev
creator: Ilya S. Sidorenko
rights: Copyright (c) 2025 Eco-Vector https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-05-22
publication date: 2025-05-22
volume: 32
number: 3
starting page: 666
ending page: 674
doi: 10.17816/vto633526

Review of contemporary robotic systems used in total knee arthroplasty
type: item
description: Recent advances in orthopedic technologies have significantly increased surgeons’ interest in robotic systems used for total knee arthroplasty. The use of robotic platforms in routine clinical practice enhances the precision of implant component positioning, improves soft tissue balance, and potentially shortens postoperative recovery time. This work aimed to provide a comparative overview of modern robotic systems utilized in primary total knee arthroplasty. A systematic search of scientific data was conducted in the PubMed, Scopus, ResearchGate, and eLIBRARY databases using relevant keywords in both Russian and English. The review includes randomized and non-randomized studies, meta-analyses, narrative reviews, and systematic reviews published over the past five years. Active and semi-active systems are identified and described in detail, along with their operating mechanisms, features of preoperative planning (image-based vs image-less), and differences between open and closed platforms. Comparative characteristics of the most widely used systems—ROSA, MAKO, VELYS, CORI, and Cuvis Joint—are presented, highlighting their advantages and limitations according to our opinion. The analysis demonstrates that none of the systems is universal; each has its own strengths and weaknesses, and the choice depends on the surgeon’s preferences, the team’s experience, and the capabilities of the medical institution. Despite the high cost of equipment and the need for specialized training, robotic technologies continue to develop rapidly and are being increasingly adopted in orthopedic surgery, including in Russia, underscoring their potential to improve treatment outcomes for patients with gonarthrosis.
creator: Georgii A. Airapetov
creator: Nikolay V. Zagorodniy
creator: Armen A. Daniliyants
creator: Sergey V. Bezverkhiy
creator: Vadim F. Naidanov
creator: Ivan A. Dmitrov
creator: Anjum H.A. Al Kafavin
creator: Dmitry A. Samkovich
rights: Copyright (c) 2025 Eco-Vector https://eco-vector.com/for_authors.php#07
date: 2025-07-27
publication date: 2025-07-27
volume: 32
number: 3
starting page: 676
ending page: 684
doi: 10.17816/vto646214

Sagittal morphology of the spine and its predictive role in the pathogenesis of degenerative conditions. Historical aspects and contemporary views on the problem
type: item
description: Bipedalism in humans is linked to the need for constant horizontal gaze maintenance and an ergonomic vertical posture. These physiological characteristics of Homo sapiens are made possible by three reciprocal sagittal curvatures of the spine, the profile configuration of which, as studies have shown, exhibits considerable variability in the population of healthy individuals. The issue of systematizing the sagittal morphology of the spinopelvic complex, considering its constitutional ambiguity, has been a subject of increasing attention among researchers since the mid-1970s. The classification proposed by Roussouly in 2005 can be considered the quintessence of the accumulated global experience. In addition to systematizing the profile configuration of the spine, the author placed significant emphasis on the biomechanical specificity of its morphotypes and their predictive role in the pathogenesis of degenerative diseases. The problem of sagittal morphology variability and its morphotyping remains relevant to this day and is the subject of numerous scientific discussions. However, forming a comprehensive understanding of this issue is difficult due to the narrow focus of the conclusions and the lack of systematic works. The present review is analytical in nature and was conducted using medical scientific databases and search resources such as PubMed and eLibrary. The article explores the historical aspects of the formation of the concept of the spinopelvic complex morphotyping, as well as analyzes the predictive role of sagittal biomechanics of the spine in the pathogenesis of its degenerative condition.
creator: Аleksey Е. Shulga
creator: Vladimir Yu. Ulyanov
creator: Yuliya Yu. Rozhkova
creator: Stanislav D. Shuvalov
rights: Copyright (c) 2025 Eco-Vector https://eco-vector.com/for_authors.php#07
date: 2025-07-24
publication date: 2025-07-24
volume: 32
number: 3
starting page: 686
ending page: 697
doi: 10.17816/vto642022

From acquired flatfoot to progressive collapsing foot deformity: a review of classifications
type: item
description: Flatfoot deformity has historically been a complex problem, characterized by a combination of multiplanar deviations. To date, a wide range of classifications has been proposed, based on various principles—from posterior tibial tendon dysfunction, historically considered the primary cause of deformity, to segmentation by foot regions and specific types of deformities within them. A major challenge lies in the fact that foot deformity, as described below, does not follow a linear pattern, and various deformity combinations frequently occur, complicating its systematization. The work aimed to analyze existing and most widely used classifications of flatfoot deformity that have been proposed at different times and remain relevant in foot and ankle surgery, with emphasis on their features and limitations. A scientific data review was conducted using PubMed, eLIBRARY.RU, and CyberLeninka databases with the search terms классификация плосковальгусной деформации / classification of flatfoot deformity and flatfoot deformity. A total of 12 sources were selected for the review. The analyzed scientific data covered the period from 1988 to 2025. In the course of the review, an evident trend was identified toward more detailed segmentation of the deformity by different regions of the foot and the types of abnormalities within them. We observed a shift from hierarchical to faceted classifications, reflecting attempts to encompass the wide variability of deformities across all foot regions and their combinations encountered in clinical practice. And despite numerous attempts at systematization, there is still no universal classification that fully reflects all aspects of flatfoot deformity and satisfies the needs of clinicians in determining patient management strategies for this condition.
creator: Anatoly K. Mursalov
creator: Konstantin S. Ivanov
creator: Alexey M. Dzyuba
creator: Mariya S. Rogova
rights: Copyright (c) 2025 Eco-Vector https://eco-vector.com/for_authors.php#07
date: 2025-08-14
publication date: 2025-08-14
volume: 32
number: 3
starting page: 698
ending page: 706
doi: 10.17816/vto636196

Renander–Müller disease: current state of the problem
type: item
description: This scientific data review addresses the issues of diagnosis and treatment of avascular necrosis of the sesamoid bones, also known as Renander–Müller disease. This condition is relatively rare and predominantly affects physically active young individuals. The combination of these two factors contributes to diagnostic challenges, persistent functional impairment, and a high rate of disability. No publications on this condition were found in Russian. The scientific data search was conducted using the PubMed, Medline, Scopus, Google Scholar, and eLIBRARY databases. A total of 47 publications were included in the review. The search was performed using the following keywords, their derivatives, and combinations in the titles and abstracts: avascular necrosis of the sesamoid, sesamoid AVN, hallucial sesamoid disorders, Renander–Müller disease, osteonecrosis, sesamoidectomy, and sesamoid. The initial screening for inclusion criteria was conducted using the titles and abstracts, followed by full-text analysis of the selected articles. Sources without accessible full-text versions were excluded from the analysis.
creator: Alexander V. Skrebtsov
creator: Viktor G. Protsko
creator: Nikolay V. Zagorodniy
creator: Vladimir V. Skrebtsov
creator: Vsevolod O. Kalensky
creator: Sargon K. Tamoev
creator: Daniil G. Agafonov
rights: Copyright (c) 2025 Eco-Vector https://eco-vector.com/for_authors.php#07
date: 2025-07-28
publication date: 2025-07-28
volume: 32
number: 3
starting page: 708
ending page: 716
doi: 10.17816/vto634015

Prospects for the use of radiolucent materials in the design of external fixation devices
type: item
description: The use of radiolucent materials represents a relevant direction in the search for new technological solutions aimed at improving the performance characteristics of medical devices. This work presents a review and an analysis of the feasibility of using modern composite materials with radiolucent properties in external fixation devices (EFD). The most significant aspects of polymer composite application in medical devices are highlighted. The physical, mechanical, and radiological properties of composite materials best suited for the production of rod-beam and ring fixation systems are described. An additional advantage of radiolucent external fixation devices is their light weight, which is ensured by the lower density of polymer materials, serving as matrices for the composites used to manufacture EFD components, compared with metal alloys. The possibility of autoclave sterilization of polymer composite products is demonstrated, indicating their potential use as components of external fixation systems. Clinical cases involving external fixators with radiolucent components are reviewed, along with examples of commercially available (mass-produced) external fixation devices. The potential for 3D printing to be used in manufacturing EFD components is shown, although it is not currently considered a primary method for EFD production. Radiolucent external fixation devices made from modern composite materials enhance fracture reduction, allow for targeted radiotherapy at required doses, and improve radiographic visualization during intraoperative and postoperative periods. These benefits enable timely treatment adjustments and help reduce the risk of complications. This makes their development a promising scientific and industrial avenue aimed at solving specific clinical problems.
creator: Leonid L. Bionyshev-Abramov
creator: Yulia S. Lukina
creator: Valery G. Bulgakov
creator: Nikolay S. Gavryushenko
rights: Copyright (c) 2025 Eco-Vector https://eco-vector.com/for_authors.php#07
date: 2025-07-30
publication date: 2025-07-30
volume: 32
number: 3
starting page: 718
ending page: 726
doi: 10.17816/vto642813

Academician Nikolay N. Priorov as one of the founders of Russian traumatology and orthopedics (on the occasion of the 140th anniversary of his birth)
type: item
description: Today, traumatology and orthopedics are among the most important areas of medical care. Pirogov, Turner, Vreden, Chaklin, and Rozanov are traditionally recognized as the founders of these fields. Another figure who dedicated his life to the study of traumatology and orthopedics and deserves inclusion in this list is Nikolay N. Priorov. This work aims to present the most comprehensive information on the professional path of Academician Priorov as one of the founders of Russian traumatology and orthopedics, in honor of the 140th anniversary of his birth. The methodological foundation of the article includes a systemic approach based on the principles of historicism, objectivity, and scientific rigor, as well as general scientific methods (such as generalization, analysis, synthesis, and induction). The study is based on archival documents, scientific data, books, and articles. Priorov achieved outstanding success as a teacher, scientist, and physician. He held the titles of Doctor of Medical Sciences, Professor, Head of the Department of Traumatology and Orthopedics at several institutions, Academician of the USSR Academy of Medical Sciences, Honored Scientist of the Russian Soviet Federative Socialist Republic, Deputy Minister of Health of the USSR, founder of the Moscow and All-Union Societies of Traumatologists and Orthopedists, and a member of several international medical societies. One of his major achievements was the establishment of the Institute of Prosthetics and Treatment, which was later named after him. For 40 years, Academician Priorov served as its permanent director of this institution. Today, it is known as the Priorov National Medical Research Center for Traumatology and Orthopedics under the Ministry of Health of Russia. Of particular note is Priorov’s role as Chief Surgeon in the hospital directorates of the People’s Commissariat of Health during the Great Patriotic War. His work focused on organizing the treatment and rehabilitation of the wounde…
creator: Anna V. Andreeva
creator: Inna G. Isupova
creator: Ivan M. Kobelev
creator: Gleb O. Samburov
creator: Galina B. Chetskaya
rights: Copyright (c) 2025 Eco-Vector https://creativecommons.org/licenses/by-nc-nd/4.0/
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
date: 2025-07-25
publication date: 2025-07-25
volume: 32
number: 3
starting page: 728
ending page: 735
doi: 10.17816/vto685601

Edgar R. Mattis (22.03.1941 — 04.09.2025)
type: item
description: Edgar R. Mattis, doctor of sciences in medicine, passed away on september 4, 2025, at the age of 84. Dr. Mattis headed the patent group at the N.N. Priorov National Medical Research Center of Traumatology and Orthopedics for many years, making significant contributions to the scientific and technical development of these fields. His colleagues and students are devastated by this irreparable loss.
creator: Team Editorial
rights: Copyright (c) 2025 Eco-Vector https://eco-vector.com/for_authors.php#07
date: 2025-09-12
publication date: 2025-09-12
volume: 32
number: 3
starting page: 736
ending page: 737
doi: 10.17816/vto690222