Was performed appraisal of the scientific work


17-14-2016 y.

In the Department was performed appraisal of the scientific work of the assistant Ashrapov JR on a theme “Supratentorial glial brain tumors at children (clinics, diagnostics treatment and prognosis)” for doctoral degree on specialty “Neurosurgery”. Theme had very interested participating department staff and master degree students. After 22 minutes of report, there were given over 30 questions. After reviewers’ appearance, the works was considered as finished and after removal of some non-principal technical imperfections there were recommended to permit the work to the following stages of defence.

Minimally Invasive Versus Open Distal Fibular Plating for AO/OTA 44-B Ankle Fractures.



Open reduction and internal fixation (ORIF), the standard treatment for unstable ankle fractures, has well-known wound complications. Minimally invasive surgery (MIS) has been proposed to decrease these complications. The objectives of this study were to describe an algorithm of MIS for fibular plating and compare the radiographic restoration of fibular anatomy, functional outcomes, and complications between ORIF and MIS for ankle fractures.


This retrospective study included 71 patients with AO/OTA 44-B ankle fractures treated by a single surgeon. ORIF group consisted of 34 patients (54.5-month follow-up) and MIS group was composed of 37 patients (55.9-month follow-up). Among 37 MIS patients, 13 patients were treated with minimally invasive percutaneous plate osteosynthesis and 24 patients with minimally invasive trans-fracture approach according to our MIS algorithm. Operative outcomes were evaluated and compared between the 2 groups by radiographic measurements, functional assessment, and complications.


The MIS group had less blood loss but longer operative time and greater exposure to fluoroscopy. Radiographic measurements revealed similar union time, fibular length, talocrural angle, medial clear space, and tibiofibular clear space in both groups. Lower visual analogue pain score was observed in the MIS group in the early postoperative period. At last follow-up, there were no significant differences regarding pain score, American Orthopaedic Foot & Ankle Society ankle-hindfoot score, and range of motion between the 2 groups. Total complication rate was significantly higher in the ORIF group.


Patients with AO/OTA 44-B fractures treated with MIS fibular plating achieved similar radiographic and functional outcomes but had less pain in the early postoperative period and fewer wound complications compared with those treated with ORIF.

Level Of Evidence

Level III, retrospective comparative study.

Even Low-Levels of Common Metal Linked to Weaker Bones

Reuters Health Information

By Lisa Rapaport

(Reuters Health) – Low levels of exposure to the metal cadmium may increase the risk of weaker bones and fractures in elderly men, a Swedish study suggests.

Cadmium is a naturally occurring metal used in batteries and found in cigarette smoke and exhaust from fossil fuels or waste incineration. As a result of crops grown in contaminated soil, many foods also contain cadmium.

Long-term exposure to high levels of the metal, typically through smoking or contaminated food, has been linked to certain cancers as well as osteoporosis, which disproportionately affects women. But little was known about the risks of low-level exposure or the effects on men, the researchers note.

“Previous studies have been conducted mainly in women or in populations with higher exposure to cadmium, but now we find that also low-level exposure in men has negative effects on the skeleton,” lead study author Dr. Maria Wallin, an environmental health researcher at Sahlgrenska University Hospital and the University of Gothenburg in Sweden, said by email.

For the current study, Wallin and colleagues followed more than 900 elderly men for an average of nine years.

At the start of the study, the men were 75 years old, on average, and they were typically a little bit overweight. More than half were former smokers and 8% currently smoked.

When men joined the study, between 2002 and 2004, researchers tested urine for cadmium exposure, reviewed X-rays and health registry data for bone health and fracture information, and also examined results from questionnaires on diet, smoking and exercise habits.

They sorted the men into four quartiles based on their level of cadmium exposure.

By the end of the study period in 2013, the men with the highest cadmium exposure were 30% more likely to have had fractures than those with the lowest exposure, and they were 40% more likely to have had fractures linked to osteoporosis.

For the subset of men who never smoked, the group with the highest cadmium exposure was 50% more likely to have had fractures than those in the lowest exposure group, and they were 90% more likely to have fractures linked to osteoporosis.

The results in nonsmokers are particularly striking because these men tend to have much lower overall cadmium exposure than their peers who are current or former smokers, the researchers note in their report in the Journal of Bone and Mineral Research, online November 17.

“The best way to reduce your exposure to cadmium is to stop smoking,” Wallin noted.

One limitation of the study is that fractures tied to osteoporosis are unusually high in Sweden, which may mean the findings aren’t as meaningful for people in other countries, the authors concede. It’s also possible that because the men in the study were quite old, the effect of cadmium might be different for younger men.

Cadmium is found naturally in the soil at very low concentrations, and certain agricultural practices can release more of the metal into the environment and lead to presence of the metal in the food supply, noted Dr. Anna Callan, a researcher at Edith Cowan University in Joondalup, Australia, who wasn’t involved in the study.

“Because cadmium is present in so many food types, there is no simple way to reduce dietary exposure,” Callan said by email. “The best advice is to follow a balanced and varied diet and to eat low-fat dairy foods as a source of calcium to help build strong bones.”

SOURCE: http://bit.ly/1N3K3Pl

J Bone Miner Res 2015.


December 14, 2015 we visited a professor of India, the city of New Delhi FORTIS ESCORTS BONE & SPINE INSTITUTE, THE BONE CLINIC DR. NITIRAJ OBEROI. The visit of Professor OBEROI was warmly received by the employees of the department “Trauma-Orthopedics, field surgery and neurosurgery” medico-pedagogical faculty of the Tashkent Medical Academy and chief physician of RCH №1 Ibragimov A.Yu.


Chief physician RCH №1 opened the event with his welcoming speech and told the guests the history of the clinic and its further development. Professor Asilova SU He gave the floor to Professor OBEROI he told the audience about the diseases of the spine, its implications, osteoporosis, prosthetics and mini invasive arthroscopic treatment, as well as its experience in the application.


At 14.00 Prof. DR. NITIRAJ OBEROI visited Tashkent Medical Academy. The guests will meet Vice Rector for Research of the TMA professor Sh.A.Baymuradov and thanked him for coming. Both parties hope to cooperation between educational institutions on studies and science.


Prof. DR. NITIRAJ OBEROI read public lectures on the theme of “Hip and knee joints” and “Treatment of minimally invasive arthroscopic technique of the knee joint damage,” graduate students and clinical residents. The students listened to the lecture with interest. The lecture was great.


In conclusion, Professor S.U.Asilova thanked the participants and the audience and showed hope for cooperation on scientific and practical issues.

Members and staff of the lecture TMA back with fond memories.

The visit of professor Pier Georgio Vassina and colleagues from Modena Medical University, Italy

In November, 17-th of 2015 became a visit of professor Pier Giorgio Vassina from Modena Medical University, Italy. First of all professor Vassina has visited the Department of Traumatology and Orthopedics, Neurosurgery and Field surgery, Medical and pedagogical faculty. There he had got a warm welcome from Department staff, and head of the Department Khujanazarov I.E. PhD


During welcoming speech, Professor Vassina has introduced the students, staff of the Department and hospital with own experience on hip arthroplasty, and advantages of developed by him technique of minimal invasive approach to hip joint.


At 2.00 PM, Professor Pier Giorgio Vassina visited the Tashkent Medical Academy. There he had welcome by vice-rector on scientific work Professor Boymurodov Sh.A. In his welcome speech, Professor Boymuradov Sh.A. had shown his appreciation and the hope for deep collaboration between two Universities in science and education.


Professor Pier Georgio Vassina has read the open lecture for master degree students on a theme “Anterior approach in hip surgery”. The students had listened the lection with interest. There were asked a number of questions as from students as from teachers about operation technique, it’s advantages and Professor Vassiana’s experience.


In Professor Sh.A.Boymuradov’s final speech, he had an appreciation to Professor Vassina and again noted about importance of deep collaboration and deep integration into world scientific society.


The Delegates had a part with TMA staff with feelings of satisfaction from the spent day.