CAYOTSS

Artroskopik rotator manjeta rekonstruksiyasini asellular dermal matriks allograft "patch" yordamida kuchaytirish: uch qatorli chok-ko‘prigi (triple-row suture bridge) texnikasiga integratsiya qilish Mualliflar: Woo-Yong Lee, M.D., Ph.D. Hyung-Jin Chung, M.D., Ph.D. Kyung-Cheon Kim, M.D., Ph.D. Jae-Young Park, M.D. Birinchi marta nashr etilgan: 7-may, 2026-yil DOI: 10.1002/atn2.70042

Endoprotezlashda "tezkor tiklanish" — bu alohida texnika emas, balki 17 ta oddiy qadamning tizimli bajarilishi. ERAS® Society konsensusida eng qiziq jihat shundaki, tavsiyalarning deyarli yarmi — nimanidir qo'shish emas, balki to'xtatish haqida. Rutin drenaj, jgut, siydik katetri, yarim tundan boshlab och qoldirish... Bularning barchasi bir vaqtlar standart bo'lgan, bugun esa dalil ularni qo'llab-quvvatlamaydi. Eng yaxshi tomoni: bu qadamlar deyarli hech qanday qo'shimcha xarajat talab qilmaydi. Checklist:

A practical, bone-based decision algorithm for surface-based chondral repair and summarizes indications, technical considerations, and current outcomes evidence to guide optimal treatment selection and clinical decision-making #cartilage #sportsortho #arthroscopy

Соннинг тўғри мушак пайи олдинги крестсимон(кесишган) болам реконструкциясида башорат қилишга нисбатан осон антропометрияси билан устун. - проспектив тадқиқот. —— Due to its highly predictable anthropometrics, the rectus femoris tendon provides a superior autograft alternative for anterior cruciate ligament reconstruction in prospective evaluation. ©️Orthopaedic Journal of Sports Medicine

Сон суяги бўйинчаси синишлари статистикасида “обновление”. Journal of the American Medical Association шундай ёзмоқда: “Hip fractures affect more than 14.2 million people worldwide each year, with increased risk among older adults, particularly women and individuals with low bone mineral density. Most hip fractures result from falls, and 1-year mortality rates can be as high as 22%, with many patients experiencing lasting loss of mobility and independence. Management includes prompt surgical repair, physical therapy, fall risk reduction strategies, and long-term use of antiresorptive or anabolic therapy, such as bisphosphonates, denosumab, or parathyroid hormone analogues, to prevent future fractures.” PS. JAMAнинг обрўси жуда баланд. Журнал барча тиббий журналлар рейтингида шу кеча-кундузда 66 IF билан 4-ўринни эгаллаб турипти. ©️ https://ja.ma/4wdjtiE

Incorrect site of incision Incision to the lateral side of the tendon can cause a laceration of the sural nerve or the small saphenous vein. Incision directly in the midline of the tendon can cause irritation because there is very little subcutaneous fat in the midline and the scar can cause irritation when wearing shoes. Careless tissue handling  Extensive separation of the skin and subcutis from the underlying tissues can produce problems with circulation and thus wound healing. Incise all layers of the skin with one swift but careful move of the blade.  Handle the peritenon with care so that it can be sutured at the end of the procedure and thus provide circulation and nutrition to the tendon.  The course of the sural nerve at the lateral side of the tendon should be considered when suturing the tendon and closing the wound. Read the full article at Osgenic

Axilles payi rekonstruksiyasida uchraydigan xatolar Kesma joyining noto'g'ri tanlanishi Paydan lateral tomondagi kesma — n. suralis yoki v. saphena parva shikastlanishiga olib keladi. Aynan o'rta chiziq bo'ylab kesma esa xavfli: bu sohada teri osti yog' qavati juda kam, hosil bo'lgan chandiq poyabzal kiyganda doimiy bezovtalik beradi. To'qimalar bilan ehtiyotsiz muomala • Teri va teri osti kletchatkasini asosdagi to'qimalardan keng ajratish qon aylanishini buzadi → yara bitishi qiyinlashadi. • Terining barcha qavatlarini pichoqning bitta tez, ammo aniq harakati bilan kesing. • Peritenonni asrang — operatsiya yakunida uni tiklash payning qon bilan ta'minlanishi va oziqlanishini saqlaydi. • Payni tikishda va yarani yopishda n. suralis'ning lateral yo'nalishini hisobga oling. Pay choklaridagi muammolar Chok haddan tashqari bo'sh yoki tarang bo'lib qolishi mumkin. Choklarni bog'lash paytida shikastlangan boldir-panja bo'g'imining holatini sog'lom tomon bilan solishtiring — bu optimal taranglikni ta'minlaydi. Yarani yopishdagi xatolar Terini juda tarang tikmang: nekroz va infeksiya rivojlanish xavfi ortadi. Yetarli immobilizatsiya qilinmasligi Cheklanmagan yuklama va erkin harakat hajmi rekonstruksiyaning muvaffaqiyatsizligiga olib keladi. Harakat hajmi va yuklamani bosqichma-bosqich oshirish tavsiya etiladi — imkon qadar reabilitolog nazoratida.

Бўйин умуртқасиниг рентген анатомияси

#memes

EPCAT III tadqiqoti (12 Iyun 2026) 81 mg Aspirin vs 5 kun 10 mg Rivaroxaban so’ng Aspirin (chanoq son - 35/tizza 14 kun davomida) guruhi taqqoslanganda (Multicentre, double-blind, randomized controlled trial) aytarli farq topilmadi. Ja’mi 5429 ta bemor ishtirok etgan, o’rta yosh kam emas - 66. A randomized trial strengthens the case for aspirin for venous thromboembolism prophylaxis after hip or knee replacement. ©️NEJM

Хотиржам руҳиятга эга беморлар чаноқ-сон амалиётидан кейин тезроқ тикланади. - Cody C. Wyles, MD. ©️JBJS

Чаноқ сон атрофидаги остеотомиялар. Бу остеотомиялар амалиётда “ўзлаштириш эгри чизиғи” энг узоқ муддатлиси бўлса ажаб эмас.

Латерал релиз бўйича амалдаги тавсиялар геникуляр артерияларнинг мавжудлигини тан олади, аммо уларни қаердан излашни айтмайди - хирург одатда томирларни кўрмай релиз қилади. Мақолада ушбу академик бўшлиқни камхарж усул ёрдамида, усталик билан тўлдирилган. - оригинал ғоя. Юфори ипакт факторга эга жураналларда мақола чоп этиш учун доим ҳам катта маблағ керак эмас, ғоя ва метод кўп нарсани ҳал қилади. Ресурс камлигини маълумот сифати ва методологик интизом билан қоплаш керак бўлади. Рецензент кичик намунани кечириши мумкин, аммо ноаниқ методни — йўқ! Ватанимизда шундай сифатли ишлар кўпаяверсин! Мақолага ҳавола қолдираман. (с) https://link.springer.com/content/pdf/10.1007/s00264-023-05977-6.pdf

МРТ карпал тунел синдроми учун яхши яроғ бўлиб чиқмади. - Robert R. et.al. ©️JBJS

Кейинги авлод кеджлар (expandable) эндоскопик “fusion” имкониятларини кенгайтириши, радиация миқдорини камайтириши, бора-бора эндоскопияни “қўли баланд” келишига хизмат қилиши мумкин. Фақат энди буни исботлаш керак. Next-generation expandable cages could expand the capabilities of endoscopic fusion, reduce radiation exposure, and ultimately give endoscopy the upper hand over time. Now, this just needs to be proven. ©️CAYOTSS

Бўғим-сақловчи бойлам жарроҳлигида ўз вақтида “тормоз”ни босиш санъати: чегараларни тан олиш ҳамда “яҳшининг душмани - яҳшироқ” тамойили ҳақида. - мақола. ©️KSSTA

Flexion contracture in knee OA Two components, and they behave differently. Structural Posterior femoral and tibial osteophytes tenting the capsule; posterior capsular fibrosis; posterior condylar bone loss with reduced condylar offset; meniscal extrusion or root insufficiency; adaptive hamstring/gastrocnemius shortening. Often a compensatory hip flexion contracture or equinus above and below. Pain-mediated Capsular volume is maximal and intra-articular pressure minimal near 30°. Add synovitis with reflex hamstring spasm and arthrogenic quadriceps inhibition — an extensor lag that consolidates into fixed deformity. Whatever persists under anaesthesia is capsule and bone. Preoperative contracture >15° is the strongest predictor of residual contracture at one year. Correct it on the table, not in physiotherapy.

Tibial slope — bu katta boldir suyagi platosining sagittal tekislikda proksimal-distal yo’nalishda og’ish burchagi bo’lib, lateral rentgenogrammada o’lchanadi. Norma 7°–10° oralig’ida (ba’zi manbalarda 0°–14°) bo’lib, ushbu ko’rsatkich tizza bo’g’imi biomexanikasi va oldingi kesishgan boylam (ACL) ustidagi yukni belgilovchi faktor hisoblanadi. Posterior tibial slope 12°dan yuqori bo’lganda anterior tibial translation kuchayadi va ACL uzilishi hamda menisk jarohati riski ortadi, shu bilan birga past yoki manfiy slope osteoarthritni rivojlanishiga sharoit yaratadi. ©️CAYOTSS