Military Review

Slavic brains to the German technology

20
I want to talk about the work and achievements of Volgograd orthopedists working at the Center for Anthropometric Correction at the Volgograd Regional Hospital of the Russian Railways. There is a reason to talk about the unique Ortopillot complex that was recently used in this Center. Total such complexes in Russia somewhere 7-8 pieces.


I inform you that the Center itself was founded at the beginning of the 90 of the last century by the Doctor of Medical Sciences, Honored Inventor of the Russian Federation Egorov MF (now deceased) with his colleagues after successfully and triumphantly in the year 1992 performed the world's first legal operation on a cosmetic increase in the growth of a healthy man at the age of 42.

Then they began to massively do operations to lengthen and straighten the legs, turning it into a separate area of ​​orthopedics called "anthropometric cosmetology and correction." Nowadays the center is led by associates of Egorov: c.med.s. Barinov A.S. and surgeon of the highest category Shatov V.V. The staff of the Center works a lot and fruitfully to improve the technology of their operations, they constantly receive patents for inventions, follow world technical innovations in orthopedics, trying to implement them in their practice. On this basis, the Center has been cooperating with Czech colleagues for many years: the clinic of Professor Vastla from the town of Sokolov, near Karlovy Vary, and one successful Czech company manufacturing medical equipment, which carefully monitors the achievements in orthopedics, trying to develop the latest equipment for them. This company has managed in many ways to overtake and press on the European markets even German manufacturers of a similar profile.

Our and Czech doctors regularly visit each other to exchange medical and technical experience, which brings them tangible mutual benefits. Dr. Barinov and Dr. Shatov, being in the clinic of Professor Vastl, first met the “Ortopilot” complex, which the Czechs acquired for themselves in Germany, 5-6 years ago.

Ortopilot is a computer-controlled surgical navigation system designed to perform particularly precise bone operations. In general, orthopedics, or bone surgery, by complexity takes the second place after neurosurgery, they are already followed by cardiac surgery. The Germans developed Ortopilot, based on the need for endoprosthesis replacement operations, that is, the replacement of the knee joints, and especially the hip joints, which are destroyed by diseases, with artificial endoprosthesis joints. Such operations require surgeons of the highest accuracy and taking into account many important details. Therefore, earlier in the course of the operation it was necessary (and now it is necessary) to use X-ray on an ongoing basis, which, naturally, did not benefit the patient’s organisms, and the doctors as well. "Ortopilot" allowed to remove a lot of problems and dramatically facilitate the work of surgeons.

He acts as follows. At the beginning of the operation, infrared radiation reflectors are installed on the fragments in the right places, which is completely harmless to humans, then the complex emits infrared rays to them, the sensors reflect them, and as a result doctors see a detailed computer model of the operated limb on the large monitor and can using help, without haste, to very precisely manipulate bone fragments during the installation of endoprostheses, completely excluding the possibility of improper splicing.

When Dr. Barinov and Dr. Shatov watched the operations with the Ortopilot complex from the Czechs, took part in them themselves, practically recognizing all the possibilities of the complex, they thought that Ortopilot could be used very successfully in straightening operations. Our doctors have effectively confirmed their conclusions by making such an operation in the Vastla clinic in the Czech Republic. They operated on a Czech patient in whom arthrosis of the knee joints began due to the curvature of the legs. Her straightened operationally straightened her legs, thus eliminating the uneven load on the knee cartilage and stopping their painful destruction. Moreover, if earlier such operations were done by installing Ilizarov’s devices on the lower legs, and then during 10 days using these devices, the fragments of bones were gradually positioned in the desired position, then using Orthopilot, straightening was done simultaneously, right on the operating table, Ilizarov set only to fix the result! "Ortopilot" allowed doctors to make simultaneous straightening not only with the most minimal cuts in the soft tissues of the foot, but also made it possible to carefully take into account the biomechanics of the joints, making the load uniformity on them almost perfect.

The operation of our doctors was filmed on video, and then this video was shown in the process of reports by Dr. Barinov at the All-Czech forum of orthopedists and at the World Ilizarov Congress in St. Petersburg. In both cases, the results reported in the report, the audience welcomed the applause! Well, the applause is well deserved, because the use of the Ortopilot complex has opened up excellent opportunities for carrying out operations for straightening the legs, which is for medical and cosmetic purposes. After all, now they can be done at once and with high precision with minimal cutting of soft tissues. And patients had a choice: either during the operation they would install rods-pins in the bones, thanks to which he would leave the clinic without crutches in a few days after the operation, or plates would be installed to him, because of which he still resembles crutches, but but when the time comes to remove the rods and plates, those who have had the plates will recover faster. And it is possible, as before, after the operation, install Ilizarov’s apparatus on their feet, look like a month, another, not experiencing, as before, discomfort during hardware correction, then they will be removed, and then no problems! But in all cases Ortopilot dramatically reduces the time spent in the clinic, improving the quality of operations.

In the 2015 year, the Center for Anthropometric Correction finally managed to acquire Ortopilot, so its doctors also intend to master the operations of endoprosthesis along with the already mastered straightening of the legs. By the way, analyzing the straightening operation with the help of Ortopilot, our doctors put forward a proposal: to install some of its sensors during the operation, not directly on the bones, but on the Ilizarov apparatus, which will reduce the injury to the bones themselves. The Czechs immediately picked up this idea, and the medical equipment company, which collaborates with the Vastla clinic, quickly developed and began to produce the appropriate mount, a metal "little bag" the length of the little finger. The Czechs, these slow-calm beer drinkers, have the same Slavic mental vitality as all the other representatives of this ethnic group, who gave mankind a great many original scientific and technical achievements, only they have this liveliness manifested more thoroughly and realistically. The company about which I spoke above received for the development of this small attachment from its state 200 thousand euros. And the Center for Anthropometric Cosmetology, which received a bunch of differences in the multitude of Russian innovative competitions for its patents and ideas, received practically no financial support from our state for their implementation. The Czechs organized for the Center the opportunity to participate in the European Union’s science and technology program “Eureka”; this required only the consent of our country, no costs, but under the “Eureka” program the Center could receive serious funding ... But even this failed to break through in time our Ministry of Health and Social Development.

Everything described above is also interesting because the doctors of the Center also practice their operations in the Volgograd regional hospital of war veterans, which initially originated in the vicinity of besieged Stalingrad in 1943 year. Center doctors had to heal veterans of the Afghan war and Chechen campaigns. After all, on the battlefield and in the field hospitals, surgeons usually try to provide assistance to the wounded so that they can then be sent to the rear hospitals without any harm in order to begin a thorough treatment there. Military surgery aims to heal the wounded as soon as possible with maximum preservation of their suitability for return to service. And in this respect, our military surgery has great achievements, especially in curing soft tissue injuries. Things are much more complicated with bone injuries. From time immemorial there is a soldier's saying; if the bones were intact, and the meat was growing ... And when the fighter was injured, the first question he and the doctors asked was: are the bones intact? For even the slightest bone injury is a serious and long-term problem! There is practically no immunity inside the bones, so even the weakest intraosseous infection can in a year or even decades explode with osteomyelitis inflammation, a terrible "caries" that painfully killed veterans of past eras. In the field, surgeons tried to quickly stop the blood, make disinfection, dressing, remove from the pain shock, put the tires, if the bones are injured. Operations were carried out in hospitals, after which plaster was applied or metal clamps were put. Often people came out after treatment with shortened or deformed limbs, bone fragments fused incorrectly. For such cases, there is orthopedic surgery, which then, without haste, should maximally correct these shortcomings. And if osteomyelitis has arisen in the bones, then it must be identified at an early stage and cleaned out by surgery, even cutting out the affected area of ​​the bone, in order to increase this bone. And the fact that the surgeons of the Center managed to adapt Ortopilot for such operations is, in my opinion, a breakthrough experience for military surgery, worthy of early introduction into practice with the widest publicity in the military environment. For if a warrior is sure that even in the case of dangerous wounds there is an opportunity to “fix” him in the most effective way without injuries and deformities, then this will inspire better than any agitation and propaganda.
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  1. avvg
    avvg 25 May 2016 09: 09
    +2
    Russia has always been famous for its inventors, Kulibins.
    1. iouris
      iouris 25 May 2016 11: 00
      +6
      Kulibin can only make one copy. To make money on the market, you need to create a technology, introduce it before anyone else and start mass production. The modern Kulibin is more likely to sell his "masterpiece" in the USA than wait for a carrot plot.
      1. Aryan
        Aryan 25 May 2016 13: 14
        0
        what can I say ... my mother complained about the Boshevsky mixer, saying that the buttons work poorly ...
        I had to disassemble and see what the Germans crammed inside ...
        everything seems to be fine, of high quality, but the buttons are really uncomfortable ...
        in short, I had to put two buttons on the buttons in the gaskets of the buttons, and everything EARNED !!!

        and how can you not remember the famous "Tale of how one Russian man pumped up a wheel in a German car ..." fellow
  2. siberalt
    siberalt 25 May 2016 09: 13
    +20
    The point, of course, is good. They would have done it so that one could get an appointment with an ordinary therapist, an ordinary provincial hospital.
    1. NordUral
      NordUral 25 May 2016 09: 22
      +3
      If only provincial (Petersburg). Although the province is much more difficult through the efforts of three decades of liberals.
    2. DMB_95
      DMB_95 25 May 2016 11: 15
      +3
      Quote: siberalt
      They would have done it so that one could get an appointment with an ordinary therapist, an ordinary provincial hospital.

      But this is really a real problem. In our district hospital, only a few doctors are left, and all are aged. Sick people often have to go to the neighboring area to specialists who we don’t have. Of the two hospitals and clinics, only one remained. The optimization is ...
      1. Volzhanin
        Volzhanin 25 May 2016 12: 37
        +1
        But the prime minister at a meeting in Crimea sang so sweetly about Russian achievements in the field of medicine, he poured numbers. Only nobody sees this except him ...
    3. ARES623
      ARES623 25 May 2016 12: 43
      +1
      Quote: siberalt
      The point, of course, is good. They would have done it so that one could get an appointment with an ordinary therapist, an ordinary provincial hospital.

      Unfortunately, today high school graduates are more likely to go to study to become lawyers and economists (although there is not much sense there from an increase in the number) than to medical universities. There are simply not enough therapists. And since in small towns in the depths of Russia, the population does not receive very much, i.e. is not very solvent, then the paid part of medicine is not very developed there. And in order for young people to flood into honey, they need to have good wages after graduation. And where does it come from if we pay only 5% from the payroll in the compulsory health insurance company if a person receives 30 rubles on his hands, then in the CHI (for his "free" treatment) a little more than 000 rubles are transferred for him per month. And for the initial appointment with a therapist, the hospital will transfer a little more than 2 rubles. Here is the salary, and light and heat, and the maintenance of the building with current repairs. Now look at how much other services cost and answer the question - if you raise the doctor's salary so that there are enough of them, can you pay for it? It should be borne in mind that studying at a medical university is much more stressful than at lawyers, and even much longer. It is not just that in this ill-fated America the richest people are doctors and lawyers.
  3. NordUral
    NordUral 25 May 2016 09: 20
    +10
    For Russians and Germans, it is vitally important for our peoples to cooperate politically, economically and technically. German pedantry and accuracy together with our crazy heads and skillful hands will give the world new masterpieces of technology. And there will be peace and quiet in Eurasia, without squabbles and wars.
    1. alpamys
      alpamys 25 May 2016 11: 30
      +1
      Quote: NordUral
      For Russians and Germans, it is vitally important for our peoples to cooperate politically, economically and technically. German pedantry and accuracy together with our crazy heads and skillful hands will give the world new masterpieces of technology. And there will be peace and quiet in Eurasia, without squabbles and wars.

      so it will be in the future, the realization that the Russians are not the aggressors of the Germans in recent years is changing, but the fucking media is constantly pumping.
    2. sherp2015
      sherp2015 25 May 2016 12: 56
      -2
      Quote: NordUral
      For Russians and Germans, it is vitally important for our peoples to cooperate politically, economically and technically. German pedantry and accuracy together with our crazy heads and skillful hands will give the world new masterpieces of technology. And there will be peace and quiet in Eurasia, without squabbles and wars.

      "God-chosen" kondrashka will be enough from such a perspective.
      They sleep and see how the Slavs and the Germans exterminate each other

      Quote: alpamys
      the awareness that Russians are not aggressors among Germans has been changing lately, but the fucking media is constantly being pumped up.

      and these are just at the service, in the sixes of the Zionists
  4. Zomanus
    Zomanus 25 May 2016 09: 42
    +2
    Yeah, it was famous ... only abroad.
    We, apparently, do not need them.
    At least until analogues of inventions are made abroad.
    Then, yes, we begin to recall them.
    This is also a loss, bitter.
  5. SklochPensioner
    SklochPensioner 25 May 2016 10: 29
    0
    Here, when a person becomes an official, something happens to his brains and conscience: he understands the words "state interests" in a very perverse way, alas ...
  6. Stas157
    Stas157 25 May 2016 10: 32
    +1
    As I understand it, by straightening the lower leg, we also correct the curvature of the legs so that the knees with straightened legs touch each other.
  7. red_october
    red_october 25 May 2016 10: 33
    +3
    Interview with our doctor (Vadim Gushchin, Director of the Department of Surgical Oncology at the Mercy Medical Center in Baltimore, USA. He left for America at the end of the 1990, graduating from NI Pirogov Medical University), who works in the USA and has the opportunity to compare:

    The Russians were taught to think that there are a lot of problems in domestic health care, but our surgeons are some of the best in the world.

    This is a very common idea: they operate well, but take care poorly. I have my own point of view. I know how doctors were taught in Russia 20 years ago. In my opinion, this has not changed much. After graduation, you come to the residency and spend some time there. Sometimes you manage to assist. No one has ever taught doctors how to carry out operations. The system is simple: watch and do as I do. This technique is possible, but still does not work very well. After a five-year American residency, I had 1200 independent operations on almost all organs except the heart, brain and eyes. In Russia - no more than a dozen. Do you believe now that all Russian surgeons are wonderful?

    Nobody talks about everyone, but we have stars.

    Stars are everywhere. Their presence is not the merit of the system. It is the average level that makes the weather, not the personal qualities of one or the other. And it all depends on education.

    https://lenta.ru/articles/2016/05/23/doktor/
    1. ddmm09
      ddmm09 25 May 2016 13: 23
      +2
      Quote: red_october
      Interview with our doctor (Vadim Gushchin, Director of the Department of Surgical Oncology at the Mercy Medical Center in Baltimore, USA. He left for America at the end of the 1990, graduating from NI Pirogov Medical University), who works in the USA and has the opportunity to compare:

      The Russians were taught to think that there are a lot of problems in domestic health care, but our surgeons are some of the best in the world.

      This is a very common idea: they operate well, but take care poorly. I have my own point of view. I know how doctors were taught in Russia 20 years ago. In my opinion, this has not changed much. After graduation, you come to the residency and spend some time there. Sometimes you manage to assist. No one has ever taught doctors how to carry out operations. The system is simple: watch and do as I do. This technique is possible, but still does not work very well. After a five-year American residency, I had 1200 independent operations on almost all organs except the heart, brain and eyes. In Russia - no more than a dozen. Do you believe now that all Russian surgeons are wonderful?

      Nobody talks about everyone, but we have stars.

      Stars are everywhere. Their presence is not the merit of the system. It is the average level that makes the weather, not the personal qualities of one or the other. And it all depends on education.

      https://lenta.ru/articles/2016/05/23/doktor/


      This doctor is cunning. Without a certificate, a resident doctor has no right to treat a patient. Maybe 30 years ago there were different rules in the States, but now residents can assist as much as possible. No one will entrust the resident of the 3rd-5th year to perform serious operations; he can perform certain stages of the operation under the supervision of a responsible surgeon. The main stage in large operations is still done by one of the leading specialists of the clinic. After receiving the certificate, the surgeon gains the right to operate. 1200 operations in 5 years ... Small operations only. An operation for a surgeon is earnings, this is money, this is the rationale for renewing a certificate. Therefore, the resident is not trusted to do much. There are exceptions to the rules, but these are exceptions. In the West, narrow specialization, so this surgeon could not operate on all organs - no one would allow. He could be an assistant, but no more. For a certain type of activity, a certificate is needed - a thoracic surgeon will not be allowed to operate on the abdominal organs. A wide range of surgical interventions are fully owned only by some leading surgeons involved in scientific activities. In our country, the same thing was and is.
      In our country, the state is not interested in the quality training of doctors, and public opinion about its health care also plays a big role. For this reason, everyone is dissatisfied - and doctors, and society, and patients.
      1. ARES623
        ARES623 25 May 2016 14: 19
        +1
        Quote: ddmm09
        In our country, the state is not interested in the quality training of doctors, and public opinion about its health care also plays a big role. For this reason, everyone is dissatisfied - and doctors, and society, and patients.

        I think it's a little different. The state cannot build a system of high-quality training of doctors, which would motivate doctors to progress, patients to early diagnosis and healthy lifestyle, and at the same time, the hospital would have enough funds for its maintenance at an acceptable technical level (without looking for "sponsors"). This is daunting, and therefore it goes with a tight creak, sometimes in the wrong direction .... The most insoluble question - who will pay?
        1. ddmm09
          ddmm09 26 May 2016 13: 23
          +1
          Unfortunately, I’m talking about everything firsthand, because the surgeon himself. Everything is much more complicated than people know about our kitchen from the media.
  8. red_october
    red_october 25 May 2016 16: 56
    +1
    ... Slavic brains for German technology
    This formula has been applied in other planes, not only medical.

    Here is an example from mechanical engineering.
    In the 1980s, the German company Bosch-Rexroth and the Yekaterinburg-based Pnevmostroymashina company set up a joint venture to produce hydraulic valves. The products were in demand and the quality was high. But then ours fell out with the Germans, the latter slammed the door, and ours counted: well, the technology is in our pocket, and we can do without the Germans. Profit will only fall into our pocket.
    But that quality was gone. The Germans took some nuance in production with them. Maybe the nuance in hardening some kind of spring, or during assembly.
    Now "PSM", as far as I know, is a successful enterprise, our factories for the production of crane equipment, excavators, etc. also take their products. Managers get excited about how great their products are. But you can only believe this if you have not seen an American or German counterpart. I put PSM, Bosh or Sun Hydraulics valves nearby, and everything is obvious. I'm not even talking about setting up and operating hydraulic systems using domestic and foreign components.


    So I sometimes think: how big and cool it would be if we combine German technology with our needs and production capacities. The Germans are sitting there in their Germany, they really don't have new buyers to sell: everything is German anyway, of high quality and does not break)))). But with our pace of construction, the need for technology is huge. In equipping factories. Ports. Construction equipment (cranes, excavators, garbage trucks, hydraulic lifters, etc., hydr., Pneumatic mechanisms), even instrument making. Let the hydraulic valves (as an example) be produced according to German technologies and according to German standards with "Boshevsky" seats (and getting an original "Boshevsky" valve or a hydraulic motor in today's realities is still hemorrhoids, unless you find it in a warehouse somewhere at a reseller or the Polish counterpart, for example).
    Such an injection of technology would revitalize our machine-building complex, mark new horizons for its development, saturate the market with products, finally.
    On the other hand, we produced cameras, lenses, car engines, and even German reparation machines, if desired, that can be found on a license or on the basis of German technical solutions.
    But the economic union of Germans and Russians is to many disadvantageous (...)
    1. ARES623
      ARES623 25 May 2016 17: 58
      -2
      Quote: red_october
      But the economic union of Germans and Russians is to many disadvantageous (...)

      We are genetic opponents with the Germans. Never the Germans, and the whole of Europe in general, do not recognize us as equals. This opposition is a thousand years old, and there are no prerequisites for a change in this state. Europeans have always considered themselves "supermen" in relation to everyone outside Europe. Even in the GDR in the 70s, at the everyday level, the Germans considered the Slavs to be savages and with a clever look tried to give dense advice. Do not indulge yourself with illusions. For the Russian-German equal alliance there are a lot of impenetrable external and internal barriers. Actually, the picture is about the same with the situation with the Chinese. "In our dastardly age, any friend is unfaithful ... ... the one you have relied on in life, look better - the enemy is in front of you" ...