Republican Scientific and Practical Center of Traumatology and Orthopedics Republic of Belarus

Zdorovye - - САНАТОРИИ, КУРОРТЫ - BELETSKY ALEXANDER VALENTINOVICH DIRECTOR

In 1930, May 25, the State Institute of Physiotherapy, Orthopedics and Neurology (GIFON) was established in Minsk on the basis of which in 1982 the Minsk Research Institute of Traumatology and Orthopedics was organized. In 1999, the institute was renamed the Belarusian Research Institute of Traumatology and Orthopedics (BelNIITO), and since October 4, 2007 - in the Republican Scientific and Practical Center of Traumatology and Orthopedics.

The structure of the Center has 8 scientific divisions and 8 clinical departments, in which 340 traumatized orthopedic beds and 12 beds in the department of anesthesiology and resuscitation are deployed. Reception of patients from all over the republic is conducted in the consultative and diagnostic department. Two Republican centers operate on the basis of the RSPC: the Republican Center for the Treatment of Patients with Spine and Spinal Cord Damage and the Republican Center for Sports Trauma and Joint Pathology.

The material and technical base of the Republican Scientific and Practical Center for Traumatology and Orthopedics meets modern requirements and is constantly updated. The Center has all the necessary medical, diagnostic and support units that provide examination, treatment of patients in outpatient and inpatient settings, and conduct research at the highest level.

X-ray studies are performed on modern digital X-ray machines to detect pathology of injuries and diseases of the musculoskeletal system, including long-length images of the lower limbs and spine 110 cm long. RKT-studies are performed on a modern 16 spiral X-ray computer tomograph produced by SIEMENS in 2009. Studies of the brain, bones and joints, and the abdominal cavity are carried out.

MRI-examination is the most modern and highly informative method for diagnosing the pathology of the brain, bones and joints, spine, soft tissues. MRI studies are performed on high-field modern magnetic resonance imaging devices Magnetom Avanto 1,5 TL manufactured by SIEMENS 2012 and INTERA 1TL manufactured by PHILIPS in 2004.

The clinic has modern x-ray machines with

electron-optical converters, the system of computer-aided surgical navigation "Medtronic" for performing complex and high-tech operations.

In the Center, ultrasound diagnostics are widely used, there are modern high-resolution devices VOLUSON-i (2007 of release), production of General Electriks, USA and PHILIPS En Vizor CHD, USA (2006 of release). The Clinical Diagnostic Laboratory of the Center is a modern laboratory equipped with the latest high-tech equipment from leading manufacturers of laboratory equipment Sysmex Coporation (Japan), EKF diagnostic (Germany), DiaMed AG (Switzerland), SIRE Analytical Systems S.r.l. (ITALY), Radiometer (Denmark), Instrumentation Laboratory (USA), Thermo Electron Corporation (Finland), etc.

The main directions of scientific research and practical activities of the Republican Scientific and Practical Center for Traumatology and Orthopedics:

• studying the causes and structure of injuries, developing proposals for the prevention of injuries, their complications and minimizing the consequences;

• development of less traumatic and more effective technologies for the treatment of skeletal fractures (including minimally invasive osteosynthesis) and sets of technical aids (plates, screws, implantation tools) for their implementation;

• Development of traumatology and orthopedics for children and adolescents: development of technologies for diagnosis and treatment of hip joint pathology (multi-plane osteotomy), lengthening of limbs, correction of deformations of the thorax and spine, and other congenital and acquired pathologies;

• development of methods for diagnosis and treatment of joint injuries and diseases (endoprosthetics, arthroscopic technologies);

• Prevention of deforming osteoarthritis and transplantation of articular cartilage in severe forms of its damage;

• development of technologies and structures for surgical stabilization of the spine with its diseases and injuries (with or without damage to the spinal cord);

• carrying out pathomorphological studies in tumors and tumor-like diseases of the musculoskeletal system, developing methods for their diagnosis and treatment;

• study of electrophysiological and vascular disorders in the pathology of the musculoskeletal system and development of methods for their diagnosis and correction.

Annually about 30 thousand patients from all regions of the republic and from abroad consult with the Republican Scientific and Technical Center, more than 6000 operations are performed, incl. 600 endoprosthetics of the hip joint (about 100 of them are audit); 250 endoprosthetics of the knee joint and 600 arthroscopic operations, 1000 operations on the spine. The Republican Center for the treatment of patients with spinal cord injury is round-the-clock emergency specialized medical care in all regions of the republic (annually 250-300 trips).

In the center, such complex and high-tech surgical operations as osteosynthesis and correction of curvature of the spine in trauma and scoliosis, organ-saving operations for benign tumors of any site, multiplanar osteotomy of the pelvis, minimally invasive

osteosynthesis of pelvic fractures, primary and revision knee replacement, revision endoprosthetics of the hip joint. Specific recommendations have been developed on the most effective ways of treating complicated and unstable injuries in the cervical, thoracic and lumbar spine. In clinical practice, such diagnostic methods as MRI, CT, ultrasound diagnostics have been introduced, which made it possible to significantly (by 2.5 times) reduce the time for examining patients and improve the quality of surgical treatment of orthopedic and traumatological patients.

The center also works on expanding internetional cooperation, 15 such contracts were concluded with the institutions of Russia, Ukraine, Kazakhstan, Georgia, Uzbekistan, Armenia, Azerbaijan, Tajikistan, Kyrgyzstan, Lithuania, China. Relations are being established with scientists from foreign countries.

The high level of specialized medical care, which is supported by the constant introduction of modern advanced technologies and the development of our own new methods of diagnosis and treatment, as well as a good level of material and technical basis, allow not only successfully cope with the most complex problems in our republic, but also successfully develop medical services and their export in recent years .

On May 29, 2008, the Republican President of the Republic of Belarus visited the RNPT of Traumatology and Orthopedics. Lukoshenko highly appreciated the work of the center and the entire orthopedic and traumatological service of the republic. The visit of the President was an important step in summing up the results and developing plans for further development of the service. The merits and achievements of the service are highly appreciated by the Government and the Government of the country. By the Decree of the President of the Republic of Belarus of April 30, 2011 No. 177, the RNPTs of Traumatology and Orthopedics was recognized as the winner of the competition among science and scientific services organizations (2nd place among scientific institutions) and registered on the Republican Board of Honor for achieving the best results in 2010 target indicators of the forecast of social and economic development.

In the consultative-polyclinic department of the Center doctors consult in four main specializations:

• Admission of an orthopedist for children and adolescents;

• Admission of an orthopedist-traumatologist for adults;

• Neurovertebrologist reception;

• Children's vertebrologist.

Specialized admission of children and adolescents with orthopedic deformity of the spine is carried out: counseling, examination and the establishment of an accurate orthopedic diagnosis; dispensary observation of progressive forms of orthopedic pathology of the spine; control of corsetry corrective treatment; providing expert assistance; coordination and control of medical technology for diagnosis, treatment and rehabilitation. Advice on all issues of traumatology, orthopedics, bone pathology of adults, children and adolescents is carried out at the reception of an adult and pediatric orthopedist. The neurovertebrologist advises patients on the consequences of spinal trauma; deformations of all parts of the spine, including neurological disorders; tumors and destructive lesions of all parts of the spine; stenoses and hernias of the cervical and thoracic spine; spondylolisthesis, instability of segments of the lumbar spine.

If it is necessary to clarify the diagnosis, leading

specialists of all clinical departments of the Center are involved.

Doctors of the consulting and polyclinic department will necessarily talk with the patient about the expected results of treatment, possible side effects, will answer all the questions the patient has in detail and provide detailed recommendations on the treatment and prevention of diseases and injuries of the musculoskeletal system.

Preliminary recording for a paid consultation to the specialists of the Center is carried out by phone 8-017-279-78-03 (payment services register).

ENDOPROSTHESIS

The clinic of the Republican Scientific and Practical Center for Traumatology and Orthopedics (RNPT TO) has more than 20 years of experience in the operation of endoprosthetics of large joints, both primary and secondary revision.

Every year more than 600 endoprosthetics of the hip and 300 knee joints, as well as endoprosthetics of the shoulder, elbow and ankle joints are performed at the Center.

SURGERY OF THE SPINE

The clinic of the Russian Center of Traumatology and Orthopedics has more than 30 years of experience performing operations on the spine of any complexity. Annually more than 700 planned operations are performed on the basis of the 1st neurosurgical department, including more than 300 discectomies on the lumbar, more than 100 decompressive-stabilizing operations for injuries and diseases at the cervical and thoracic level, more than 150 operations using titanium structures of transpedicular fixation on all levels of the spine. As a result of long-term succesful cooperation between the Republican Scientific and Practical Center for Traumatology and Orthopedics and the LLC "Medbiotech" (Minsk), a new patented, import-substituting products with an optimal price-quality ratio for spine surgery were developed as part of the innovative projects implemented. Developments have reduced the traumatism and time of the operation, provided an opportunity to achieve progressive rehabilitation of patients.

CHILDREN'S ORTHOPEDICS AND

VERTELBROLOGY

The pediatric trauma and orthopedic service of the center has a long and glorious history, people working here are real professionals who are always ready to help. We use a standard list of surgical interventions and our own methods, many of which have been tested for decades, showed their highest effectiveness, recognized and applied not only in the CIS countries, but also in Japan, Britain, Germany, China and other countries.

The vast experience of both conservative and operative treatment of the entire spectrum of pediatric orthopedic pathology and subsequent rehabilitation allowed us to clearly formulate and implement a comprehensive system of rendering assistance in various diseases and disorders of the musculoskeletal system, both congenital and acquired.

We annually perform more than 800 operations. The list of pathologies, the interventions performed and their results can be seen here.

We hope that the information provided was helpful. If you have difficulties and doubts that do not allow you to make a choice in terms of the nature and method of treatment, do not hesitate to contact us by e-mail. We will try to respond as quickly as possible to the questions that concern you and help you with the survey and treatment.

BELETSKY ALEXANDER VALENTINOVICH

DIRECTOR

Doctor of Medical Sciences, Professor,

Corresponding Member of the National Academy of Sciences of Belarus,

Honored Scientist of the Republic of Belarus, laureate of the State Prize

Of the Republic of Belarus in the field of science and technology 220024, Republic of Belarus,

Minsk, 60 Lieutenant Kizhevatov St., building 4

Fax: (8 017) 212-29-15, E-mail: niito@tut.by

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