Please accept our congratulations on the World Day of Traumatologist
Dear friends and colleagues,
Please accept our congratulations on the World Day of Traumatologist celebrated on the 20 th of May every year. We infinitely appreciate the upscale professionals who return lives, health, easy and painless movements to their patients.
Dear traumatologists, orthopedists, surgeons, and nurses of trauma departments, let our holiday card raise your spirits. Stay healthy and stay with us!

18.05.2017 published an article about a unique project of the Priorov Central Scientific Research Institute of Traumatology and Orthopedics
The Priorov Central Scientific Research Institute of Traumatology and Orthopedics, Moscow, is commissioning a new research and laboratory building which will accommodate an unprecedented connective tissue and cell technology lab along with other departments. Nikolay Omeliyanchenko, Doctor of Medicine, Professor, Director of the connective tissue laboratory, Priorov Central Scientific Research Institute of Traumatology and Orthopedics, has told the leading Russian portal about this unique project which will be presented at the Eurasian Orthopedic Forum on 29-30 June. Here we publish an English version of the interview.
Unique Laboratory

– Nikolay, what is the new research and laboratory complex like which is soon to be opened at the Priorov CSRI of Traumatology and Orthopedics?

– The Central Scientific Research Institute of Traumatology and Orthopedics is commissioning a new building with the total area of about 15,000 sq. m which will accommodate a modern complex to carry out medical research and scientific experiments. Previously, the complex was located in the old Pathology building, but its condition and area did not allow such a scale. Now we can do much more. On the first floor, we will have a bone and tissue bank to prepare and store samples for transplantation during orthopedic surgeries. On the second and partly on the third floor, there will be a unique connective tissue and cell technology lab with the total area of about 1,200 sq.m. On the third floor, we will have a lab morphology team and tissue engineering group (these are artificial transplants to replace bone defects). The fourth floor is for immunology lab, biochemical lab and experimental orthopedic traumatology department.

– Why did you decide to expand the connective tissue and cell technology lab area?

– Our laboratory has been carrying out scientific research in close cooperation with several Priorov CSRI departments for more than 40 years. We carry out theoretical and practical research in the field of biotechnologies that know no equals both in Russia and worldwide. Our task is to develop ways to accelerate regeneration as part of treating congenital disorders and consequences of orthopedic injuries. We are continuously expanding our outreach and launched a lab area enhancement project 8 years ago. We would like to ensure a full research cycle for all 11 Priorov CSRI departments – from animal testing to practical use.

– When will the new lab complex start its operation?

– It is almost ready. Its complete commissioning is projected for the first half of 2017. After this stage is complete, we will be able to increase our scope of work. We have already bought and installed all of the necessary equipment for the new building. At a time, we will start installing and certifying equipment for the vivarium. We will also recruit and train new research staff. I can proudly say that no laboratory worldwide can be compared to our cell lab in terms of design and equipment. We have to cultivate the sphere and attract young scientists, since now many of them prefer practical medicine as more profitable. This trend is not specific for Russia only, but also for other countries.

Areas of Experiments

– Please, tell us about the results of experiments your laboratory carries out.

– First of all, I would like to mention our results on stimulation of distraction grafts in children with congenital limb shortening. We extract stromal (connective) cells from a patient's bone marrow, cultivate them to get the needed amount, and then inject them into the bone grafts formed after limb distraction. Congenital disorders slow down the healing, and this cell therapy accelerates the process by 30-40%. As a result, the patient needs the Ilizarov apparatus for 5-6 months instead of 10-12 months, and the leg that was treated this way will not develop slower than the healthy one.

We started using the same method 10 years ago to treat children with congenital leg pseudarthrosis. This disorder makes the leg unable to bear weight. Orthopedists try to solve the problem by osteosynthesis using transplants. But they are sometimes rejected, which may lead to amputation after 2 or 3 failures. Even if the surgery is successful, the child will be disabled. On the other hand, we inject autologous stromal bone marrow cells into the site of false joint resection, where bone tissue is later to form and connect the fractured bone fragments. Then, we conduct a compression-distraction osteosynthesis to make the limbs equal using cell therapy. So far, 5 children have already been treated. They are now healthy and can run using their own legs. 1 to 10 years after the surgery, none of 30 patients have experienced any complications.

We provided full evidence, both theoretical and practical, that our method using cultivated autologous stromal cell therapy is efficient. We also started using cultivated autologous stromal cells in the center for orthopedic injury consequences and suppurative complications at the Priorov CSRI to stimulate slowly regenerating distraction grafts in adults with large defects (4-5 cm) caused by chronic osteomyelitis. The 2 patients we have already treated needed just a half of the usual time in the Ilizarov apparatus.

– What are the other research interest areas for the Priorov Central Scientific Research Institute of Traumatology and Orthopedics?

– There are many areas of interest, such as treatment of vertebral compression fractures caused by osteoporosis. In addition to the bone tissue studies, we started researching skin wound regeneration and scarless healing. One of the key study areas is spinal injuries, i.e. damage to spinal marrow. Another relevant area is studying structure of tissues with lesions caused by fire arms of various energy levels. We also continue experiments on researching regeneration fundamentals that would allow us to control the process. The key is to use biotechnologies including cultivated mesenchymal cells.

Ready for Coworking

– Does the Priorov CSRI cooperate with any other Russian and international institutions?

– Previously, when our lab had limited capacities, we did all the research on our own. However, recently we started co-working with the Faculty of Physics of the Lomonosov Moscow State University. For the last 3 years, we have been working in collaboration with 3D Bioprinting Solutions, a Moscow biotech lab studying chondrospheres to be used in joint cartilage tissue restoration. With this new laboratory building being commissioned, we expect a number of researchers and doctors from other research and medical institutions to become our partners and hope to attract investors interested in biotech development. We are open to cooperation with both Russian partners and Asian and European colleagues.

The conditions in the new laboratory building will allow us to provide our services to many more patients, as we will have more laminar flow cabinets and incubators to cultivate cells for subsequent transplantation. We will have enough cell material to provide it outside the Priorov CSRI. Of course, complex disorders rather than simple fractures will be our priorities, as that is where you cannot do without cell intervention.

For example, European countries supply cartilage cell biomaterials to various medical institutions. Orthopedic traumatologists send the "manufacturer" special containers with patient's cartilage fragments inside. The manufacturer extracts cells, cultivates them, puts them into a syringe and sends them back. The doctor only needs to inject the material into the joint. And this is just one of the possible schemes. There are many other schemes according to which our institute will be able to cooperate with other medical institutions.

– What features of the new laboratory can attract cell technology researchers?

– None of the cell labs in the world has such a comprehensive research equipment. We have everything to study and cultivate cells under one roof. That includes a set of electronic microscopes: high-resolution scanning electron microscope, transmission electron microscope for ultrastructural study of any tissues, modern optical microscopes of all kinds, including inverted confocal microscope, as well as the only upright multifocal confocal microscope in Russia. It can be used to study tissues in live animals, such as rats, without killing them. The infrared laser in this microscope allows to see the processes occurring both on the surface and deep in tissues.

Of course, laboratories abroad have some of the mentioned devices, but only several of them and for a limited amount of time. The time for operating these devices in the Priorov CSRI is unlimited, you can choose duration of your work session according to your needs. No research should be done in a hurry. You need time to think, while using a microscope. Unfortunately, laboratories can rarely provide such conditions for their employees.

Finally, the Priorov CSRI unites well-equipped science labs, vivarium and a large clinic, which is the main advantage. It allows perfecting existing methods and finding new orthopedic and traumatological treatment methods on a continuous basis.

For People's Good

– Your lab performs animal testing. Are you planning to expand this area?

– Yes, we are. Our vivarium in the new building, which is actually the Animal Traumatology Clinic, will become the largest and the most 'comfortable' vivarium in Moscow. After the commissioning of the building is over, we will start vivarium certification according to the international standards. Pigs, ships, rabbits, rats... We'll have all kinds of large and small animals, but dogs. Dogs are not used for testing because of ethical reasons as in Europe.

– Is it possible to do without animal testing? Many eco-activists are against this practice.

– Eco-activists are against as long as they do not have any disease. To treat human disorders, we have to study pathological processes on animals first. We have to admit it. Nevertheless, animal testing must be reasonable, performed only when it is absolutely necessary. Animal suffering must be minimized. We perform all testing in strict compliance with the rules approved by the Russian Ministry of Health.

Experience Available to Everybody

– Are there any know-how owned by the Priorov CSRI resulting from cell research?

– Our projects cannot be called know-how in the full sense of the word, as we do not conceal our methods and results. We share our experience, since our aim is to benefit our patients and not make money out of it. Almost all theoretical and practical material is published in leading Russian journals and systematically presented at various congresses and conferences. In particular, the Eurasian Orthopedic Forum taking place in Moscow on 29-30 June will include a special session dedicated to cell and biotechnologies in orthopedic traumatology, where we will present experience gained by the Priorov CSRI and other Russian medical institutions. I invite everyone who is interested in the topic to take part in this session.

– Your book titled Connective Tissue has been recently published in the USA. Please, tell us what is so interesting in it and do you plan any other publications?

– So far, it is the only scientific edition reviewing all major connective tissue issues. In 2010, the book was published in Russia. In 2014, the book was published by the American CRC Press. At the moment, I am working on a book titled Connective Tissue Regeneration that is going to be as significant as Connective Tissue in terms of coverage, but focus on practical medicine rather than pure theory.

At the Pediatric Traumatology Section you will be able to ask questions to the famous Russian surgeons Alexey Baindurashvili and Leonid Roshal
Alexey Baindurashvili, Director of the G.I. Turner Research Leonid Roshal.Pediatric Orthopedic Institute, head of the Department of Pediatric Traumatology and Orthopedics of North-Western State Medical University named after I.I. Mechnikov, chief non-staff pediatric specialist traumatologist-orthopedist of the St. Petersburg Health Committee will be a Co-Chairman of the EOF Pediatric Traumatology and Orthopedics section together with Leonid Roshal, President of the Moscow Institute of emergency paediatric surgery and traumatology, President of the National Medical Chambers.
Mr. Roshal highly acknowledged the Eurasian Orthopedic Forum, which will take place in Moscow on 29-30 June 2017.
"The interdisciplinary approach is a golden standard in medicine that is just appearing in Russia. We plan more than just training the doctors according to global trends. We plan to discuss issues in collaboration with government officials and entrepreneurship. Only joint efforts in finding solutions will make healthcare in Russia and other Eurasian countries truly effective. I'm glad to be able to contribute to such an event," – said Leonid Roshal.

A unique project of remotely controlled medical rehabilitation to be presented at the EOF
An innovative technology for remotely controlled medical rehabilitation of patients with reduced mobility after severe diseases and injuries will be presented at the Eurasian Orthopedic Forum. The technology has been developed and launched in Russia, it has no world analogues.
- You will get acquainted with the technology creators - this is a scientific group led by the RAS Academician, Professor, Director of the Medical cluster of JSC Medsi Group Konstantin Lyadov.
- You will communicate with representatives of the company "Ortorent", which is responsible for technical support of the project as a provider of mobile rehabilitation equipment for patients with diseases of the musculoskeletal system, peripheral and central nervous systems.
- You will get relevant details about the successful application of remotely controlled rehabilitation in Moscow since 2013, as well as the first regional projects of 2016-2017 to introduce this technology in the Ivanovo region and the Republic of Tatarstan.
- You will know about the benefits of remotely controlled rehabilitation for doctors and patients of your medical institution.
Register at the EOF to keep abreast of current trends!

25 countries support the Eurasian Orthopedic Forum
The Eurasian Orthopedic Forum is supported by medical societies of 25 countries in Southeast and Central Asia, Europe, America, the CIS and the Middle East.
The strategic partners of the EOF have become profile medical associations of Armenia, Austria, Azerbaijan, Bangladesh, Belarus, China, Greece, Iran, Kazakhstan, Kyrgyzstan, Malaysia, Pakistan, Saudi Arabia, Serbia, Singapore and Thailand.
The EOF is supported by organizers of medical forums and conferences in Australia, the Dominican Republic, France, Germany, Switzerland, the UAE, and the USA.
A number of media contribute to the promotion and organization of the Forum in China, India, Kazakhstan, Pakistan, Switzerland, Turkey, and the UAE.
"The Eurasian Orthopedic Forum is a unique event, both in scope and in terms of diversity of the interdisciplinary scientific program and the participants' list. A vivid interest in the Forum shows that the international medical community understands and supports it," said Sergey Mironov, co-chairman of the EOF Scientific Committee, President of the Association of Traumatologists and Orthopedists of Russia, Chief Non-Staff Orthopedic Traumatologist of the Ministry of Health of the Russian Federation, Director of the Federal State Budgetary Institution Priorov Central Scientific Research Institute of Traumatology and Orthopedics, Academician of the Russian Academy of Sciences.

Innovative experience of using 3D printing technologies in orthopedics will be extensively covered at the EOF
You will get acquainted with the latest achievements of Chinese doctors in this area, as well as some details about the first arthroplastic surgeries performed with the use of 3D technologies in the fall of 2015 in St. Petersburg and in the spring of 2016 in Moscow. You will be able to talk in person with specialists of the three largest Russian medical institutions that already use 3D modeling in joint surgical operations. You will learn how the Moscow Healthcare Department supports implementation of medical 3D printing. You will meet with representatives of the young and very active Russian Association of Medical 3D Printing Professionals, one of the EOF organizers. You will hear the report by the honorary member of this Association and the leading expert in arthroplasty – Professor Valery Yuryevich Murylev, as well as reports by many other experienced professionals. So, just register and come to the EOF!

Nikolay Goncharov tells about the EOF and explains why it is worth joining the Association of Traumatologists and Orthopedists of Russia
Nikolay Goncharov, Chairman of the Executive Committee of the Association of Traumatologists and Orthopedists of Russia (ATOR), Deputy Director of the Kurchatov Institute, commented on questions about the Eurasian Orthopedic Forum, which will become the largest interdisciplinary event in Traumatology and Orthopedics in Eurasia, and explained the advantages of joining the ATOR.
– Why ATOR decided to arrange the EOF?

– First of all, the Association of Traumatologists and Orthopedists of Russia is aimed at proficiency enhancement and improving working conditions in our field. It's our direct interest to help exchange experience, discuss and review the existing areas, latest achievements, and trends. The Eurasian Orthopedic Forum is creating ways to have a free discussion in all areas within our specialty at a time, so we can take a wider look at the hot issues to see the whole picture.

We would like to involve social and economic problems, rather than just various aspects of treatment methods and techniques. We plan to consider orthopedotraumatological aid organization issues for both Russia and other Eurasian countries that we find more similar in social and economic structure than the U.S., for example. All participants will have an opportunity to make scientific and professional connections with doctors, heads of medical institutions, respective authorities, as well as medical device manufacturers. Such communication between colleagues is a great chance for orthopedic traumatologists, especially, if they haven't joined the ATOR to protect their professional interests yet.

– Does it mean that the Forum participants can join the ATOR?

– All Russian orthopedic traumatologists will be able to undergo a simplified joining procedure and consequently to become an ATOR member and start enjoying all the benefits and advantages.

– What are the advantages of the ATOR membership?

– Currently, the regulation is being changed, and professional organizations are becoming vital. They are now in charge of continuous medical education, accreditation and certification of specialists, research and training programs, international cooperation and many other issues. Associations will be allowed to give medical and preventive treatment institutions recommendations on certain specialists, so they can continue their career there, as it had been long established abroad. These associations will be able to provide legal protection, which is very important now.

Therefore membership in an association, including ATOR, is crucial for the time. Without such membership, any successful professional development is impossible, for both well-known professors and young doctors.

– Will EOF count for continuous medical education?

– Yes, the Forum is in the list of academic and research events of the Russian Ministry of Health, which means that heads of medical institutions can officially delegate doctors to the EOF, and the continuous medical education system will consider the EOF, in other words the doctors will get educational credits.

– The EOF will gather together representatives of many Eurasian countries. Whose experience you consider the most interesting?

– I am interested in the technologies from the Southeastern Asia: Japan, Korea, China, as well as India. However, I will be delighted to find out more about other countries, as well. The EOF will become the largest professional meeting in Traumatology and Orthopedics of our Asian and European colleagues. Nevertheless, Eurasia isn't the only continent we are expecting the guests from. The registered participants list already includes Australia, North America and even Africa. Such a large community of health professionals from all the corners of the world is exceptionally helpful, as attendees will have a chance to share their views on the modern development of the specialties. Although today one can find a lot of information without participating in such meetings, journals and books cannot cover all aspects, and questions always arise after reading. Moreover, it takes years to write a book, so odds are, science and technology will advance even further during that period as medicine progresses repidly.

Beside the exciting agenda, the Forum features a large-scale international exhibition that will present the industry-leading medical products. Thus, medical device and equipment vendors will have a great opportunity to present their projects to Eurasian healthcare society.

– What international projects will be presented at the EOF.

– We have lots of such projects. Not just in Moscow, in many other Russian cities. I cannot list them all now. They are currently at various stages of development, and many will be presented at the Forum. We would like to discuss their present results with the professional community, so we can review them and get an incentive for better development and new ideas.

For instance, I can mention several Russian-Indian projects. An Indian manufacturer has recently started supplies of high-tech implants for traumatology and orthopedics to Russia. The company is marketing primary knee joint arthroplasty systems. Indian doctors will share their experience of using this system, including complicated cases, during the EOF in Moscow.

Another Russian-Indian project was recently presented at the Moscow Chamber of Commerce and Industry. It concerns development of robots for orthopedics and traumatology. The project is jointly implemented by the Moscow Government and one of the leading Indian manufacturers. The details are currently under discussion, but we have already received product prototypes. We also have joint computer technology projects, such as navigation systems during surgeries in orthopedics and traumatology.

Dear colleagues, I suggest you attending the Eurasian Orthopedic Forum and taking part in the scientific program activities, including the ones arranged jointly with our foreign partners, as well as joining the Association of Traumatologists and Orthopedists of Russia.

In April, the Association of Medical 3D Printing Professionals joined the organizers of the Eurasian Orthopedic Forum
The Association was registered by the RF Ministry of Justice in June 2016. It brings together large medical companies, medical institutions, manufacturers and suppliers of equipment for 3D printers, as well as scientists, doctors, IT specialists and representatives of many other professions. Thanks to the support of the Association, the EOF participants will be able to get the most comprehensive information on the opportunities offered by 3D printing technologies of the international and domestic traumatology and orthopedics.

The forum will discuss the Russian projects already launched in this area, in particular, the first experience of 3D modeling by specialists of several medical institutions, including the Moscow City Center for Endoprosthetic Replacement of Bones and Joints under Botkin City Clinical Hospital, Research Institute of Traumatology and Orthopedics in Nizhny Novgorod, and Vreden Research Institute of Traumatology and Orthopedics in St Petersburg.

If you need detailed information on the Association of Medical 3D Printing Professionals, or want to join it, visit:

The Ministry of Labor and Social Protection of Russia is taking part in the section Multidisciplinary approach to complex rehabilitation
Specialists of the Ministry of Labor and Social Protection of the Russian Federation are set to participate in the Eurasian Orthopedic Forum, along with doctors of the health system. The Organizing Committee of the EOF found out which topics relevant to this authority will be discussed at the section "Multidisciplinary approach to comprehensive rehabilitation".
Mikhail Anatolyevich Dymochka, the head and chief federal expert on medical and social expertise of the federal state budgetary institution "Federal bureau of medical and social expertise" of the Ministry of labor and social protection of the Russian Federation

- In 2016, the Ministry of Labor and Social Protection of the Russian Federation developed methodical and methodological documents that will provide for creating and simulating early assistance and an effective system of comprehensive habilitation and rehabilitation of people with disabilities, including children. New mechanisms undergo approbation now, and this project of the Russian Ministry of Labor is being implemented jointly with the Russian Ministry of Health and other federal executive authorities in two pilot regions - Sverdlovsk Region and the Perm Territory, for which considerable organizational and financial support has been allocated.

In the pilot regions, various mechanisms for comprehensive rehabilitation are tested, which provide for early detection of diseases, in-depth diagnosis and treatment in specialized medical organizations, effective referral of patients from one rehabilitation institution to another, and individual support of the patient and his/her family members. The most successful models and mechanisms of the comprehensive rehabilitation system will be distributed throughout Russia.

In the context of these pilot projects, the issue of expanding the role of integrated rehabilitation centers is being explored, including various models aimed at restoring the disturbed functions of the body. The emphasis is laid on restoration of functions rather than a nosological pathology. For example, restoration of movement in cases of musculoskeletal disorders, restoration of disturbed visual and auditory functions, as well as wider introduction of technical means of rehabilitation and psychosocial technologies that can help people with severe pathology restore lost abilities to the extent possible.

This is being implemented in parallel with the introduction in the Russian Federation of a new three-stage model of the system of medical rehabilitation, based on a multidisciplinary approach. The Ministry of Health of the Russian Federation is developing this area. Following the traditional scheme, each doctor, in accordance with his job responsibilities, independently decided what treatment to assign to the patient. Now we are aiming to ensure that, in the course of joint discussions, specialists will determine the purpose and tasks of rehabilitation, as well as the time of their resolution, and appoint performers based on the patient's needs. This will allow improving the quality of rehabilitation, covering a much larger number of patients and, more importantly, increasing cost effectiveness of compulsory health insurance.

I would like to note that the Ministry of Labor of the Russian Federation actively adopts international experience in its work. We work closely with the United Nations, which has a special section dedicated to protecting the rights of critical patients and people with disabilities, as well as developing a comprehensive rehabilitation mechanism. The section hosts hearings on the introduction of the most successful practices, along with development of assistive and rehabilitation technologies. We are also working with European and American partners to introduce the most successful types of traumatological and orthopedic reconstructive operations into Russian practice.

We plan to discuss all the above-mentioned projects and topics in detail at the section "Multidisciplinary approach to comprehensive rehabilitation". We invite everyone interested in developing this area to join the discussions.

Yuri Glebovich Baranovsky, chief physician of the federal state budgetary institution "Federal bureau of medical and social expertise of the Russian Ministry of labor"

- The topic of our section is relevant, as with the introduction of a new concept of medical rehabilitation, the model of interaction between specialists has changed, and their composition has expanded.

In the development of an individual rehabilitation program and, in particular, the section of medical rehabilitation, of great importance is not only the role of physicians rendering medical assistance, but also of medical and social expertise professionals, professionals of exercise therapy, physiotherapy, medical psychologists. Undoubtedly, the participation of orthopedic traumatologists, prosthetic physicians, and doctors of functional diagnostics is important in the three-stage system of providing rehabilitation care to patients.

Our section's objective is to join efforts in solving problems related to providing effective assistance to patients with orthopedic diseases and the consequences of severe injuries; show innovative directions of medical rehabilitation, demonstrate the effectiveness of interaction of specialists at all stages.

Particular attention is to be given to modern prosthetic and orthotic techniques. The emphasis will be laid on the possibility of using various rehabilitation aids, modern simulators and robotic complexes, without which the full restoration of patients with disabilities and their adaptation to the changed conditions of life as a result of a trauma or orthopedic disease will not be possible.

India enters the Russian market of implants for traumatology and orthopedics
Meril company is the first Indian manufacturer of high-tech implants for traumatology and orthopedics to begin supply to Russia. The system of primary knee joint arthroplasty entitled Freedom Total Knee will be supplied to a number of medical institutions. It was presented to Russian doctors in February 2017 during their visit to India at Meril's production site in the city of Vapi. Indian traumatologists and orthopedists will present their experience of using the system at the Eurasian Orthopedic Forum that will take place in Moscow in June 2017.
In February 2017, a delegation of traumatologists and orthopedists from Russia visited the Indian company Meril – its technology park, academy, where doctors are trained, and production sites. The area of the Meril industrial park is above 23,000 square meters, and its main feature is that it hosts under one roof the production facilities and research work on the development of technologies in several capacious directions: orthopedics, cardiovascular surgery, endovideosurgery and diagnostic laboratory equipment.

As Russian doctors have told, the strong side of Meril's orthopedic area is full vertical integration for the manufacture of implants of joints, spine and devices for traumatology. Their attention was also drawn to the Meril Academy, equipped with a variety of equipment for surgeons and technicians, including simulators for studying orthopedics, cardiology, laparoscopy, surgery and neurology; virtual hybrid operating room with touch-technologies and 3D-models.

The results of the trip were reported by a participant of the delegation of the Doctor of Medical Sciences, Professor Denis Davydov:

- During the meeting, it was possible to exchange experience productively with the specialists of Meril. Indian doctors presented a modern and very successful system of primary knee joint arthroplasty entitled Freedom Total Knee, which had already been used at an international level since 2010. To produce such systems, Meril purchased the business and production capacities of the famous American manufacturer Maxx-Medical, and then localized production in India. During the visit we visited this enterprise and saw its work.

Meril was founded in 2007, the staff is 2,500 employees. The company conducts business in more than 100 countries and receives 50% of its revenue from the export of high-tech medical products to Europe, Latin America, the Middle East and the Asia Pacific.

- The Russian medical market is very important for us, as it is one of the largest and fastest growing in the world, has noted Inamdar Upendra, a representative of Meril in Russia and Belarus . – Meril has been presenting cardiology products in Russia since 2010, and now begins delivering world-class orthopedic implants at an affordable price. In June, at the Eurasian Orthopedic Forum, Indian doctors will share the clinical experience of applying the Freedom Total Knee system, including difficult cases, and discuss the start of operations using this system in Russian hospitals. In addition, Meril plans to present its existing and new products to the EOF. And in the long term we hope for the participation of Russian doctors in Indian and international training events, such as, for example, the orthopedic master class at Meril's Academy, where representatives from all over the world gather.

Also Inamdar Upendra has noted that Meril is actively looking for opportunities to localize the production of some medical equipment from its range in Russia.

Foto: Denis Davydov and Inamdar Upendra (from left to right).

Alexander Artemiev: "The Ilizarov apparatus is like the first Earth satellite in medicine"
Reconstructive surgery based on Ilizarov technique is an example of a breakthrough technology in medicine that first appeared in Russia. Doctor Alexander Artemiev told the Russian electronic mag about the advantages and prospects of the method. Here we publish a shortened version of the interview. Dr. Artemiev, Doctor of Medicine, is the leading expert of the Clinical Hospital on the Yauza, has carried out more than 1.5 thousand surgeries to correct deformations and shortenings of the lower limbs with the use of the Ilizarov technique. He actively promotes it, and in June 2017, he will highlight this issue at the Eurasian Orthopedic Forum.
- Mr Artemiev, what is your assessment of the role and place of the Ilizarov technique in traumatology and orthopedics? I often hear the opinion that this is the past ages.

- For many years I have been using and promoting external transosseous osteosynthesis based on the Ilizarov technique - and indeed, I meet many opponents. Formally, it is truly "past ages," but only because it was invented in the middle of the last century. However, to date only a basis of the first apparatus has survived - the rings, which make it recognizable. The modern apparatus is the fruit of collective creativity of several doctors' generations. The main thing is not even the device itself, but the discovery that Gavriil Abramovich made. The said "Ilizarov effect" is as follows: it is a general biological property of tissues to respond to dosed stretching by growth and regeneration. Someone once invented a wheel, and since then it has been an integral element of machines and mechanisms. Ilizarov has invented such a "wheel" for traumatology and orthopedics. It is an outstanding, compelling achievement, which has been recognized and developed in 60 countries of the world. Its potential has not been fully unleashed, though.

It is no secret that in many industries we focus and rely on foreign technologies and equipment. As far as medicine is concerned, the Ilizarov apparatus and technique is the only domestic medical technology that has been recognized all over the world. This is a calling card of Russia in medical circles. Among the other branches, I can site as an analogy the first artificial Earth satellite created in the Soviet Union. Another example is the Kalashnikov assault rifle, but the designation of the Ilizarov apparatus is quite different, creative. For more than two years my father, Alexander Anatolievich Artemiev, was the chief traumatologist of our army in Afghanistan in the 80s. He implemented it in gunshot wounds treatment, saved lives and preserved hands and feet in hundreds of young men. It is a pity that Ilizarov had not invented his device ten years earlier. Perhaps, we could have won in the Great Patriotic War with much fewer losses.

- When correcting deformities of limbs, different types of osteosynthesis are used. What are the advantages of the Ilizarov technique as compared to them?

- The possibilities of the Ilizarov technique are much wider. There are fewer counterindications. For example, a plate cannot fix a deformation greater than 15 degrees. And the apparatus can fix any large deformation, it is created for this end - as a super-cross-country SUV, capable of traveling where other machines cannot. And there is no need for complex preoperative planning, while in case of internal osteosynthesis with the use of suprabone plates, one should calculate in advance the course of the surgery taking into account a variety of factors, and it is not always possible to achieve the desired result without complications. The apparatus can also bring the limb axis to an ideal position in almost 100% of cases. When using the Ilizarov technique, the complication rate is considerably lower. Already in 5-7 days after the surgery, the patient starts walking, he independently manipulates the apparatus, and the shape of the legs is gradually being adjusted. The doctor only needs to perform clinical and x-ray monitoring in time to understand when the desired result is achieved.

The Ilizarov technique has no alternatives in cases of severe mechanical injuries and gunshot wounds, which are accompanied by extensive soft tissue damage, when the use of plates and pins is counterindicative because of inflammation or osteomyelitis risks. Due to this specificity, the Ilizarov apparatus is widely used in military hospitals, but, unfortunately, it is used less and less in civilian healthcare.

- How do you assess the condition of reconstructive and, in particular, aesthetic orthopedics of limbs in our country and globally?

- First of all, let's define the terminology. Reconstructive surgery is a general concept, aesthetic surgery is only a small part of it. Confusion in terms is due to the fact that the legs are one of the few organs which shape is directly related to the function. The shape of the ear does not affect the sense of hearing, the shape of the nose does not affect the breathing function - they are corrected mainly for aesthetic reasons. The shape of legs is quite a different thing. If the limbs are deformed, the joints experience an increased and uneven loads. This significantly increases the risk of deforming knee joint arthrosis in the age of 40-50, especially against the background of age-related and hormonal changes, weight gain, microtraumas, pregnancy in women, and other factors.

Therefore, a surgery to correct the crooked legs at a young age can significantly reduce or even completely eliminate the risk of arthrosis development. An indicative fact: every year several hundreds of thousands of people in the world undergo a rather serious surgical operation - knee joint arthroplasty. I am sure that 70% of them could avoid this operation if they underwent corrective osteotomy 5-10 years ago. Corrective osteotomy is a surgery aimed at restoring the normal position of the mechanical axis of a lower limb. To make it absolutely clear - it is a surgical operation to straighten limbs. Hence the error: the legs were crooked, now they become straight - this means aesthetics. I will put it differently: the legs were crooked, now they become straight - this means prevention. But, unfortunately, many doctors - not only in Russia, but also abroad - either are unaware of the possibilities of preventing knee and ankle arthrosis, associated with deformities, or do not pay enough attention to this area.

Corrective osteotomy can be performed by different methods. I would like to cite here a famous Italian orthopedist, Maurizio Catagni, who was the first in the world to appreciate the possibilities of the Ilizarov technique in the treatment of gonarthrosis and characterizes it as fast, simple, safe and effective one.

- Apart from correcting the shape of legs this technique is also used to increase height. How much the patient's height can be increased?

- 5-7 cm can be added to the height. For example, with the least expenditure of energy, time and resources of the body, last year we got operated a 22-year-old man who is engaged in bodybuilding. His height has increased from 190 to 196 cm. It is planned to apply to make an entry for him in the Guinness Book of Records as the tallest man whose legs were lengthened. The surgical operation was carried out simultaneously with the correction of shins.

- What difficulties do the doctors using the Ilizarov technique are facing in aesthetic surgery of limbs?

- A serious problem is that people with pathology of limbs do not have reliable information. Basically they are looking for information on the Internet, on forums. There are many myths circulating, including complications, there are even specific words: 'slope', 'medial'", 'subsidence', which are not used in medicine.

- Why the doctors do not provide patients with reliable information?

- Unfortunately, very many orthopedic traumatologists and rheumatologists are not familiar with the peculiarities of transosseous osteosynthesis, they do not know the indications for its application. Therefore, for example, in cases of knee pain anti-inflammatory drugs, hormone therapy or arthroplasty are most often prescribed. But while the corrective osteotomy by the Ilizarov technique is similar to a tooth filling, prosthetic implant is like a dental crown or a bridge. A tooth does no longer exists. But while man has 32 teeth, there are only two knee joints.

By and large, osteotomy and arthroplasty solve different problems, in order to prevent the development of arthrosis, you must first restore the mechanical axis of the limb and reduce load on the joint, thereafter, based on the indications, perform a sanative arthroscopy, and only in a few years, if the disease progresses, arthroplasty should be considered.

- What, in your opinion, can help solve the problem of keeping doctors updated and developing the Ilizarov technique?

- One should bring together medical professionals of different specialties: orthopedic traumatologists, rheumatologists, rehabilitation specialists, radiologists, even physicians from polyclinics. It is necessary to conduct interdisciplinary training, which has long been a "gold standard" in the world of medicine. Speaking of my specialty, an interesting example is the Eurasian Orthopedic Forum, where it is possible to present and compare different points of view.

The forum is also interesting due to participation of the doctors from Asian countries, where the varus deformity of the legs is an ethnic distinction. As a consequence, arthrosis develops in the population much more often than, for example, in Europe. This has been repeatedly proved by results of scientific research. Recently, the interest in this issue has increased significantly among specialists from China, Korea, and Japan. Therefore, in my opinion, it would be promising to develop our direction jointly by the EAEU countries, in order to not only improve the quality of care for patients with limb deformation in Russia and the CIS, but also contribute to the development of medical tourism in Russia.

The full version of the interview is available under the link:

Scientific Practical Anesthesiologists and Reanimatologists Society of Saint-Petersburg acts as Eurasian Orthopedic Forum partner
Regional public organization Scientific Practical Anesthesiologists and Reanimatologists Society of Saint-Petersburg (SPARS of Saint-Petersburg) was registered in 1999. However, this association has been functioning already for 60 years, initially it was founded as Anesthesiology section of the Pirogov Surgical Society. The section became the first branch union of anesthesiologists and resuscitators in Russia, and the present-day Society continues to adhere to the best traditions of its professional environment.
pplying the experience of previous generations of doctors along with active introduction of new technologies enables the Society to effectively solve the problems of developing the anesthetic and resuscitation care for the Russian population. A major role in this work is played by the unification of efforts not only of anesthesiologists-resuscitators of Saint-Petersburg, but also of doctors of other specialties, as well as by the constant expansion of professional, scientific and international ties.

Now the members of SPARS take an active part in the preparation of the section Anesthesiology and Resuscitation in Traumatology and Orthopedics at the EOF. One of the section's moderators is Alexey Shchegolev, President of the SPARS of Saint-Petersburg, Head of the Department of Anesthesiology and Resuscitation of S.M. Kirov Military Medical Academy, Chief anesthesiologist-resuscitator of the Ministry of Defence of the Russian Federation, chief independent anesthesiology and resuscitation professional of the Saint-Petersburg Health Committee, Honored Doctor of Russia, Doctor of Medicine, associate professor.

Official website of the Scientific Practical Anesthesiologists and Reanimatologists Society of Saint-Petersburg:

Federal Medical-Biological Agency of Russia supports the EOF
The Federal Medical-Biological Agency of Russia (FMBA) joined the partners of the Eurasian Orthopedic Forum. FMBA has extensive experience in prevention and treatment of athletic injuries, it has the authority to provide primary care and biomedical support to athletes of national teams of the Russian Federation and their nearest reserve teams. Another task that FMBA successfully solves is the organizational and methodological guidance and coordination of the activities of health organizations in sports medicine.

The Sports Traumatology and Arthroscopy section of the Eurasian Orthopedic Forum is prepared with the active participation of specialists from FMBA of Russia.
FMBA of Russia official website:

One of the topics for discussion at the EOF will be the Ilizarov technique and specifics of its application in reconstructive surgery.
Alexandr Artemyev, Doctor of Medicine, the leading specialist in limb reconstructive surgery of the Clinical hospital on Yauza River (Moscow), assumes that the EOF will contribute to promoting the Ilizarov technique on the international level.
Dr. Artemyev is among organizers of the section Reconstructive and plastic surgery and will make a presentation on correction of form and length of legs with the means of Ilizarov technique, both in the case of congenital deformation and obtained due to traumas and diseases.


- There are not so many great discoveries and achievements in world medicine like the Ilizarov technique. And this is not just because Gavriil Abramovich is our compatriot. Time puts everything in its place and gives everyone their due. Over 60 years have passed since the invention of Ilizarov apparatus, and it is still highly demanded. Many associate this technique namely with the apparatus. True, the rings connected by rods–this is what makes it recognizable. And in terms of functionality it is really the best. But Ilizarov's achievement is much more significant. He has discovered the Ilizarov effect: "general biological property of tissues to respond to dosed stretching by growth and regeneration" is the basis of most modern techniques for correcting the shape and length of limbs.

It is difficult to say why this method is constantly accompanied by myths that it is difficult, causes many complications and in general this is the past ages. Like many modern techniques, it really was invented in the past century. But in its present form, the Ilizarov apparatus is the fruit of the collective creativity of many generations of doctors and researchers. And over time it became even better, simpler, and more convenient. It is the safety and efficiency that accounts for the wide use of the apparatus in correction of the shape of legs in young people with varus or valgus deformity of knee joints for the prevention of gonarthrosis, and for correcting of the shape of legs and increasing of height in aesthetic orthopedics. One should be aware that it is a great responsibility to perform reconstructive operations in young healthy people. One can take such a step only having in their arsenal an exceptionally reliable instrument, such as the modern Ilizarov apparatus.

It is necessary to develop new promising areas. In my opinion, one of these is the implementation of corrective osteotomies followed by a gradual correction of the limb axis in patients with the 1st or 2nd stage, and in some cases, the 3rd stage of knee joint arthrosis. In no way can this method be opposed to endoprosthetics. There will be an opportunity to discuss the role and place of these methods in the treatment of gonarthrosis in the framework of the forthcoming orthopedic forum.

The modern generation of doctors, especially foreign ones, is brought up on completely different technologies. The reason for this is partly the language barriers, and the limited opportunities for sharing experiences in the era when the Ilizarov technique was intensively studied and promoted in our country. Now there are no such restrictions. There is an opportunity to freely communicate, learn and develop. The EOF format is optimal for this kind of contacts.

Chinese newspaper Guanmin daily published an interview of the Chairman of the EOF Scientific Committee
Sergey Mironov, academician of the Russian Academy of Sciences and chairman of the Russian Association of Traumatologists and Orthopedics, has noted during a special interview to our correspondent that the first Eurasian Orthopedic Forum will be a solemn medical event of high value for science, where in addition to specialists from different countries, who will share knowledge in traumatology, orthopedics and related medical fields, representatives of commercial and governmental structures from different countries will also actively participate in the discussion of such issues as "strengthening interstate cooperation," "improving the policy in the field of medicine," "joint development of medical products and pharmaceuticals," "joint creation of pharmaceutical production base," "expansion of the market for high-tech medical products," etc.
Sergey Mironov also claimed that following the rapprochement of Russia and China, cooperation and interaction between the two countries, including in the medical sector, is steadily increasing. For Russia, cooperation with China in medicine is of key importance, since traditional Chinese medicine is acquiring a second youth, and currently plays a significant role in medical innovation. "We pay special attention to the experience of China. In the past, Russian medical professionals and Chinese medical specialists maintained long-term interaction and cooperation in the field of traditional Chinese medicine, and in recent years, an increasing number of Russian and Chinese medical specialists have interacted and collaborated, in particular, traumatologists and orthopedics. This is especially evident in the Far East and the Trans-Baikal Territory, where Russian-Chinese cooperation in the medical sector is at the center of attention, where a large number of Russian medical institutions have established close cooperation ties with Chinese medical organizations, and also have set themselves long-term research goals requiring joint approach."

He has also pointed out that since 2005 the Department of Traumatology and Orthopedics of Irkutsk State University has been cooperating with Chinese traumatologists and orthopedists in the area of arthroscopy. Medical experts from Russia and China are currently working on a joint research project in the Chinese city of Manchuria, and a Russian-Chinese traumatology and orthopedic center was established in 2016 in the strategically important city of the Russian Far East, in Chita. Russian and Chinese doctors have already started joint implementation of high-tech operations and rehabilitation treatment of patients in Chinese Manchuria and the Russian Trans-Baikal Territory, and the medical centers of both countries constantly arrange internships at workplaces for traumatologists and orthopedists. "We believe that the Russian-Chinese research center established in Chita will produce a tremendous social effect and will play an important role in the development of Russian-Chinese cooperation in medicine."

"One can cite as a proof an example of the gradual deepening of Russian-Chinese cooperation in the medical sector - the outstanding achievements attained by the Siberian Center of Russian-Chinese Cooperation. For over ten years, this center has invested efforts in medical and scientific research in cardiac surgery, which was the evidence of the promising cooperation between Russia and China in medical sector. In addition, over the past few years, governments and medical organizations of the two countries have done a lot to promote Russian-Chinese cooperation in medical sector. Special international events contribute to the efficient cooperation between Russia and China. Only in the past year, such events as XI World Congress on Traditional Chinese Medicine in St. Petersburg, the Congress of Shanghai Cooperation Organization "Traumatology, Orthopedics and Restorative Medicine of the Third Millennium" Manchuria and the All-China Congress of Traumatology-Orthopedists in Beijing took place.

Russia has always actively developed cooperation with all countries of the world in medical and healthcare sector, and pays special attention to international cooperation in different areas, from epidemic disease control and to research in oncology treatment. Now that the Eurasian Orthopedic Forum will be held in Russia, whose goal is to unite the social resources of all countries in the region and to promote cooperation between Russia and all countries of the world in this area. An important subject of discussion at the Eurasian Orthopedic Forum will be "the provision of medical assistance in the context of military conflicts and serious natural disasters." Russia, China and many other countries have rich experience in the area, and Russia will provide a platform for exchange and sharing of this experience.

(Guangming Zhibao, Moscow, 18 March. Guangming Zhibao journalist in Moscow, Wang Tsiabo)

Original available under the link:

Scientific Committee of EOF Has Approved a Preliminary Agenda
Scientific committee of the Eurasian Orthopedic Forum (EOF) has approved and included a preliminary event agenda in the Children's Traumatology and Orthopedics section, chaired by Leonid Mikhailovich Roshal. The special Biomedical Technologies in Traumatology and Orthopedics session has been also included in the Sports Traumatology and Arthroscopy section. A preliminary agenda for all of the sections is expected to be published before 15th of April. Moreover, accreditation of each EOF section in compliance with the continuous medical education system is on schedule as well.
A meeting of the Eurasian Orthopedic Forum's Scientific Committee was held in Moscow. The meeting was chaired by Sergey Pavlovich Mironov, President of Association of Traumatologists and Orthopedists of Russia, and focused on reviewing the draft scientific program for all sections of the EOF.

Two important additions were made to the program. A new section Children's Traumatology and Orthopedics was introduced, which is to be led by Leonid Mikhailovich Roshal, director of the Moscow Emergency Children's Surgery and Traumatology Research Institute. In addition, a special session entitled Biomedical Technologies in Traumatology and Orthopedics was arranged within the Sports Traumatology and Arthroscopy section.

The additions to the program were due to the increased interest of the medical community in the Eurasian Orthopedic Forum and the interdisciplinary format of its program, as well as the need to introduce best practices and innovative technologies in healthcare.

Following the meeting, the preliminary programs of 16 sections were approved:

  • Anesthesiology and Intensive Care Medicine in Traumatology and Orthopedics
  • Knee Arthroplasty
  • Hip Arthroplasty
  • Vertebrology
  • Reconstructive and Reparative and Plastic Surgery
  • Emergency Medicine
  • Oncology and Bone Diseases
  • Rehabilitation after Traumatic Injuries and Surgical Treatment
  • Radiology in Traumatology and Orthopedics
  • Sports Traumatology and Arthroscopy
  • Upper Extremity Injuries
  • Lower Extremity and Pelvis Injury
  • Hand and Forearm Surgery
  • Foot and Ankle Surgery
  • The Organizational and Financial Economic Aspects of Traumatology and Orthopedics.
  • Traumatology in Military Field Surgery
Preliminary programs of the sections will be made public before 15 April 2017 on the Forum's website.

Following the results of the meeting, the Scientific Committee decided to apply for accreditation for the EOF events as part of the continuous medical education system in all medical professions covered by the Forum's program.

The State Duma of the Federal Assembly of the Russian Federation has supported the Eurasian Orthopedic Forum
The Eurasian Orthopedic Forum has been supported by the Committee on Health Protection of the State Duma of the Russian Federation. The event will be held in Moscow on 29-30 June 2017 bringing together over 3000 participants from Russia, the CIS, Asia-Pacific, Middle East, Europe and Americas and will become the largest event in the field of orthopedics and traumatology throughout the Eurasian area.
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"The Eurasian Orthopedic Forum is the largest medical and business event, which is of key importance for the integration processes in the Eurasian area, particularly in the Eurasian Economic Union. Along with the doctors, the Forum will bring together representatives of public authorities and business community," said Alexander Petrov, member of the Committee on Health Protection of the State Duma.

"Such a trilateral dialogue is aimed at improving Russian and international health policy, it will contribute to tighter cooperation within the framework of the EAEU, development of joint scientific projects, expansion of markets for high-tech products," Alexander Petrov added.

Russian Ministry of Health supported the Eurasian Orthopedic Forum and included the meeting in the Plan of scientific and practical measures of the Ministry of Health for the year 2017
Previously, the Forum was supported by a number of other federal and Moscow government departments: Federation Council Committee on Defense and Security, Federal Biomedical Agency of Russia and Moscow City Department of Health.

Official approval of the Plan of Scientific and Practical Events of the Ministry of Health of the Russian Federation for the Year 2017 that includes the Eurasian Orthopedic Forum is available under the link (in rus).

Russian Association of Foot and Ankle Surgeons became a partner of the Eurasian Orthopedic Forum
The Russian Association of Foot and Ankle Surgeons (RusFAS) was founded two years ago. In 2016 RusFAS took part in the 6th Congress of the Asian Federation of Foot and Ankle Surgeons (AFFAS), which became an important event for the Association. RusFAS representatives successfully presented papers and demonstrated a high level of expertise. As a result Russia became the 12th country to join AFFAS, and thereby the International Federation of Foot and Ankle Societies (IFFAS). Now Russian surgeons actively exchange their experience with their foreign colleagues and contribute to the development of the specialty on the international level. Site RusFAS:

Partner event: 36th Annual meeting of the European Bone and Joint Infection Society 7-9 September 2017 in Nantes, France
The upcoming EBJIS meeting will take place from 7-9 September 2017, in Nantes, France. For further information please read here: The annual meetings of the European Bone and Joint Infection Society promote the exchange of scientific knowledge on infections affecting the Musculoskeletal System (Bone and Joint Infections), as well enhance education in Bone and Joint Infections and are a valuable platform to establish networking between physicians, healthcare and educational institutions.

EOF: on interesting aspects of foot surgery
The EOF organizing committee inquired the moderators of the Surgery of Foot and Ankle Joint section, what topics they plan to discuss, why the percutaneous foot surgery is developing in Russia more slowly than it deserves, and why the rapprochement with the East is useful.

– As a member of the Scientific Committee and a Speaker of the Foot Surgery section at the Eurasian Orthopedic Forum, I will once again try to expand the audience's view of the opportunities of percutaneous foot surgery, which I have been practicing and which I have been promoting since 2007. Till now many doctors and patients share an opinion that percutaneous techniques allow to cope only with minor problems of the forefoot. Actually, percutaneous surgery is capable to solve problems in the forefoot of almost any level of complexity, including repeated surgeries (in my practice they constitute up to 25% of the total number of foot surgeries). It is also possible to correct a significant part of the pathological conditions of the midfoot and hindfoot.

Despite a number of advantages, percutaneous surgery in Russia is developing more slowly than it deserves. To a large extent this is due to the insufficient training in the technique of percutaneous surgery in our country. And a few can afford studying abroad. In addition, not every orthopedist who has experience in performing 'traditional' open surgeries will take nerve to get retrained. After all, despite their low invasiveness, percutaneous interventions are rather technically complicated. They can not be mastered by performing only a few operations.

Yet another reason to inhibit the development of percutaneous foot surgery is well known over the world. This is the so-called "producer pressure." It is no secret that the training of orthopedic traumatologists, holding scientific forums, research work are often sponsored by foreign manufacturers of implants and tools for their installation. Percutaneous feet surgeries use minimum internal fixatives. Hence the lack of interest on the part of international corporations to orthopedists using percutaneous techniques.

Nevertheless, I hope that thanks to the EOF it will be possible to increase interest and speed up the introduction of percutaneous techniques into the practice of native orthopedists. Since foot surgery is only one part of the extensive scientific program of the Forum, I am sure that communication with colleagues from a number of Asian countries will give another impetus to the development of traumatology and orthopedics in Russia.


– In developing the scientific program, we have paid particular attention to several topical issues. First, we plan to tell about using an osteochondral transplant to treat aseptic necrosis of the talus. Aseptic necrosis is widespread: this is the main cause of early ankle joint wear in young patients. We offer a scientifically based, simple method of surgical treatment that does not injure the knee joint. Secondly, we believe that it's time to finish all speculation about the "guaranteed bad result" of an ankle joint arthroscopy: we are ready to share our successful experience.

In addition, we intend to present our achievements in surgical correction of the hammer toe: it is on this work that the overall result of allux valgus treatment often depends. Also within the framework of the section we will consider the problems of diagnostics, including foot diabetic neuropathy. After all, surgical intervention can be avoided at early detection; at the reversible stage of this disease, medical treatment will be sufficient.

I am confident that the Eurasian Orthopedic Forum will open a new page in the history of interaction between countries and affect the development of certain areas of medicine, including foot surgery. In the historical aspect, a lot has come to our practice from the East: the works of Avicenna, surgery (Indian plastic surgery), public hygiene, prosthetics and other areas. Turning to the East will bring immense benefit in our time as well. For example, in Japan, ceramic endoprostheses of the ankle joint are used in clinical practice; in Hong Kong I saw the solution to the orthopedic problem of the hammer toe. It is also important that Eastern professional literature is published in English: anyone willing can get acquainted with the results of colleagues' work.

It is equally important that the Forum is prepared collectively by Russian military and civilian doctors. It is common knowledge that military medicine is a progressive branch and at the same time a rather closed one. If its achievements become more accessible for study and use, this will have a positive effect for both medical professionals and patients.

The Moscow Scientific Society of Anaesthesiologists and Reanimatologists acts as Eurasian Orthopedic Forum partner
The Moscow Scientific Society of Anaesthesiologists and Reanimatologists (MNOAR) has been operating since 2009. The Society supports the professional development and effective realization of the creative potential of its members, conducts scientific meetings, participates in research and development of priority areas of anesthesiology and critical care. MNOAR members attend and independently organize academic and research congresses, conferences, symposia, exhibitions, competitions for popularization of achievements in their field and related areas, speed up the launch of promising developments.
Now, MNOAR is actively introducing an interdisciplinary approach to the training of anesthesiologists-resuscitators. Recently, a joint meeting with traumatologists and orthopedists has been held, where the choice of the optimal method of anesthesia for arthroplasty of large joints was discussed. Such surgeries are regularly carried out, but there is still no consensus on the preferred method of anesthesia, and a dialogue of doctors of related specialties will help to answer this question. The discussion will be continued at the EOF.

Soon a joint meeting of MNOAR with surgeons will be held to discuss the development of tactics for managing patients with severe pancreatitis (pancreatic necrosis).

According to Alexei M. Ovechkin, DM, Chairman of the Moscow Scientific Society of Anaesthesiologists and Reanimatologists (MNOAR), Professor at the Chair of Anesthesiology and Critical Care, Faculty of Medicine, I. M. Sechenov First Moscow State Medical University, President of the Russian Acute Pain Medicine and Regional Anesthesia Fellowship, Member of the European Society of Anesthesiology (ESA) and the European Society of Regional Anesthesia (ESRA):

- The interdisciplinary approach to training can be beneficial to our community, because in the course of work, full cooperation between anesthesiologists, orthopedic traumatologists, and surgeons of other specialties is required. We are solving a common problem. We have to ensure the safety of the patient and the positive outcome of surgical treatment, so there should be no controversy in the plans for choosing the method of anesthetic management, infusion and transfusion therapy, and the tactics of managing the patient after surgery. In addition, some patients display chronic pain syndrome, and the success of its treatment largely depends on the coherence of the orthopedic traumatologist and anesthesiologist.

EOF resumes collection of applications for presentations and materials for abstract collection
EOF receives applications for presentations until 12 March 2017 on the homepage of the official website Please click Apply for a lecture and fill in the form.

EOF Anesthesiology and Critical Care Section
Organizers of the section titled Anesthesiology and Critical Care in Traumatology and Orthopedics spoke about the trends in their specialty, benefits of co-education of anesthesiologists and trauma surgeons, and about the scientific program of their section of 29-30 June at the Eurasian Orthopedic Forum.
Victor Koryachkin, dm, Professor, Head of the Research Department for Diagnostics of Diseases and Injuries of Musculoskeletal System of the Vreden Russian Research Institute of Traumatology and Orthopedics, Member of Presidium of the All-Russian Society of Regional Anesthesia and Treatment of Acute Pain:

– Dr. Koryachkin, why the Anesthesiology and Critical Care section has become part of the forum for trauma and orthopedic surgeons?

– Firstly, it is impossible to do without high-quality anesthesia during orthopedic and trauma surgeries and in providing emergency medical aid to patients with injuries. Secondly, anesthesiologists, traumatologists, and surgeons work in a team, and it is our common task to ensure effective and safe treatment. We should not have differences in the patient management tactic at all stages of treatment, when choosing a method of anesthesia and infusion-transfusion therapy, and to that end we should all speak the same language.

– Tell us about the key trends in the global anesthesia and critical care.

– One of the main trends is the improvement of regional anesthesia techniques with visualization of blind procedures when using ultrasound devices. In addition, early rehabilitation of patients after surgery is increasingly developing, which is carried out by a well-coordinated team of specialists, including an orthopedic and trauma surgeon, a rehabilitation professional, a physiotherapist and, of course, an anesthesiologist, since there should be reliable pain relief to achieve our goal.

– What are the most frequent difficulties related to anesthesia?

First of all, it is a steady increase in the number of senior and aged patients with severe concomitant somatic pathology. The number of proximal femoral fractures is increasingly growing, which by estimates will reach 6.26 million cases by 2050 in the US alone. Femur fracture is an indication for surgical treatment. Specialists have not agreed on an appropriate anesthetic technique in these patients yet. There is an acute issue of the prevention and treatment of postoperative delirium, the opinions on which differ widely. There is no definitive answer even to a simple question whether it is necessary to conduct preoperative bowel cleaning. Therefore, cooperation at a global level and exchange of experience in this specialty are required.

– Are you familiar with the working methods of the Asian critical care anesthetists?

– I am familiar with some works by RuiFangetal (China), Johnny CA Ong et al. (Singapore), Fu PL et al. (China). All of them are devoted to analgesia after knee joint arthroplasty. The research results show excellence in anesthesiology, which the authors have achieved in their own countries. Of course, it is interesting to learn more about this experience and, if possible, discuss details in person.

– What interesting projects is your research department working on now?

We are working on such methods of anesthesia as combined spinal-paravertebral anesthesia for hip arthroplasty, genicular nerve block during knee surgeries, application of dexason as an analgesic drug, and research in lumbar plexus sonoanatomy. At the EOF, we will present the protocol of anesthetic management of distal femur fractures in the senior and aged patients, which includes not only the actual issues of anesthesia but the special features of preoperative and postoperative periods.

Alexey Ovechkin, dm, Professor, the Head of the Anesthesiology and Intensive Care Department, the Faculty of Therapeutics of the Sechenov First Moscow State Medical University, the President of the Russian Acute Pain Medicine and Regional Anesthesia Fellowship, the Chairman of the Moscow Scientific Society of Anesthesiology and Resuscitation, Member of the European Society of Anesthesiology (ESA) and the European Society of Regional Anesthesia (ESRA):

– Dr. Ovechkin, is there any experience in your practice of joint training of anesthetists and orthopedic and trauma surgeons?

– In my opinion, a multidisciplinary approach is very important for the successful training of doctors, and we have recently started to implement it at the meetings of the Moscow Scientific Society of Anesthesiology and Resuscitation. A joint meeting with trauma and orthopedic surgeons has already been held. We have discussed which anesthetic technique is optimal for large joints arthroplasty. The results are very interesting. Traumatologists took part in the discussions, expressed their point of view and generally favored the continuing cooperation.

At the EOF, we will continue to discuss this topic, and I am going to make a presentation on choosing the optimal anesthetic technique for large joints arthroplasty. Such surgeries are made by dozens, but the anesthesia community has no consensus about which technique is preferable, although there are international research findings that certain anesthetic techniques have a positive effect on the postoperative course, reduce morbidity and even mortality. In my opinion, the issue is highly relevant, and I would like to raise it at the federal and international level.

– The program of the Anesthesiology section is developed jointly by civilian and military doctors. What is the benefit of this approach?

– In recent years, for a number of reasons civilian doctors are increasingly faced with the need to provide medical care to victims of accidents and disasters that occur in the localities. The military doctors have extensive experience of assisting in these conditions, as well as in combat trauma and in the mass arrival of victims. The opportunity of sharing this experience cannot be overestimated. Besides, it is possible that in case of major emergencies, we all will have to work together, and it is important to understand each other.

– Do you have experience of working with colleagues from Asia?

– To date, it's just the neighboring countries. I have been to Kazakhstan several times, communicated with colleagues in the cities of Astana and Almaty, including anesthesiologists and intensive care therapists of orthopedic departments. In Astana, I visited two well-equipped clinics of European level. This is a highly beneficial cooperation. Interaction is always mutually enriching. We would like to establish contacts with foreign countries. There are interesting papers on anesthetics by authors from India and China; my colleagues and I always study them closely, thinking about how it can be used in practice, but no personal contact has been established yet. I hope they will appear soon.

Valery Stets, Head of the Center of Anesthesiology and Resuscitation, Critical and Intensive Care, Main Anesthesiologist of the Burdenko Main Military Clinical Hospital:

– What topics the experts of the Burdenko Main Military Clinical Hospital are planning to focus on in the course of the EOF Anesthesiology Section?

– Anesthesiologists of the Burdenko Main Military Clinical Hospital were the first in Russia to apply regional anesthesia techniques both in the provision of emergency trauma care and in the course of limb surgeries. This work was intensified during the military operations in Afghanistan, continued while eliminating the consequences of the earthquake in Armenia, then in local conflicts in combat zones, and during routine work in the Hospital's in-patient facilities. Now regional anesthesia techniques are recognized globally to be most practical, efficient, and safe because of their low toxicity, so we try to keep up with foreign colleagues. Once they were ahead of us in using ultrasound-navigation with regional anesthesia, but now we have mastered this area, too.

Treatment of combat injuries of limbs, including with the use of local anesthesia, is a vital issue for both military and civilian doctors. Regional methods produce good results in the removal of pain impulses in cancer patients, and the patient can remain conscious, in some situations being able to control their pain relief, thereby improving efficiency and reducing or even stopping the use of narcotic drugs. The topic is very acute today. Another important area is perioperative anesthetic management, due to which the operation goes easier, faster and rehabilitation is more efficient. We will share all these experiences in the session with fellow anesthesiologists and trauma and orthopedic surgeons.

Valery Yuryevich Murylev presents you the Hip Arthroplasty Section.
moderator of the Hip Arthroplasty Section, Professor of Traumatology, Orthopedics and Surgery Department of I.M. Sechenov First Moscow State Medical University under the Ministry of Healthcare of the Russian Federation, Head of the Moscow City Center for Endoprosthetic Replacement of Bones and Joints under Botkin City Clinical Hospital, Professor, Doctor of Medicine.
- Valeriy Yuryevich, what accounts for high relevance of hip arthroplasty? Why is it presented as a separate section at EOF?

- Endoprosthesis is the most effective method to treat coxarthrosis, and this pathology is now quite widespread. Osteoarthritis is getting younger; this is largely due to the increase in the number of diseases constituting its etiological factors. According to US statistics, currently in the United States around 4 million hip replacement surgeries are held every year, and by 2030 this figure will increase to 700-800 thousand. In Russia, at least 100 thousand such operations are made every year, unfortunately, they can be hardly calculated exactly, as we have no uniform medical registers to account for them.

- Do Russian doctors manage to keep up with global trends in arthroplasty?

- In Russia, all the advanced technologies and components necessary for hip arthroplasty and surgery are applied, and we perform surgery at a very high level, not only in Moscow and St. Petersburg, but also in the regions of the country. Therefore, we have something to discuss with Russian and foreign colleagues.

- What topics will you discuss?

- All topics are divided into several groups; the conversation will proceed from simple to complex. The first part includes organ preservation surgery on the hip joint, which will allow avoiding arthroplasty in the near future. The next section will present particular features of primary hip arthroplasty. The third group of topics will cover complicated cases of arthroplasty for congenital abnormalities or serious illness in patients. The fourth section will be devoted to the complications of primary arthroplasty and revision surgery. Particular attention will be paid to periprosthetic infection, from its verification to treatment. We are set to discuss difficult cases, as the situation of periprosthetic infection is very serious - it is the bane of arthroplasty.

- Whom of the leading Russian and foreign doctors have you invited to the section?

- Presentations will be made by leading experts from Moscow's institutions. Doctors from R.R.Vreden Russian Research Institute of Traumatology and Orthopedics in St Petersburg will cover a wide range of issues. Our foreign colleagues from leading European clinics will talk about organ preservation surgery. The participants from Nizhny Novgorod, Cheboksary, Omsk will share their experience in dealing with periprosthetic infection. The colleagues from neighboring countries will necessarily come, in particular, the director of the Research Institute of Traumatology and Orthopedics under the Ministry of Health of the Republic of Uzbekistan with a team plans to arrive, and many others.

- Have the Russian arthroplasty surgeons established the contacts with Asian experts?

- Previously, we mainly cooperated with their European counterparts, and now we are expanding our communications in Asian countries as well. In early February, for example, an entire team of Russian doctors visited India, Mumbai Techno Park, where one of the local companies presented a new knee endoprosthesis. We hope to continue the dialogue with its representatives in Russia at the EOF.

- What are the difficulties faced by our doctors during hip arthroplasty surgeries?

- First and foremost, it is the lack of implants, difficulties in financing social programs. But there are positive trends, for example, we have started introducing additive technology, especially in revision arthroplasty - this is 3D-modeling, which allows to replace the components that are no longer produced by manufacturers of endoprosthesis. The first surgery was done in March 2016. The results are positive, a great joint work is now underway. Apart from our Moscow City Center for Endoprosthetic Replacement of Bones and Joints under Botkin City Clinical Hospital, 3D-modeling is actively applied by Nizhny Novgorod Research Institute of Traumatology and Orthopedics and R.R.Vreden Russian Research Institute of Traumatology and Orthopedics. To date, 30 surgeries have been held. Moscow City Health Department is ready to support the development of high-tech 3D-technology in revision and heavy primary hip surgery. Currently, we are actively working on it together with the Department.

Guram Lazishvili talks about trends in sports traumatology and arthroscopy and the EOF section where they will be discussed
Head of Training and Practical Center for Arthroscopy at N.I. Pirogov Russian National Research Medical University, Guram D. Lazishvili answered the questions of the Organizing Committee of the EOF.
– Mr. Lazishvili, is sports traumatology a burning issue in our country?

– Yes, it is an issue of high current interest, as more and more people do active and extreme sports. Unfortunately, in spite of modern equipment, injuries happen quite often. There are many clinics abroad that specialize in sports traumatology. There is one at every ski resort. We can't boast the same yet. We do not have resorts of such high level and sports traumatology is not that developed at the national scale. Most of the injured are treated at conventional traumatological inpatient hospitals.

Nevertheless, Russia is developing a tendency to establish units and clinics specializing in sports traumatology at the moment. Examples include the clinic for sports and ballet injuries under the Central Institute of Traumatology and Orthopaedics that used to be the federal leader for quite a long time, as well as the ECSTO European Clinic for sports traumatology and orthopaedics under the European Medical Center. As Russian sports operate under the authority of the Federal Medical and Biological Agency, many FMBA centers open such special clinics, too. Of course, they are mainly situated in big cities.

– Please, tell us about technologies that are used in sports traumatology.

– First of all, modern sparing surgical methods, which includes arthroscopic techniques. That is why arthroscopic techniques are the focus of the EOF sports traumatology section. Nowadays, they are used in many sports injury cases, especially if joints are involved, as in 99.9% of meniscus tear cases.

Arthroscopy is always embracing new techniques. Doctors don't need a certificate to practice it, so many traumatologist master the technology. However, I think it is more effective to have a doctor specializing in arthroscopy, arthroscopist.

That's the way we choose at the clinic where I work: we have a group of arthroscopists specializing in sports traumatology. It is much better then when arthroscopic procedures are performed by anyone who basically can do it. Arthroscopy requires special knowledge, skills and continuous practice. I mean more than just mastering surgical techniques. It is advantageous for expensive arthroscopic equipment, as well. It will last longer and break less often, if used by specialists not just anyone who wants to.

It's worth mentioning that, when treating a patient, an arthroscopist is to advice him/her on the limitations for further sports activities or using weights. There is a variety of aspects one is to be aware of.

– What other modern technologies are of interest in sports traumatology?

– Special attention is paid to biotechnologies using stem cells and various biological materials to treat injuries, meniscus tear, ruptures of ligaments, fractures. Unfortunately, Russia is a bit behind the global trends: sanctions, crisis and high costs hinder the use of these technologies. But we are still trying to make a difference. Biotechnologies are our future, so we project to dedicate an individual meeting during our EOF section to biotechnologies.

– What is the general structure of Sports Traumatology and Arthroscopy section?

– This scientific program will consist of three main areas: knee surgery, shoulder surgery, other joint surgeries. Thus, we will try to cover all aspects of our work.

As far as the participants are concerned, almost all Russian experts in sports traumatology and arthroscopy will attend. 2 hours wouldn't be enough to name them, believe me. We are also expecting some European medical professionals. Although our connections with Asian colleagues are few, we hope to acquire some more during the Forum. I know that Chinese medicine is on the rise, and I believe we can find a common way.

– Is there anything else you'd like to add about your section?

– I'd like to announce that anyone who would like to share his/her experience with colleagues can apply at For those who have already did and will take part, here is my kind reminder: please, send your reports. We are waiting!

02.02. 2017
Russian and foreign doctors have already submitted more than 100 applications for giving presentations
Since the beginning of the year, the Organizing Committee has been accepting applications from all registered forum participants to deliver presentations. We also urge international associations, colleagues from the CIS and industrial partners to attract foreign specialists who would like to make presentations. More than 100 applications have been already submitted, which are reviewed by the Scientific Committee. Applicants should fill in a special form on

Abstracts submission for the EOF digest is extended until 1 April. Abstracts can be submitted by any registered participant of the Forum
If you have something to tell about your work to colleagues, please prepare the material and send it to Pay attention to the conditions for abstracts submission.
Conditions for abstracts submission:

· Microsoft Word document, font: Times New Roman, size: 12, line spacing: 1.5.

· Abstracts submitted by you for the EOF digest must not be previously published anywhere or sent for publication to other editions.

· Abstracts should include the purpose and objectives of the work; materials and methods for its implementation; results and conclusions.

· Essays and literature reviews are not accepted.

· The text must not contain any tables, figures and graphs. Always use the full term before its abbreviation.

· The maximum number of characters in the text (except for the title and the list of authors and organizations based on which the work was made) must not exceed 5000 characters including spaces.

Opinion Leader, a professional medical journal, acts as the General Information Partner of the Eurasian Orthopedic Forum
The journal tells about opinion leaders in the medical community and brings across their professional positions to Russian doctors. It also introduces products useful to doctors. The journal is interesting, useful and beautiful, the one to which you want to return.
Each issue of Opinion Leader is devoted to one of medicine sections:

industry news and important events;

information about professional societies, departments and clinics;

announcements and reports on activities;

interviews with respected industry representatives about their work and personal life;

news from manufacturers and distributors;

scientific achievements, latest research and treatment techniques;

information about FAMS, master classes and other opportunities for professional education;

legal advice.

The circulation of Opinion Leader is 2500 copies. The journal is distributed free of charge among specialized doctors. The electronic version can be downloaded from You will also find there the contact details for the editorial team.

The Editorial Board invites opinion leaders and manufacturers of medical products from Moscow and regions to cooperate.

Moderators of the Radiology in Traumatology and Orthopedics section spoke about their research program and the development of X-ray diagnostics in the country
We hope that you are well rested and ready for new experiences that await you in 2017. Let these events be bright and helpful. This is what the Orthopedic Eurasian Forum promises to be like. We continue talking about it and present the Radiology in Traumatology and Orthopedics section.
Professor Valentin E. Sinitsyn, the president of the Russian Society of Radiologists (RSR), the Head of the Medical Rehabilitation Center (Center of Radiation Diagnosis) of the Russian Ministry of Health Care:

– Our section will highlight the capabilities of modern radiological diagnostic techniques. Skeletal Radiology has long been considered mainly a field of application of classical radiography. But now, new technologies based on CT, MRI, ultrasound, nuclear medicine, and hybrid technologies play an increasingly significant role. They are particularly important when it comes to muscles, ligaments, meniscus, cartilage and other 'soft' anatomical structures. We want to emphasize the importance of an integrated approach to the diagnosis of diseases.

We plan to focus on sports injuries, as amateur and professional sports often involve skeletal damage, and this is an important area of traumatology, orthopedics. We will certainly cover combat trauma, in particular, knife and gunshot wounds – this area is highly relevant both in peacetime and in wartime. We will have closer look at the orthopedic area. We will place a special emphasis on the most interesting topic: 3D X-ray images and 3D printing. The latter is now in high demand, and traumatology and orthopedics are the main fields of application of 3D printing in medicine

Leading practitioners and researchers from Russia, Asia, and Europe will be speaking in the section. Among them, we'd like to mention Professor Giuseppe Guglielmi, the President of the European Society of Musculoskeletal Radiology (ESSR), a well-known specialist with extensive experience. Our invitation to participate in the forum was also accepted by South Korean radiologists, one of them is Professor Jongmin John Lee from Seoul. He is a member of the executive committee of the Korean Society of Radiology (KSR). To date, South Korea is actively funding research in medicine, including in X-ray diagnostics. This country is leading in the number of scientific publications in many medical fields, including musculoskeletal radiology. So we look forward to a fruitful exchange of experience

In addition to the radiologists, trauma and orthopedic surgeons, the session will be helpful to rehabilitation professionals, rheumatologists, physiotherapists and other specialists who deal with diseases of muscles and joints. I'd like to note that one of the strengths of the Eurasian Orthopedics Forum is a multi-disciplinary approach to the program, as modern medicine is very complex. Therefore, it is important that radiologists, trauma surgeons, orthopedists, surgeons share a common language. X-ray diagnostics experts should understand what the colleagues expect of them and be sure that they adequately interpret the two- and three-dimensional digital images they receive. Another key to success is using the right tools for the right indications.

I think that now we witness a qualification growth of Russian doctors. In general, they are in no way inferior to their peers from Europe, North America and Asia. But in order to grow, one needs to continually improve their qualifications. For this reason, we invite well-known foreign and Russian lecturers, experts in the field of musculoskeletal radiology.

Vladimir N. Troyan, the Head of the X-Ray Diagnostic Center of the Burdenko Main Military Clinical Hospital:

– The scientific program of the section is being prepared in cooperation with our colleagues from other participating leading medical institutions of the country: the Priorov Central Scientific Research Institute of Traumatology and Orthopedics, the Sklifosovsky Scientific Research Institute, the Department of Radiology of the Kirov Military Medical Academy, the Federal Center of Treatment and Rehabilitation of the Russian Ministry of Health Care. Through such cooperation we will be able to cover a wide range of areas and problems of the Russian X-ray diagnostics in relation to musculoskeletal radiology

X-ray diagnostics is still being developed in Russia very unevenly, talking about the provision of the country's regions with modern equipment and qualified personnel. The leading clinics in the major cities maintain good equipment and staffing at the appropriate level, which is not true for small towns, where intellectual capacity has no proper technical support. It should be emphasized that the results of our work are largely linked to the equipment quality and level. Unfortunately, not all hospitals have the funds to purchase it.

Russia produces many kinds of advanced equipment for X-ray diagnostics. In particular, this applies to all classes of X-ray machines, where we are quite competitive. Through integration with the global manufacturers our country now produces modern middle class CT scanners. MR scanners of certain types are issued in limited amounts, but here the situation is more complicated, and the imported equipment is not enough.

A wide range of X-ray, ultrasound, magnetic resonance imaging equipment for our specialized area is produced by Asian manufacturers. And not only the world-famous Japanese giants such as Toshiba, Shimadzu, Samsung, Hitachi, but also Korean and Chinese companies. Russian doctors should be familiar with their equipment to adequately assess value-for-money ratio and make the right choices, and use the equipment taking into account all the existing possibilities.

We are not familiar enough with the scientific potential of the Asian region, dealing mostly with European counterparts, and the forthcoming Forum will eliminate this shortcoming in our doctor's communication.

Trauma and orthopedics surgeons are showing increased interest in the Surgery of Foot and Ankle Section
You can vote at for the most relevant direction of the scientific program in your opinion. Now we have the greatest number of votes in the Surgery of Foot and Ankle section. The section moderators, Denis Davydov and Viktor Protsko told what is the reason of such increased interest and how this direction develops in Russia.
Professor Denis V. Davydov, MD, the Head of the Operational Department of the Trauma and Orthopedics Center of the Burdenko Main Military Clinical Hospital, Russian Defense Ministry:

– Foot and ankle surgery is an area of high demand, and interest in it has recently increased dramatically. This is largely due to the rapid development of high technology. The emergence of new tools, advanced implants and special devices for the correction of various pathologies greatly expanded possibilities of surgical treatment of patients

Different countries maintain more than 200 surgical procedures for recovery of the foot and ankle functions. Russia has introduced its own methods, too. We have many talented podiatrists, who have made a lot of progress in this area, and we can say with confidence that the Russian podiatry is at a decent level with its rich comprehensive experience. Numerous compact and high-tech implants have been developed in recent years. A significant number of techniques were proposed to minimize surgical trauma and accelerate recovery.

However, many different approaches to treatment suggests that the problem is far from being finally resolved. Neglect or superficial approach to the treatment of foot pathologies associated with mechanical reproduction of the techniques seen somewhere else can lead to unsatisfactory results. Therefore, it is very important for a podiatrist to clearly understand what he or she is doing and why. These are the issues we would like to discuss with Russian and foreign colleagues. The goal of our section is to share experiences and make our care of patients more efficient and modern. We invite everyone to cooperate.

Victor G. Protsko, the President of the Russian Association of Foot and Ankle Surgeons (RUSFAS), Candidate of Medicine, Associate Professor of the Department of Traumatology and Orthopedics of PFUR:

– A significant global surge of interest in Podiatry began after the 2000s. For example, even 7-10 years ago in the UK there were 15 specialized doctors, and now there are about 700. The situation is similar in other countries, including Russia.

A significant step for the Russian podiatry was the introduction of SCARF and Chevron into a mass practice of osteotomy. I started to learn these techniques with Dr. Kordanov in 2001, in Moscow City Clinical Hospital No. 31, with the support of the Department of Traumatology and Orthopedics of PFUR led by Zagorodny. Foot surgery was actively developed by doctors Istomin and Levin at the Central Scientific Research Institute of Traumatology and Orthopedics. Further this trend was developed by professionals such as Bobrov, Davydov, Mazalov, Makinyan and others. A significant contribution to the development of methods of treatment of hindfoot injury was made by Dr. Korobushkin. Berezhnoy was the first one in the early 2010s to introduce the practice of minimally invasive techniques of forefoot surgery.

Trauma and orthopedic surgeon Baranetsky has actively contributed to the development of ankle joint arthroplasty. The team of doctors practicing ankle joint arthroplasty in the Saratov Scientific Research Institute of Traumatology and Orthopedics is worth special mention, as well as the work of Dr. Pakhomov, who has practiced ankle joint arthroplasty and the first metatarsophalangeal foot joint arthroplasty at Novosibirsk RITO for the last 10 years.

The Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics is distinctive for its surgical methods of treatment of deformation of hindfoot and forefoot using the extrafocal fixation devices. But these are not all the doctors and hospitals that have contributed and continue to contribute to the development of the Russian school.

An important step for the Russian podiatry was the launch of special training courses in 2012 on the initiative of the PFUR Department of Traumatology and Orthopedics and Footdoctor company. 800 doctors have already been trained and graduated from our courses are now working in Novokuznetsk, Rostov, Ufa, Belgorod, Orel, Simferopol, Krasnodar, Vladivostok, Khabarovsk, Murmansk, Yalta and other Russian cities.

Two years ago, we organized the Russian Association of Foot and Ankle Surgeons (RusFAS). An important event for the association was the participation in the 6th Congress of the Asian Federation of Foot and Ankle Surgeons (AFFAS), which was held in Japan in November 2016. Representatives of RusFAS successfully presented papers and demonstrated a high level of training. Following the meeting of the AFFAS Presidential Committee, Russia became the 12th country, which entered this confederation, and thereby the international IFFAS. Asian colleagues expressed a desire to come to us to share their experience, and several of them will participate in the EOF.

EOF committee accepts applications for making presentations from all comers
EOF committee accepts applications to make presentations from all comers.
If you are willing to share experience with colleagues, fill out the form on the home page. Specify a section in which you want to speak, the subject of the report and brief abstracts, revealing its contents. The EOF Scientific Committee will review the application and give response regarding your possibility to give a speech.

Titanmed acts as a prime sponsor of the Eurasian Orthopedic From
Since 2009, a Moscow company Titanmed is a distributor of Naton Medical Group – one of the largest Chinese manufacturers of traumatology and orthopedics products. Titanmed has 20 branches in Russia and is now engaged in the localization of Naton's production facilities on the basis of Rameev Technopark in Penza.
The founder, owner and CEO Andrey Zhupikov met with the EOF press center and answered a few questions.

– Andrey, tell us why has your company decided to support the forum?

– And if we don't, who will? In 2009, Titanmed concluded a distribution agreement with the largest manufacturer of products for orthopedics and traumatology from China, Naton Medical Group, widely known around the world. Less than within a year after signing the agreement, we were among the first to deliver the pins and plates for osteosynthesis from China. The next step was the registration in 2013 of the first and only Chinese endoprostheses of hip and knee joints in Russia, including revision and oncological endoprostheses. Now these Naton's products are already used by doctors from different regions of our country

As you know, cooperation with China in the field of high technologies is one of the priorities for Russia, and heads of our states have repeatedly highlighted that. And today, it is important to expand the possibilities of direct contacts between the business communities of our countries, to launch innovative projects and encourage mutual investments. This is the objective of the Eurasian Orthopedic Forum, so we actively support it.

– Why did you decide to work with a Chinese manufacturer?

– Before having found our current partners, we met with more than 20 manufacturers of traumatology and orthopedic products from different countries. But it was China that won us by its energy and philosophy. Talking about the medicine, this country has very rich experience of trauma treatment, including in-line technology implementation of social programs for the surgical treatment of diseases of the musculoskeletal system.

– Is it difficult to sell Naton products in Russia?

–Of course, the recognition did not come at once. First, we had a lot of communication with the doctors and made surgery demonstrations and presentations; gradually we won the trust of doctors, and now our products are present in more than 250 clinics over the country. Promotion was facilitated by the fact that over the years the attitude to Chinese products has generally changed for the better, because most of the things that surround us are made in Asia, mainly in China. The Chinese people know how to work, and we have something to learn from them. During the years of cooperation with Naton we proved it to ourselves and to many Russian doctors

– Tell us about the projects that you are implementing jointly with your Chinese partner.

– Naton has its own training center in China, and over 250 Russian doctors have already visited it. At present, it is settling the issue of launching a cadaver course for medical specialists from different regions of the country.

We held two Russian-Chinese conferences in Moscow on the basis of the Burdenko Main Military Clinical Hospital, dedicated to topical issues of trauma and orthopedic care. About 50 Chinese orthopedists took part in the event.

In 2016, we started working on the localization of Naton's production facilities on the basis of Rameev High Technology Park in Penza. In the summer, with the support of the Ministry of Industry and Trade of the Russian Federation, as well as the government and the governor of Penza Region, we signed an agreement on establishing a joint venture between Titanmed, MedEng (a scientific and production company in Penza) and Naton Medical Group. Our Chinese partners have achieved tremendous success in organizing the high-quality mass production of orthopedic products, and we intend to use this experience for the benefit of Russian patients

– How is the joint venture developing, what are the production plans?

– Currently, the strategy, steps, targets are being developed. According to our calculations, the products can take up to a quarter of the market of orthopedic products in Russia. In March 2017, according to our plans, the supply and installation of technological equipment for production in Penza is set to begin, and we will talk in detail about the project at the EOF.

– Do you plan to invite your Chinese partners to the forum?

– Yes, we are currently negotiating with leading traumatology both from China and from Russia to participate in the forum. The visit of the President of the Chinese Orthopaedic Association Mr. Zhang Yingze to Moscow is planned within the Forum. He is willing to not only speak at the forum, but also to hold demonstration surgeries at the Priorov Central Scientific Research Institute of Traumatology and Orthopedics of the Russian Ministry of Health Care, together with the leading experts of this clinical center.

I invite everyone to attend lectures and workshops with our Chinese partners, to get acquainted with their clinical experience and the latest technical developments of products for trauma and orthopedic care.

The President of the Chinese Orthopedic Association (COA) confirms his participation at the Forum
Mr Zhang Yingze expressed his willingness to not only speak at the EOF, but also to hold demonstration surgeries in the Priorov Central Scientific Research Institute of Traumatology and Orthopedics and the Burdenko Main Military Clinical Hospital, together with the management of the clinical centers.
COA was established in 1980 in Tianjin at the first national conference. The association has 14 units in the following areas: joint surgery, research in orthopedics, spine surgery, bone tumors, foot and ankle surgery, osteoporosis, trauma, invasive surgery, microsurgery pediatric, orthopedic rehabilitation, Western Chinese medicine and nursing care. The Association actively promotes scientific exchange and improves the quality of medical education and orthopedic medical care.

Elena Litvina told about the preparation of the Lower Limbs and Pelvis Trauma section, and shared her thoughts about the Forum
The section offers interesting presentations of leading experts from Asia. The first day a problem of modern methods of treatment injuries of the lower extremities and pelvis will be considered. The second day promises to be even more interesting.
Elena A. Litvina, Deputy Chief Physician at the Inozemtsev Clinical Hospital of Traumatology of the Moscow Health Care Department, Professor of the Department of Traumatology and Orthopedics of the Russian Medical Academy of Postgraduate Education (RMAPE):

– Strengthening and development of capacity and the well-being of the country is directly linked to the nation's health. And health largely depends on medical professionalism. At any level of quality, we are expected to provide quality expert assistance. The Eurasian Orthopedic Forum is an opportunity to broaden horizons, gain new knowledge in one's specialty. Another important factor is communication with Russian and foreign colleagues. Today, Europe sets the pace in traumatology, but this does not exclude the unique experience of other countries, which will be presented at the forum. The experience the colleagues is always of interest: a person has his or her own professional weight no matter from where he/she comes, there is something to share. For example, we expect interesting and topical presentations of leading experts of Israel, China, Korea in the Lower Limbs and Pelvis Trauma section.

In addition, at the Eurasian Orthopedic Forum one may get acquainted with the new equipment, supplies, surgical instruments, pharmaceutical products, which will definitely enhance physicians' capabilities. The exhibition will bring together participants from 25 countries. I am going to invite manufacturers of traumatology products from Korea.

Speaking of the section's program, it will focus on the treatment of acute trauma and its consequences. A preliminary plan of presentations has been drawn for two days, and their subjects have been determined. On the first day, a problem of modern methods of treatment injuries of the lower extremities and pelvis will be considered. The second day promises to be even more interesting. Lecturers and participants will discuss the very complicated but burning issue: the treatment of complications and consequences of fractures of the pelvis and lower extremities.

I am sure that the format of our professional meetings at the Eurasian Orthopedic Forum will not only expand our professional horizons, but will also help to gain new friends, colleagues, partners and associates. The new contacts will be useful not only for physicians and the public health as a whole, but also for the whole Russia, which is interested today in strengthening cooperation with Asian countries.

Andrey Garkavi introduced the Disaster Medicine section of the Eurasian Orthopedic Forum
The Eurasian Orthopedic Forum is a platform which accumulates best practices and facilitates the integration of all specialties related to traumatology and orthopedics. Therefore, we have included in the program the most important areas, including those that are not yet extensively studied in our country.
We are presenting you the Disaster Medicine section. Andrey Vladimirovich Garkavi, the Head of the Teaching Department, Professor at the Department of Traumatology, Orthopedics and Surgery of the Medical Faculty of the Sechenov Moscow Medical Academy, world class rescue doctor, speaks about the section:

– One section of the Eurasian Orthopedic Forum is devoted to the disaster medicine. This trend is becoming even more relevant with each passing year. Issues of aid in emergency situations are becoming urgent, as a growing number of man-made disasters caused by human activities occur each year, now and then armed conflicts emerge, acts of terrorism and traffic accidents occur. And natural disasters such as earthquakes, floods, tsunamis are causing serious consequences in different regions of our country.

From both scientific and practical perspectives, disaster medicine is regarded as an independent discipline that has very important distinctive features. While in Russia the development of disaster medicine is given considerable attention, unfortunately, in some cases, the doctors who work in hospitals are not yet familiar with its specific character. As a result, they cannot act effectively in emergency situations, despite all their knowledge and experience. But each of us can be faced with the need to provide assistance in such conditions.

I would recommend traumatologists, surgeons, anesthesiologists to first pay attention to the Disaster Medicine section. Doctors specializing in these areas are increasingly faced with the need to work in emergency situations; in fact, the statistics shows that in mechanical and thermal traumas prevail in emergencies: they account for more than 80% of all injuries. However, the peculiarities of the work in disaster medicine can be interesting to a wide range of other specialists.

Of course, our program would be beneficial for health care policy-makers, because the success of medical aid in mass disasters is in the first place associated with the effective settlement of organizational issues – this is the topic we are going to give full attention. Another important and interesting topic is aeromedical teams; they have quickly developed in recent times. We also plan to get the section participants acquainted with experience of Russian and foreign field hospitals.

The speakers will include leading specialists from Russia and Asia, in particular, now negotiations are held with the doctors from China about their participation in the EOF. They have a significant and highly specific experience of disaster response – both to man-made and natural disasters, and the country generally copes on its own, without involving anyone from the outside. In 2015, Shanghai hosted a large conference devoted to emergencies and disasters. Very interesting presentations were delivered that reflect the experience of our Chinese counterparts. I hope that Russian doctors will be able to get acquainted with this experience at the EOF, without leaving the country.

And, of course, we have planned presentations of experts from the Russian Emergencies Ministry and the Protection National Center for Disaster Medicine. Their wealth of experience in disaster response both in Russia and abroad has been widely recognized and has earned respect around the world.

Specialized Exhibition of the Eurasian Orthopedic Forum to be one of the largest industry exhibitions in Eurasia
More than 4000 square meters were allocated for the exhibition, which will be held during the Eurasian Orthopedic Forum, about 100-150 exhibition stands ranging from 6 to 80 square meters are planned to be placed, which can feature a single company or an entire cluster of enterprises, combined by specialization, location, or some other criteria.
The Specialized Exhibition will be one of the largest industry expositions in the territory of Eurasia. A total of about 25 countries will demonstrate to EOF participants their medical products, of them 40% of producers from Russia and the CIS, 30% from China and India, 20% from ASEAN and other countries of Asia, and 10% from the European Union states.

Such reputable companies as Bayer, Dable medical, Johnson & Johnson Depuy Synthes Russia & CIS, KARL STORZ, Medical Trading Company, Medtronic, RegenLab, Titanmed, WRIGHT, Beka RUS, Osteomed, and others have already confirmed their participation as exhibitors.

Along with well-known representatives of the health market, the new players, yet little-known in Russia, but having a fairly high export potential due to their prices or technological advantages, are set to declare themselves. Getting to know them will allow Russian physicians and health care policy-makers take a broader look at the market, take into account the global trends in their work.

In turn, manufacturers and distributors will be able to communicate with practitioners, receive feedback on their products, show new products, speak about training events, as well as to discuss business development and expansion into new markets. Overall, more than 3,000 physicians will see the products presented at the exhibition!

Special programs

Special attention in the preparation of the Forum will be given to major public and private medical institutions from different countries, which buy equipment, drugs and other medical products in large amounts. They will be granted preferential conditions for participation in a special program and EOF when visiting the exhibition. In particular, it will open a special area for business communication between managers of leading clinics and hospitals with exhibiting companies.

A special program is being developed for companies interested in opening manufacturing facilities in Russia. The industrial parks specialized in the production of medical products will be invited to the exhibition.

In the exhibition, an area of business communication will be opened to all registered participants of the scientific and exhibition program of the EOF. Any visitor – from a doctor to a medical representative or a head of a medical company – will be able to schedule meetings with the forum participants that they would like to establish a business relationship or strengthen partnership with.

The experts of EOF organizing committee will make recommendations regarding the search for new business contacts, will assist in the conduct of meetings, negotiations and will attract experienced translators. Other services are also included.

Sergey Kolesov speaks about the benefits of using technology in Asian medicine and the development of the scientific program for the Vertebrology section at the EOF
Moderator of the Vertebrology section shared information about what has been done in the development of this section's scientific program and spoke about the benefits of using Asian technology.
Sergei V. Kolesov, MD, Ph.D., Professor, the Head of the Spine Pathology Department of the Priorov Central Scientific Research Institute of Traumatology and Orthopedics, a Member of Scoliosis Research Society:

– The coming Forum promises to be of interest, as there are around 10,000 trauma and orthopedic surgeons in our country, and industry assemblies, where you can discuss the outstanding issues, are held infrequently, once every four years. The EOF enables us to hold another meeting, and a very large one, both by the coverage of the areas of traumatology and orthopedics, and by the number of participants.

The emphasis on Eurasia, where the bulk of the world's population is living and technology is rapidly evolving, is very important for Russian doctors. The fact is that in Europe and America health care is costly, it is intended to ensure that maximum is invested in patient treatment. Asians possess rather limited cash resources, so they choose effective techniques that do not require significant costs. For Russia, which occupies a borderline position between Asia and Europe, both kinds of experience are interesting. Analyzing them, we will be able to choose the best for ourselves.

The community of Russian vertebrologists have already been cooperating with Asian counterparts for several years. We have invited them to the Forum, in particular, were are waiting for doctors from Hong Kong and Beijing, from Japan and from the United States at the spinal section. The draft program of our section is ready. We have focused on the contentious and controversial issues of modern spinal surgery from the perspective of evidence-based medicine. We are pleased to invite you all to join our section and participate in discussions.

Any registered forum participant can submit materials for the abstracts collection
Abstracts for the EOF collection should reflect: the purpose and objectives of the work, materials and methods of its implementation, results and conclusions. The total number of characters in the text (except the name of the work, the list of authors and institutions) should not exceed 5,000 characters with spaces. Abstracts must be previously unpublished. Shortly the Forum's website will provide the opportunity to upload the abstracts in the participant's personal account, until then you can send them to

In September, the EOF organizing committee convened for the kick-off session
On the 14 of September, the World Trade Center in Moscow hosted the first meeting of the Organizing Committee of the EOF. It was chaired by the Head of the Technical Directorate of the Eurasian Orthopedic Forum, the Head of the Trauma and Orthopedics Center of the Burdenko Main Military Clinical Hospital, professor Leonid Brizhan, MD. The meeting brought together more than 20 leading medical professionals who are responsible for different areas of the Forum's scientific program, they approved the topics of sections and decided on further work.

The Forum supported by the Committee on Defense and Security of the Federation Council
The initiative of the first Eurasian Orthopedic Forum was supported by the Committee on Defense and Security of the Federation Council. The Chairman of the Committee on Defense and Security of the Federation Council Viktor Ozerov became member of the EOF organizing committee.

The First Eurasian Orthopedic Forum begins accepting applications for participation
On 1 September 2016, the registration of applications for participation in the first Eurasian Orthopedic Forum started, applications are accepted via Upon registration, the EOF organizing committee will carry out accreditation of applications, in the follow-up of which the participant will receive an invitation to the specified e-mail. You can send all questions regarding the registration to

Our foreign colleagues are actively involved in the Forum preparation
Preparation for the first in the Eurasian history International Orthopedic Forum is in full swing. The branch-specific communities of several countries have started officially cooperating with Russian specialists:
Armenian Association of Orthopedic Surgeons, Traumatologists and Rehabilitologists

Kyrgyz Association of Traumatologists and Orthopedic Surgeons

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

Scientific Research Institute of Traumatology and Orthopedics of Azerbaijan

Orthopedic Community of Bangladesh

Asia Pacific Orthopaedic Association (APOA), Malaysia

Saudi Orthopedic Association (SOA)

Serbian Orthopaedic Trauma Association (SOTA)

Singapore Orthopedic Association

Hellenic Association of Orthopaedic Surgery and Traumatology (HAOST)

European Orthopaedic Research Society (EORS), Austria

And this is just the beginning, the number of participating associations will grow! To keep the track of events, please register at the EOF!