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In the 10th century, the distinguished Byzantine physician and philosopher Theophilus wrote that the ligament of the head of femur, ligamentum capitis femoris (LCF), "is created out of God's love for man." It is difficult to add anything to the wise man's statement, as the significance of this structure is indeed exceptionally great for the normal functioning of the hip joint, natural walking, and maintenance of vertical postures.

Like other elements of the human body, the LCF inevitably changes with age and is often injured. Its damage or elongation at the initial stage causes the appearance of pain, lameness and impaired ability to remain in an orthostatic position. In children, femoral head osteochondropathy, congenital hip dysplasia, pathological and congenital dislocation of the hip can develop. In adulthood, changes in LCF lead to severe hip joint diseases: osteoarthritis and aseptic (avascular) necrosis of the femoral head. Problems multiply with the number of years lived. Adjacent joints of the pelvis, spine, and knee joint gradually become affected. The quality of life decreases, limiting social interactions, reducing mobility, and increasing family expenses for treatment.

The disturbance of gait due to LCF injury was first described in the ancient literary monument "Bereshit” (Genesis), dating back to at least the 10th-5th centuries BC. Hippocrates wrote about this anatomical structure in the 5th-4th centuries BC, and later Heracleides of Tarentum, Hegetor, Apollonios of Kition, Rufus of Ephesus, Galen of Pergamon, Oribasius, and Theophilus Protospatharius. Over the past 3.5 millennia, humanity has learned relatively little about LCF. Until now, accurate diagnosis of its pathology and prevention have not been developed, and methods of effective treatment are unknown. The most modern operations for hip replacement do not involve the reconstruction of this structure, and arthroscopic interventions, accompanied by its damage or removal, aggravate the existing problems.

Nowadays, if you begin to limp and experience pain due to LCF pathology, the time for normal functioning of the hip joint is already numbered, its catastrophic change is inevitable. Conservative therapy is mostly palliative. Surgical procedures are, at best, useless, and at worst, crippling. The patients are doomed. Doctors are confused. Their efforts are still futile (02/04/2024).

There is still hope for doctors and patients. We see the need to conduct large-scale experimental and clinical studies, the results of which should become public domain. Our project will help: develop reliable methods for LCF reconstruction, create perfect artificial joints with ligament analogues, improve the prevention and diagnosis of pathology of the lower extremity girdle. This will increase the mobility of patients, and allow healthy people to maintain joint function. A wide field of scientific creativity opens up for researchers, and patrons have the opportunity to remain in history as sponsors of a project that can positively influence the life of all inhabitants of planet Earth without exception.

JOIN AND SUPPORT THE PROJECT!

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With sincere respect to you,

Sergey Arkhipov

Please send correspondence to: archipovlcfbooks&gmail.com

. .

Translated from Russian in collaboration with ChatGPT (version 3.5, developed by OpenAI) and the Google Translate service.

Original text:

В Х веке современной эры выдающийся византийский врач и философ Феофил написал, что связка головки бедренной кости, ligamentum capitis femoris (LCF), «создана по Божией любви к человеку». К высказыванию мудреца сложно что-либо добавить, ибо значение структуры действительно исключительно велико для нормального функционирования тазобедренного сустава, естественной ходьбы и непринужденного поддержания вертикальных поз.

Как и прочие элементы тела человека, LCF неизбежно изменяется с возрастом и зачастую травмируется. Ее повреждение или только удлинение на начальном этапе обуславливает появление боли, хромоты и нарушение способности пребывать в ортостатическом положении. У детей развивается остеохондропатия головки бедренной кости, дисплазия тазобедренного сустава и патологический вывих бедра. В зрелом возрасте изменения LCF приводят к тяжелейшим заболеваниям тазобедренного сустава: остеоартрозу и асептическому (аваскулярному) некрозу головки бедренной кости. Проблемы множатся с числом прожитых лет. Постепенно поражаются смежные сочленения таза, позвоночника, а также коленный сустав. Снижается качество жизни: ограничивается общение, уменьшается подвижность, увеличиваются расходы семьи на лечение.

Нарушение походки при повреждении LCF впервые описано в книге «Бырэйршит» (Бытие) – древнем литературном памятнике, датирующимся как минимум X-V веком до современной эры. Об этом анатомическом образовании писал Гиппократ в V-IV веке до современной эры, позднее Гераклид Тарентский, Гегетор, Аполлон Китионский, Руф Эфесский, Гален Пергамский, Орибасий и Феофил Протоспафарий. За прошедшие 3.5 тысячелетия Человечество узнало о LCF недостаточно мало. До сих пор точная диагностика ее патологии и профилактика не разработаны, а способы эффективного лечения неизвестны. Самые современные операции по эндопротезированию тазобедренного сустава не предусматривают воссоздание этой структуры, а артроскопические вмешательства, сопровождающиеся ее повреждением или удалением, усугубляют имеющиеся проблемы.

Ныне, если Вы начали хромать и испытываете боль по причине патологии LCF, время нормального функционирования тазобедренного сустава уже сочтено. Его катастрофическое изменение неизбежно. Консервативная терапия по большей части паллиативная. Хирургические процедуры в оптимистичном варианте бесполезны, а в худшем – калечащие. Пациенты обречены. Врачи в замешательстве. Предпринимаемые усилия и тех, и других пока бесперспективны (04.02.2024).

Надежда у докторов и больных все же есть. Нам видится, что необходимо проведение масштабных экспериментальных и клинических исследований, результаты которых должны стать общественным достоянием. Наш проект поможет: разработать надежные методики реконструкции LCF, создать совершенные искусственные суставы с аналогами связок, улучшить профилактику и диагностику патологии пояса нижних конечностей. Указанное повысит мобильность больных, а здоровым позволит сохранить функцию сустава. Перед исследователями открывается широкое поле научного творчества, а у меценатов появляется возможность остаться в истории спонсорами проекта, способного положительно повлиять на бытие всех без исключения жителей планеты Земля.

ПРИСОЕДИНЯЙТЕСЬ И ПОМОГИТЕ ПРОЕКТУ!

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Invention (Patent Application Publication): Mansmann KA. Tendon-sparing implants for arthroscopic replacement of hip cartilage. WO2012162571A1 (2012). The original text of the document contained defects. WO2012162571A1S US Inventor: Kevin A. Mansmann Worldwide applications 2012 WO Application PCT/US2012/039481 events: 2012-05-24 Application filed by Mansmann Kevin A 2012-11-29 Publication of WO2012162571A1 Tendon-sparing implants for arthroscopic replacement of hip cartilage Kevin A. Mansmann Abstract Surgical implant devices are disclosed which will allow completely arthroscopic resurfacing of the acetabular socket, and the femoral head, in hip joints, in both humans, and in animals such as dogs. Such devices, made of flexible polymers with smooth articulating surfaces and porous anchoring surfaces, can be provided with centered openings, to allow a surgeon to spare the major ligament (the ligamentum teres) which connects the femoral head to the pelv...

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The author, one of the first pathologists in Europe, the first to draw changes in the ligamentum capitis femoris (LCF) in the consequences of traumatic and congenital hip dislocation. Froriep R. Tafeln über die Luxationen: aus den "Chirurgischen Kupfertafeln" einer auserlesenen Sammlung der nöthigsten Abbildungen von äusselich sichtbaren Krankheitsformen, anatomischen Präparaten, Instrumenten, Bandagen und Operations-Verfahren au dem Gebiete der Chirurgie, zum Gebrauch für praktische Chirurgen zusammengestellt. Meimar: Landes-Industrie-Comptoir, 1847. [fragments] Luxatio. XIII. 2. Ansicht von anatomischen Präparaten über verschiedene nicht eingerichtete Schenkel Luxationen. Fig. 3. c) Schenkelknochen; d) Großer Trochanter; f) Kopf des Schenkels; g) Neues Kapselligament; h) Abgerissenes ligamentum teres. Dislocation. XIII. 2. View of anatomical preparations of various unset dislocations of the hip. Fig. 3...

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Fragment of the text of clay tablet K 2453 (Nineveh; ca. 911-612 BC; maybe 5000-4000 BC). A recommendation for a ritual or magical act may mention the sheep's ligamentum capitis femoris (LCF). See our commentary at the link: 911-612bcK2453 [Rus]. Quote [Akk] Clay tablet К 2453 (original source: photo by Ashurbanipal Library Project cdli.mpiwg-berlin.mpg.de , text: 1906 ThompsonRC , plate. 12). Translation [Eng] Clay tablet К 2453 (reverse ) 42. (if a man’s leg is affected) SA ÚR UDU.NITÁ ša GÙB teleqqe you take the sinew from the left thigh of a sheep ( original source: 1992RothMT , p. 312). ( original source: Cuneiform Digital Library Initiative cdli.mpiwg-berlin.mpg.de ) External links Clay tablet; CT 23, pl. 05-14, K 02453 + (P365736). Nineveh (mod. Kuyunjik), Neo-Assyrian period (ca. 911-612 BC). [ cdli.mpiwg-berlin.mpg.de , ebl.lmu.de ] Thompson RC. Cuneiform Texts. Cuneiform Texts from Babylonian Tablets in the British Museum. P...

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