Assessment of experience of treatment of patients with consequences osteomyelitis using the technique of intramedullary stressed reinforcement
https://doi.org/10.20538/1682-0363-2017-1-6-12
Abstract
Aim. Evaluation of the experience of treatment of patients with consequences of hematogenous osteomyelitis using the technique of intramedullary reinforcement.
Materials and methods. The data treatment of 25 patients aged 12 to 17 years with a shortening of the humerus after hematogenous osteomyelitis. Patients were divided into two groups: the first (n = 15) – to extend the shoulder technique was used bifocal distraction osteosynthesis; the second (n = 10) – to extend the shoulder technique used bifocal distraction osteosynthesis using intramedullary reinforcement (IMR).
Results. Applying the methodology IMR reduced the fixation index by an average of 4,6 days/cm (p <0,05). Long term recovery movement in the shoulder and elbow joints of patients in both groups after the treatment was not significantly different. In assessing the safety of the IMA revealed no differences in adverse events. Changes of biochemical parameters marked in patients with IMA group, were typical of patients undergoing limb lengthening by Ilizarov.
Conclusion. According to clinical data, as well as according to other research methods, contraindications in terms of the safety of the IMR with the humerus lengthening in patients with consequences of osteomyelitis is not revealed.
About the Authors
A. M. Aranovich
Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopaedics”
Russian Federation
Russian Federation
DM, Professor, Head of the Department of Traumatology and Orthopaedics N 17,
6, M. Ulianova Str., Kurgan, 640014
N. V. Tushina
Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopaedics”
Russian Federation
Russian Federation
PhD, Researcher of the Laboratory of Biochemistry,
6, M. Ulianova Str., Kurgan, 640014
E. A. Kireeva
Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopaedics”
Russian Federation
Russian Federation
PhD, Senior Researcher of the Laboratory of Biochemistry,
6, M. Ulianova Str., Kurgan, 640014
F. F. Gofman
Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopaedics”
Russian Federation
Russian Federation
Doctor-orthopedist, Department of Traumatology and Orthopaedics N 17,
6, M. Ulianova Str., Kurgan, 640014
References
1. Aranovich A.M., Klimov O.V., Dindiberya E.V. Аnatomo-funktsional’noye sostoyaniye verkhney konechnosti u bol’nykh akhondroplaziyey v otdalennyye posle udlineniya plecha sroki [The anatomic-and-functional condition of the upper limb in patients with achondroplasia in the long-term periods after humeral lengthening] // Genij ortopedii – Genius of Orthopaedics. 2006; 1: 31–33 (in Russian).
2. Novikov K.I., Dyachkova G.V., Klimov O.V. Ratsional’nyy sposob udlineniya plecha u bol’nykh akhondroplaziyey [The best way of humeral lengthening in patients with achondroplasia] // Genij ortopedii – Genius of Orthopaedics. 2005; 2: 38–41 (in Russian).
3. Popkov D.A., Kononovich N.A., Mingazov Je.R., Shutov R.B., Barb’e D. Intramedulljarnyj jelastichnyj transfizarnyj osteosintez bol’shebercovoj kosti i ego vlijanie na rost segmenta [Intramedullary Elastic Transphyseal Tibial Osteosynthesis and Its Effect on Segmental Growth] // Vestnik Rossiiskoi Akademii Meditsinskikh Nauk – Annals of the Russian Academy of Medical Sciences. 2015; 4 (70): 441–449 (in Russian).
4. Popkov A.V., Aranovich A.M., Novikov K.I., Mingazov Je.R., Popkov D.A. Udlinenie goleni u detej kombinirovannoj metodikoj s primeneniem vysokodrobnoj kruglosutochnoj distrakcii [Leg lengthening in children by the combined techniqueusing high-divisional round-the-clock distraction] // Genij ortopedii – Genius of Orthopaedics. 2016; 2: 51-56 (in Russian). doi: 10.18019/1028-4427-2016-2-51-56.
5. Popkov А.V., Popkov D.А., Grebenyuk E.B., Muradisinov S.O. Udlineniye predplech’ya s napryazhennym intramedullyarnym armirovaniyem [Forearm lengthening with stressed intramedullary reinforcement] // Genij ortopedii – Genius of Orthopaedics. 2007; 1: 85-89 (in Russian).
6. Barbier D, Neretin A, Journeau P, Popkov D. Gradual Metatarsal Lengthening by External Fixation: A New Classification of Complications and a Stable Technique to Minimize Severe Complications // Foot Ankle Int. 2015; 36 (11): 1369-77. doi: 10.1177/1071100715593373.
7. Lascombes P. Embrochage centromédullaire élastique stable en traumatologie orthopédique. Données actuelles. Cahier d’Enseignement de la SOFCOT. Paris : Expansion Scientifique Française. 2001; 275-300.
8. Spravochnik po laboratornym metodam issledovaniya [Handbook of laboratory methods]. Pod red. L.А. Danilovoy. SPb., 2003; 736 (in Russian).
9. Kuznetsova L.S., Luneva S.N., Kovinka M.А., Stogov M.V. Ispol’zovaniye integral’nykh pokazateley v travmatologii i ortopedii [The use of integrated indicators in traumatology and orthopedics] // Klinicheskaya laboratornaya diagnostika – Russian clinical laboratory diagnostic. 2002; 10: 18 (in Russian).
10. Stogov M.V. Otsenka metabolicheskogo statusa organizma pri skeletnoy travme [The assessment of organism metabolic state for skeletal trauma] // Genij ortopedii – Genius of Orthopaedics. 2009; 3: 103–106 (in Russian).
11. Stogov M.V., Kuznetsova L.S., Luneva S.N., Erofeev S.А. Osobennosti energeticheskogo metabolizma skeletnykh myshts sobak v usloviyakh udlineniya goleni po Ilizarovu [Energy metabolism in skeletal muscles of dogs with leg lengthening by the Ilizarov method] // Byulleten’ VSNTS SO RАMN. 2002; 6: 176–179 (in Russian).
12. Glantz S. Mediko-biologicheskaja statistika [Primer of Biostatistics]. M.: Praktika, 1998; 459 (in Russian).
13. Kovinka M.А., Stogov M.V., Tushina N.V., Gofman F.F. Dinamika biokhimicheskikh pokazateley syvorotki krovi u patsiyentov s posttravmaticheskimi ukorocheniyami kostey konechnosti v protsesse lecheniya metodom Ilizirova [Dynamics of blood serum biochemical values in patients with limb bone posttraumatic shortenings in the process of treatment according to Ilizarov] // Genij ortopedii – Genius of Orthopaedics. 2011; 4: 35–38 (in Russian).
14. Aranovich A.M., Luneva S.N., Tkachuk E.A., Kovinka M.A., Tushina N.V., Shutov R.B. Monitoring biokhimicheskikh pokazateley syvorotki krovi u detey s vrozhdennymi ukorocheniyami nizhnikh konechnostey pri operativnom udlinenii [Monitoring of blood serum biochemical values in children with congenital shortenings of lower limbs for surgical lengthening] // Genij ortopedii – Genius of Orthopaedics. 2010; 4: 80–83 (in Russian).
15. Novikov K.I., Stogov M.V., Muradisinov S.O., Kolesnikova E.S., Kireeva E.А. Izmeneniye biokhimicheskikh pokazateley syvorotki krovi pri udlinenii goleni v proksimal’noy treti metodom chreskostnogo osteosinteza po Ilizarovu [The change in blood serum biochemical parameters for leg proximal third lengthening by transosseous osteosynthesis method according to Ilizarov] // Genij ortopedii – Genius of Orthopaedics. 2015; 1: 40–42 (in Russian). doi: 10.18019/1028-4427-2015-1-40-42
Review
For citations:
Aranovich A.M., Tushina N.V., Kireeva E.A., Gofman F.F. Assessment of experience of treatment of patients with consequences osteomyelitis using the technique of intramedullary stressed reinforcement. Bulletin of Siberian Medicine. 2017;16(1):6-12. (In Russ.) https://doi.org/10.20538/1682-0363-2017-1-6-12
Views:
1308
Email this article 