Features of Surgical Treatment of Posttraumatic Lower Limbs of Different Lengths in Adult Patients
Autor: | Ali M. Kashoob, A. N. Ivashkin, Yu. S. Solovyov, G. G. Gululyan, A. A. Artemiev |
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Rok vydání: | 2021 |
Předmět: |
030203 arthritis & rheumatology
030222 orthopedics medicine.medical_specialty different lengths of the lower limbs genetic structures Adult patients RC86-88.9 business.industry lengthening of the lower limbs Medical emergencies. Critical care. Intensive care. First aid behavioral disciplines and activities Surgery post-traumatic deformity 03 medical and health sciences 0302 clinical medicine Emergency Medicine medicine post-traumatic shortening Surgical treatment business psychological phenomena and processes |
Zdroj: | Neotložnaâ Medicinskaâ Pomoŝʹ, Vol 9, Iss 4, Pp 573-579 (2021) |
ISSN: | 2541-8017 2223-9022 |
Popis: | Relevance.Different lengths of the lower extremities have a negative impact on the position of the pelvis and spine and lead to secondary deformities. To prevent these consequences, early surgical correction of the shortening is necessary.Aim of study.Study of the features of post-traumatic shortening of the lower extremities, mechanisms of adaptation to this condition and, on the basis of this, optimization of surgical technique when performing reconstructive and restorative operations.Material and methods.A total of 276 patients with posttraumatic shortening of the lower extremities were examined, 102 of whom were operated on. Comparative radiography of both legs was used to diagnose different lengths. The Ilizarov method was used as the main method of surgical correction.Results.We studied the mechanisms of adaptation of patients to post-traumatic shortening of the hip and lower leg and optimized surgical technique. A method was developed for determining the optimal elongation value.Conclusion.The most effective and least traumatic method is external osteosynthesis according to Ilizarov. Distraction in the apparatus allows the formation of a regenerate of the required shape and length and the elongation of exactly the amount that is optimal for a given patient. |
Databáze: | OpenAIRE |
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