Features of Surgical Treatment of Posttraumatic Lower Limbs of Different Lengths in Adult Patients
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 shorte...
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| Format: | Article |
| Language: | Russian |
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Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2021-01-01
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| Series: | Неотложная медицинская помощь |
| Subjects: | |
| Online Access: | https://www.jnmp.ru/jour/article/view/1005 |
| _version_ | 1826564737885798400 |
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| author | A. A. Artemiev A. N. Ivashkin A. M. Kashoob Yu. S. Solovyov G. G. Gululyan |
| author_facet | A. A. Artemiev A. N. Ivashkin A. M. Kashoob Yu. S. Solovyov G. G. Gululyan |
| author_sort | A. A. Artemiev |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T18:14:24Z |
| format | Article |
| id | doaj.art-79cb1c95aea548fea618ba42455a6b35 |
| institution | Directory Open Access Journal |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| last_indexed | 2025-03-14T10:24:37Z |
| publishDate | 2021-01-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj.art-79cb1c95aea548fea618ba42455a6b352025-03-02T11:06:21ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172021-01-019457357910.23934/2223-9022-2020-9-4-573-579632Features of Surgical Treatment of Posttraumatic Lower Limbs of Different Lengths in Adult PatientsA. A. Artemiev0A. N. Ivashkin1A. M. Kashoob2Yu. S. Solovyov3G. G. Gululyan4Department of Traumatology and Orthopedics, Federal Scientific and Clinical Center for Specialized Types of Medical Aid and Medical Technologies of FMBA of Russia; Moscow State University of Food ProductionMoscow State University of Food ProductionPeoples’ Friendship University of RussiaPeoples’ Friendship University of RussiaPeoples’ Friendship University of RussiaRelevance. 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.https://www.jnmp.ru/jour/article/view/1005different lengths of the lower limbspost-traumatic deformitypost-traumatic shorteninglengthening of the lower limbs |
| spellingShingle | A. A. Artemiev A. N. Ivashkin A. M. Kashoob Yu. S. Solovyov G. G. Gululyan Features of Surgical Treatment of Posttraumatic Lower Limbs of Different Lengths in Adult Patients Неотложная медицинская помощь different lengths of the lower limbs post-traumatic deformity post-traumatic shortening lengthening of the lower limbs |
| title | Features of Surgical Treatment of Posttraumatic Lower Limbs of Different Lengths in Adult Patients |
| title_full | Features of Surgical Treatment of Posttraumatic Lower Limbs of Different Lengths in Adult Patients |
| title_fullStr | Features of Surgical Treatment of Posttraumatic Lower Limbs of Different Lengths in Adult Patients |
| title_full_unstemmed | Features of Surgical Treatment of Posttraumatic Lower Limbs of Different Lengths in Adult Patients |
| title_short | Features of Surgical Treatment of Posttraumatic Lower Limbs of Different Lengths in Adult Patients |
| title_sort | features of surgical treatment of posttraumatic lower limbs of different lengths in adult patients |
| topic | different lengths of the lower limbs post-traumatic deformity post-traumatic shortening lengthening of the lower limbs |
| url | https://www.jnmp.ru/jour/article/view/1005 |
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