Open AccessSurgical Treatment of Long Bones Deformities in Exostotic Chondrodysplasia in Children
Author(s) -
Н Х Бахтеева,
Sergey Anatol'evich Rubashkin,
Е. Е. Царева,
A V Zotkin,
Сергей Анатольевич Рубашкин,
E E Tsaryova
Publication year - 2009
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto200916470-73
Subject(s) - medicine , surgery , deformity , osteotomy , external fixation , fixation (population genetics) , distraction , external fixator , population , environmental health , neuroscience , biology
Surgical method for the treatment of children with shin bones deformities developed on the background of multiple osteocartilagenous exostoses has been proposed. The technique consisted of exostoses removal within normal tissues, performance of osteotomy on the deformity apex, formation of autograft followed by its insertion into zone of the defect for its closure by means of fixed rate distraction and correction of limb axis in the external fixation device. That technique was applied in 11 children. Good result was achieved in 87.2%, satisfactory - in 11.5%, poor - in 1.3% of cases. In control group (24 patients treated by conventional surgical methods) good results made up 62.5%, satisfactory - 25.0%, poor - 12.5%. Closure of the defect zone by formed cortical autograft enabled to shorten the bone consolidation terms in patients who were treated by the proposed technique by 12-14 days.