Open AccessFeatures of Surgical Treatment of Posttraumatic Lower Limbs of Different Lengths in Adult Patients
Author(s) -
A.A. Artemiev,
Andrei Ivashkin,
Ali M. Kashoob,
Yu. S. Solovyov,
G. G. Gululyan
Publication year - 2021
Publication title -
neotložnaâ medicinskaâ pomoŝʹ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.141
H-Index - 3
eISSN - 2541-8017
pISSN - 2223-9022
DOI - 10.23934/2223-9022-2020-9-4-573-579
Subject(s) - pelvis , external fixation , medicine , osteosynthesis , distraction , ilizarov technique , surgery , radiography , orthodontics , external fixator , psychology , neuroscience
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.