Investigation of structural state of distraction regenerate in patients with congenital malformations foot by transosseous distraction osteosynthesis
Author Affiliations1Russian Ilizarov Scientific Center «Restorative Traumatology and Orthopaedics» of Minzdrav of Russia, 640014, Kurgan, Mariya Ulyanova str., 6
2Russian Ilizarov Scientific Center «Restorative Traumatology and Orthopaedics» of Minzdrav of Russia, 640014, Kurgan, Mariya Ulyanova str., 6
3Russian Ilizarov Scientific Center «Restorative Traumatology and Orthopaedics» of Minzdrav of Russia, 640014, Kurgan, Mariya Ulyanova str., 6
Abstract
Ultrasound examination of distraction regenerate anterior (n = 6) and midfoot (n = 6) has been carried out by the AVISUS Hitachi device (Japan). It is established that the feature of filling and localization in bone trabeculae elongation zone depends on the initial bone extendible structure despite their common organotypic regenerates adjustment process in both groups. The regenerate of cancellous bone did not have distinct endosteal reaction during distraction period, so its circuit was «blurred», certain hyperechoic inclusions were visualized. The consequential forming of endosteal reaction and filling of regenerate intermediate zone have occured in distraction regenerate of metatarsal bone.
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References
- Volkov M.V. Pediatric orthopedics. Moscow: Medgiz, 1980. 312 p. [In Russian].
- Gafarov H.Z. Treatment of the feet deformation in children. Kazan: Tatarskoe knizhnoe izdatel'stvo, 1990. 176 p. [In Russian].
- Zharnikova N.A. Feet extension in children: abstract of thesis ... candidate of medical sciences. Saint-Petersburg, 2003. [In Russian].
- Zubarev A.R., Nemenova N.A. Ultrasound examination of the musculoskeletal system in children and adults: A guide for physicians. Moscow: Vidar-M., 2006. 136 p. [In Russian].
- Ismaylov G.R. Surgical treatment of adult patients with deformities, defects and abnormal development of bones of the foot by chreskostnogo osteosynthesis : abstract of thesis ... doctor of medical sciences. Perm, 2000. [In Russian].
- Menshchikova T.I. Aranovich A.M. Evaluation of the activity of reparative osteogenesis distraction regenerate tibia using modern ultrasound scanners // Geniy ortopedii = Genius of orthopaedics. 2011. (4). 10-11. [In Russian].
- Menshchikova T.I. Neretin A.S. Using of medical ultrasound to assess the structural state of distraction regenerate of the fourth metatarsal bone in patients with brachymetatarsia // Uspekhi sovremennogo yestestvoznaniya = Advances in current natural sciences. 2015. (3). 55-59. [In Russian].
- Neretin A.S., Ivanov G.P., Danilkin M.Yu. Lengthening the bones of the forefoot by transosseous osteosynthesis by Ilizarov // Geniy ortopedii = Genius of orthopaedics. 2011. (2). 54-59. [In Russian].
- D'yachkova G.V., Neretin A.S., Korabel'nikov M.A. et al. Radiographic features of bone tissue regeneration in the treatment of patients with abnormalities of the foot // Geniy ortopedii = Genius of orthopaedics. 2005. (4). 98-101. [In Russian].
- Nadtochiy A.G., Shamsudinov A.G., Bukatina N.V. et al. Sonographic control of the formation of distraction regenerates in compression distraction osteosynthesis of the mandible // Ul'trazvukovaya i funktsional'naya diagnostika = Ultrasound and functional diagnostics. 2000. (4). 58-65. [In Russian].
- Hupperts R., Pfeil J., Kaps H.-P. Sonographische Verlaufskontrollen von Verlangerungsosyeotomien // Z. Orthop. 1990. 128. (H.1). 90-95.
- Masada K., Fujita S., Fuji T. Complications following metatarsal lenghtening by callus distractions for brachymetatarsia children // J. Pediatr. Orthop. 2002. 19. (3). 394-397.
About Authors (Correspondence):
Menshchikova T.I. – doctor of biological sciences, leading researcher of laboratory deformity correction and lengthening limbs, e-mail: tat-mench@mail.ru
Neretin A.S. – candidate of medical sciences, senior researcher of laboratory deformity correction and lengthening limbs, e-mail: wasp75@mail.ru
Ivanov G.P. – candidate of medical sciences, head of trauma and orthopedic department № 5, e-mail: ortho5@rncvto.ru
