Leg lengthening in children by the combined technique using high-divisional round-the-clock distraction

Попков, А. В.; Аранович, А. М.; Новиков, К. И.; Mingazov, E.R.; Popkov, Dmitry

doi:10.18019/1028-4427-2016-2-51-56

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…Ilizarov method is a traditionally used technique for reconstructing bone loss defect (Illgner et al, 2014;Rodriguez-Collazo and Urso, 2015;Peng et al, 2015;Popkov et al, 2016;Zhang et al, 2014). However, the difficulties that occurred using Ilizarov are pin track infection, axial deviation, and decreased range of motion in the surrounding joints.…”

Section: Distraction Osteogenesis By Thementioning

confidence: 99%

Osteogenesis Distraction Using Combined Plate and Ilizarof Fixator in the Treatment of Bone Defect: A Case Report

Misbahuddin

Mariyanto

2019

Biomedika

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Distraksi osteogenesis dan pemanjangan tulang telah digunakan untuk merekonstruksi hilangnya tulang dengan memungkinkan tulang baru terbentuk pada celah. Pada penelitian sebelumnya, pemanjangan tulang yang dipandu pelat telah berhasil mengobati hilangnya tulang pada tulang paha, tibia, dan mandibula. Penelitian ini melaporkan sebuah kasus fraktur tibia dengan kehilangan tulang kominutif yang diobati dengan fiksasi pelat dan pemanjangan tulang dengan fiksator cincin Ilizarov. Pada saat pengaitan, ketika segmen pemanjangan dikompresi dengan fragmen tulang, fragmen tulang difiksasi dengan sekrup locking dan non-locking tambahan melalui pelat. Panjang defek tulang adalah 7 cm. Indeks pemanjangan atau fiksasi eksternal adalah 12,7 hari / cm. Pada kasus ini tidak ada pemendekan yang terjadi. Indeks konsolidasi radiografi rata-rata adalah 37 hari / cm. Kasus ini mencapai regenerasi segmen tulang yang bebas infeksi dan hasil fungsional yang memuaskan. Teknik ini mengurangi durasi fiksasi eksternal selama fase konsolidasi, memungkinkan koreksi panjangtulang, dan penyelarasan dan waktu rehabilitasi yang lebih singkat.\Kata kunci: Defek Tulang, Transportasi Tulang, Osteogenesis Gangguan, Teknik Ilizarov, Osteogenesis Lempeng TulangOsteogenesis distraction and bone transport has been used to reconstruct bone loss defect by allowing new bone to form in the gap. In previous studies, plate-guided bone transport has been successfully to treat bone loss defect in the femur, tibia, and mandible. This study reports a case of fracture of tibia with comminutive bone loss treated with plate fixation and bone transport with Ilizarov ring fixator. At the time of docking, when the transport segment is compressed with bone fragment, the bone fragment is fixed with additional locking or nonlocking screws through the plate. The bone defect size was 7 cm. The lengthening/external fixation index was 12.7 days/cm. In this case there were no shortening that present. The average radiographic consolidation index was 37 days/cm. This case achieved infection-free bone segment regeneration and satisfactorily functional outcome. This technique reduces the duration of external fixation during the consolidation phase, allows correction of length and alignment and provides earlier rehabilitation.Keywords: Bone Defect, Bone Transport, Distraction Osteogenesis, Ilizarov Technique, Bone Plate Osteogenesis

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Section: Distraction Osteogenesis By Thementioning

confidence: 99%

Osteogenesis Distraction Using Combined Plate and Ilizarof Fixator in the Treatment of Bone Defect: A Case Report

Misbahuddin

Mariyanto

2019

Biomedika

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“…The importance of intraosseous and periosteal blood supply for the formation of bone regenerate has been proven by experimental studies 1–8 . With intramedullary reinforcement of the regenerate with wires, a positive effect on its tissue regeneration was noted 9,10 . When using an intramedullary nail, it is impossible to avoid disruption of the intraosseous blood supply 5 .…”

Section: Introductionmentioning

confidence: 99%

Distraction osteogenesis in combined sequential use of external fixation and nailing (lengthening and then nailing): An experimental study in rabbits

Shchepkina,

Solomin,

Lebedkov

et al. 2024

Journal Orthopaedic Research

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Limb lengthening relies on the process of distraction osteogenesis. The active periosteal bone formation has been detected in clinical practice with a lengthening and then nail (LATN) technique but has not been confirmed by experimental studies to date. The aim of this study is to compare the tissue regeneration of the distraction regenerate during tibial lengthening in rabbits using a LATN technique. This study was performed on 54 mature rabbits of the Soviet Chinchilla breed, which were divided into three groups of 18 animals. In group 1 (control), the tibia was lengthened in an external fixator. In group 2, the LATN technique was modeled and in group 3, lengthening over nail (LON) was modeled. The total duration of the experiment was 45 days. On the 10th, 15th, 20th, 30th, and 45th day X‐ray, computed tomography and morphological studies were performed. In the experimental groups (2 and 3), a more pronounced periosteal bone formation in the area of regenerate was noted when compared to group 1. In group 2 (LATN), wide cortical plates were formed from the intermediate and periosteal areas. In this group, the maximum densitometric density values were noted. Endosteal bone formation was preserved in all groups. The LON and LATN techniques, when compared with the classical Ilizarov lengthening, do not demonstrate any deficiency in the tissue regeneration of the bone tissue at the regenerate sites. The most powerful bone structures are formed with the sequential use of the external fixation and nailing (LATN).

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Preoperative and postoperative radiomorphological changes in the bones forming the knee joint of patients with tibial shortening and deformities of different etiology

Дьячкова

Дьячков

Аранович

et al. 2020

jour

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Introduction. Tibial lengthening is one of highly popular surgical procedures that can be associated with complications of the knee joint related to surgical intervention or baseline changes in the bones forming the knee. Objective. To explore preoperative and postoperative changes in the bones forming the knee joint of patients with tibial shortening of different etiology. Material and methods. Radiography and multislice computed tomography (MSCT) were performed for 48 achondroplasia patients, 15 subjects with subjectively low height, 25 patients with vitamin-D resistant rickets (MRI produced for 20 patients), 56 patients with Blount’s disease (MSCT produced for 10 cases) before and after tibial lengthening or deformity correction. Results. The findings showed that tibial lengthening was accompanied by limited function of the knee even in absence of evident articular changes. Good results could be ensured with adequately performed lengthening technique and proper control of muscle condition and rehabilitation program to be meticulously followed. Patients with baseline problems in the joints were shown to have progressive changes in the knee joints during tibial lengthening, however, they were not critical and could provide a normal function at a long-term follow-up. Conclusion. Tibial lengthening as a complicated biomechanical and morphological process is accompanied by changes in the knee joint and can be successfully accomplished with adequate technique applied and rehabilitation program performed. Chnages in the knee were more evident in patients with baseline disorders in the anatomy and architechtonics of the femoral and tibial condyles, however, improved biomechanical parameters of the limb allowed us to obtain positive outcomes and good function in almost all the cases.

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Leg lengthening in children by the combined technique using high-divisional round-the-clock distraction

Cited by 3 publications

References 20 publications

Osteogenesis Distraction Using Combined Plate and Ilizarof Fixator in the Treatment of Bone Defect: A Case Report

Osteogenesis Distraction Using Combined Plate and Ilizarof Fixator in the Treatment of Bone Defect: A Case Report

Distraction osteogenesis in combined sequential use of external fixation and nailing (lengthening and then nailing): An experimental study in rabbits

Preoperative and postoperative radiomorphological changes in the bones forming the knee joint of patients with tibial shortening and deformities of different etiology

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