Modern treatment approaches in patients with false joints and lower extremities long bones defects: analytical review

Прохорова, Е. С.; Urazgil'deev, R Z; Eremushkin, M. A.; Kolyshenkov, Vasiliy A.

doi:10.38025/2078-1962-2020-96-2-84-89

Cited by 5 publications

(1 citation statement)

References 8 publications

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“…Проблема лечения пациентов с посттравматическими нарушениями костной регенерации на сегодняшний день не потеряла своей актуальности и является одной из сложных и далеко не решённых проблем современной травматологии и ортопедии. Основным методом лечения таких пациентов считается хирургическое вмешательство с применением костной аутопластики и часто, в сочетании с резекцией концов отломков [1]. Но не следует забывать о коррекции нарушений репаративного остеогенеза, необходимости управления процессами регенерации с учётом патогенетически значимых обстоятельств, которые складываются не только в местном окружении перелома, но на системном уровне [2,3].…”

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A Minimally Invasive Method for the Treatment of Post-Traumatic Disorders of the Bone Union of the Tibia

Лебедев

Дмитриева

Shurygina

et al. 2020

Acta biomedica scientifica

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Section: T R a U M A T O L O G Yunclassified

A Minimally Invasive Method for the Treatment of Post-Traumatic Disorders of the Bone Union of the Tibia

Лебедев

Дмитриева

Shurygina

et al. 2020

Acta biomedica scientifica

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The use of bone autoplasty for false joints of the humerus diaphysis

Khorak,

Kogan,

Parfeev

et al. 2024

vmirvz

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Relevance. Fractures of the diaphysis of the humerus account for 1–5% of the total number of traumatic skeletal injuries and 20% of the number of humerus injuries. At the same time, in modern society there is no tendency to reduce traumatism, therefore, the number of surgical interventions aimed at restoring the integrity of the bone does not decrease. Over the decades, approaches to tactics and choice of drugs for correction of defects for fusion and restoration of motor function of the limb have been changing. Physicians from different countries have tried to use both auto- and allografts, with the results they achieved significantly increasing the chances of survival of the transplanted material. The multitude of studies conducted in different countries only confirms their high relevance, which makes the task of pseudarthrosis treatment one of the most important, but at the same time one of the most difficult in traumatology and orthopedics injuries.Objective. To study the application of bone autotransplantation for the treatment of false joints of the diaphysis of the humerus diaphysis.Materials and methods. A review of the literature sources published in the last 5 years on the problem of application of bone autografting methods for false joints of the humerus diaphysis was carried out.Results. Disruption of the process of humerus fusion and formation of a false joint make surgical intervention inevitable, and the results of treatment directly depend on the determination of the correct indications for a certain type of surgical intervention and competent implementation of the treatment plan. The chosen treatment tactics allow successful restoration of the anatomy and function of the damaged segment. There are many different methods of surgical treatment of false joints. The main purpose of bone-plastic materials application in traumatology and orthopedics is optimization of reparative osteogenesis.Conclusion. Over the last decades, clinical practice has changed many approaches to the tactics and choice of therapeutic means to restore bone integrity, as well as to restore the supporting and motor functions of the traumatized limb. Analysis of the data obtained from the literature has shown that the best results in the treatment of false joints of the humerus diaphysis were demonstrated by the techniques combining the use of bone autoplasty and additional metal structures.

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Features of Bone Regeneration of the Jaws Alveolar Ridge Using Hydroxyapatite-Based Material

Дробышев

Redko

Sviridov

et al. 2021

Traumatology and Orthopedics of Russia

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Background. Currently, using of osteointegrated titanium implants has become a key component for restoring lost function in various areas of clinical medicine. The actual issue remains preservation or reconstruction of bone tissue for optimal use of titanium implants in traumatology and orthopedics, as well as in maxillofacial surgery. One of the most common grafts are hydroxyapatite-based material with various inclusions, for example, an antibiotic.The aim of the study is to characterize the regeneration of bone tissue of the jaws alveolar ridge using the hydroxyapatite-based material “Collapan-L” in clinical practice.Material and Methods. The study of the material “Collapan-L” (Intermedapatit, Russia) using involved 30 patients with a diagnosis “chronic periodontitis of the tooth”. Patients underwent complex surgical and orthopedic treatment to restore masticatory function. At the first stage, teeth were removed with the “Collapan-L” material used to preserve the alveolus. 4 months after extraction, dental implantation was performed with simultaneous trephine biopsy from the augmentation zone for histomorphometric analysis. At the stage of implant placement and before prosthetics the stability dynamics was measured.Results. The study involved 42 tissue samples obtained at periods from 9 to 32 weeks after removal. The morphological assessment of bone tissue from the implantation zone determined that after 4 months trabeculae from the newly formed bone, including small fragments of biomaterial, were revealed; at the same time, there were signs of biodegradation of the implanted material fragments, there was no inflammatory infiltrate. After 6 months in a significant part of cases the granules of bone material were not found, which indicates a pronounced osseointegration of the material. In its structure, the formed bone tissue differences barely noticeable from the native one, which allows us to conclude that by the time of 24 weeks, the processes of reparative osteogenesis in the alveolus are completed.Conclusion. Histological examination and assessment of changes in the stability showed that using of bone replacement material after tooth extraction can increase the regenerative potential of bone tissue, avoid additional surgical interventions to increase the volume of bone tissue in the area of future implantation, and the formed bone tissue is close in its structure to the native one.

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Modern treatment approaches in patients with false joints and lower extremities long bones defects: analytical review

Cited by 5 publications

References 8 publications

A Minimally Invasive Method for the Treatment of Post-Traumatic Disorders of the Bone Union of the Tibia

A Minimally Invasive Method for the Treatment of Post-Traumatic Disorders of the Bone Union of the Tibia

The use of bone autoplasty for false joints of the humerus diaphysis

Features of Bone Regeneration of the Jaws Alveolar Ridge Using Hydroxyapatite-Based Material

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