Vol 2, No 2 (2014)

Articles
SURGICAL TREATMENT OF CHILDREN WITH IDIOPATHIC SCOLIOSIS OF LENKE TYPE I WITH THE USE OF TOTAL TRANSPEDICULAR FIXATION
Vissarionov S.V., Kokushin D.N., Belyanchikov S.M., Murashko V.V., Kartavenko K.A., Nadirov N.N.
Abstract
The purpose of the study. To assess the results of surgical treatment in children with idiopathic scoliosis of thoracic localization. Material and methods. We operated 56 patients aged from 13 to 18 years old with a level of deformity 40-136° according to Cobb. Surgical correction of the deformity was performed with three tactical options using Cotrel-Dubousset dorsal instrumentation. Results. In idiopathic thoracic scoliosis the operating correction ranged from 48 to 100 %. Loss of correction in the follow-up period from 1 year to 3.5 years was 0-7 %. Conclusion. Surgical treatment of idiopathic thoracic scoliosis should be individualized. Application of multisupporting transpedicular metal constructions allows to increase the degree of deformity correction, to perform true derotation of vertebral bodies on top of curvature and to save the result achieved in the postoperative period.
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):3-8
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OPTIMIZATION OF RESULTS AND TREATMENT TIMING OF DEEP DERMAL BURNS IN CHILDREN
Afonichev K.A., Filippova O.V., Tsvetaev E.V.
Abstract
Untreated deep dermal burns in children are the cause of long-term treatment and severe cicatricial deformities, resulting in poor cosmetic results and greatly impairing functional outcome. The problem of optimizing the results and timing of treatment of deep burns in children in recent years has become particularly urgent. We observed 1853 children with III-A degree burns. Some of the children's burns healed spontaneously, which led to the development of scar deformities during the first six months after injury. Risk factors for their development, depending on the patient's age and location of the lesion, are pointed out. Other children underwent early tangential excision of eschar. The analysis of the treatment results showed that the use of early surgery in children with deep dermal burns can reduce treatment time, as well as significantly to improve the cosmetic and functional outcomes of trauma.
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):9-11
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METAPHYSEAL FIBROUS DEFECTS AND NONOSSIFYING BONE FIBROMA IN CHILDREN: CLINICAL TYPES AND TREATMENT
Chigvariya N.G., Pozdeev A.P., Bergaliev A.N.
Abstract
The paper presents the results of a comprehensive examination and treatment of 158 children and adolescents with nonossifying bone fibroma and skeleton, who referred for specialized medical aid in clinic of Scientific and Research Institute for Children's Orthopedics n. a. G. I. Turner from 1980 to 2013. We defined diagnostic value and the criteria for identifying lesions using X-ray, computed tomography and radionuclide methods. We emphasized the dynamic variability of clinical and radiological manifestations of the pathological process in nonossifying bone fibroma and skeleton and related difficulties in the diagnosis. Accurate indications for the conservative and surgical treatment were pointed out.
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):12-25
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SEVERE THORACOABDOMINAL TRAUMA WITH INJURY TO MAJOR VESSELS
Gumerov A.A., Valitov I.O., Kashaev M.R., Zainullin R.R., Gumerov R.A.
Abstract
Thoracoabdominal trauma with injury to the great vessels is a pressing issue of urgent surgery. This paper presents the observation of the child's treatment with thoracoabdominal trauma with Thoracoabdominal trauma with injury to the great vessels is a pressing issue of urgent surgery. This paper presents the observation of the child's treatment with thoracoabdominal trauma with damage of the great vessels: clinical features, diagnosis and treatment.
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):26-28
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PELVIC OSTEOTOMY IN THE COMPLEX TREATMENT OF CHILDREN WITH LEGG-CALVE-PERTHES DISEASE
Barsukov D.B., Kamosko M.M.
Abstract
At the Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner we analyzed survey data of 120 patients aged from 6 to 14 years old with Legg-Calve-Perthes disease with severe epiphysis deformation, in order to improve the outcomes. All patients underwent reconstructive (remodeling) surgery - a corrective hip osteotomy, a pelvic osteotomy by Salter, a combination of these techniques and a triple pelvic osteotomy. Postoperative follow-up period averaged 10 years. It is shown that pelvic osteotomy is an operation of choice for Legg-Calve- Perthes disease along with corrective hip osteotomy, and remodeling of the femoral head is only possible when the degree of bone coverage is equal to one or more. We highlighted radioanatomical structure of the affected hip joint, allowing to precise indications for surgical remodeling type of femoral head.
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):29-37
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FEATURES OF REHABILITATION TREATMENT IN CHILDREN WITH CONGENITAL AND ACQUIRED DISORDERS OF THE FIRST RAY OF THE HAND
Ovsyannikova A.D., Golyana S.I., Govorov A.V.
Abstract
In this paper we evaluated the results of rehabilitation treatment in 55 children aged from 1 to 6 years after the following surgical treatment: pollicization of the second finger and microsurgical autografting of the second toe in the position of the thumb. A comparative analysis of standard techniques of rehabilitation treatment and the technique developed at the department was carried out. Application of individual-oriented approach depending on the functionality of the hand provided better results in rehabilitation. In the main subgroup of children after the operation of the second finger pollicization, excellent results were obtained in 11 patients (50 %), good - 9 patients (40.9 %), satisfactory - 2 patients (9.1 %). In the control subgroup, excellent results were obtained in 5 patients (20.83 %), good - in 9 (37.5 %), satisfactory - in 8 (33.33 %), poor - in 2 (8.33 %). In the group of children who underwent free autografting of toes, in the main subgroup the excellent results were obtained in 3 patients (60 %), good - in 2 patients (40 %). In the control subgroup good results were obtained in 3 patients (75 %), satisfactory - in 1(25 %). Also we revealed a correlation between the timing of the appearance of bilateral grip and functional ability of the hand in older age.
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):38-43
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FLEXIBLE FLATFOOT IN CHILDREN (REVIEW)
Kenis V.M., Lapkin Y.A., Husainov R.K., Sapogovskiy A.V.
Abstract
Flatfoot is one of the most common musculoskeletal conditions in the daily practice of pediatric orthopedists. Despite of numerous studies, diagnostic criteria and principles of management remain controversial. Flexible flatfoot - is visually detectable decrease in the height of the longitudinal arch of the foot, which can be spontaneously corrected by active or passive motion and not accompanied by any contracture of foot and ankle. Flexible flatfoot is a benign condition which is normal for childhood. But this term is also used to describe a painful deformity with marked limitation of dorsiflection and “not physiological” flatfoot with unfavorable course and prognosis. Despite of the awareness of the parents, flexible flatfoot does not lead to pain and should not be followed by any kind of treatment. Special shoe modifications and orthopedic insoles are useless in the attempt to improve the foot, but can influence negatively psychological condition and self-estimation. Proper diagnosis of flexible flatfoot is necessary in order to avoid unnecessary treatment and to reveal patients with adverse prognosis and rigid forms of flatfoot which need special approach.
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):44-54
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MANAGEMENT OF HIP DISLOCATION IN PATIENTS WITH ARTHROGRYPOSIS (REVIEW)
Batkin S.F., Agranovich O.E., Barsukov D.B.
Abstract
Hip dislocation is common in patients with arthrogryposis and is observed in 13.5-58 % of cases. Currently, there is no conventional treatment strategy of this pathology. The review analyzes the data of the national and international literature on the etiopathogenesis, clinical picture and classifications, surgical and conservative treatment of this pathology.
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):55-62
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SUCCESSFUL USE OF THE PONSETI METHOD IN THE TREATMENT OF FOUR CHILDREN WITH CLUBFOOT ASSOCIATED WITH OSTEOGENESIS IMPERFECTA TYPE I
Blandinskiy V.F., Vavilov M.A., Baushev M.A.
Abstract
Conservative treatment of congenital clubfoot deformity in osteogenesis imperfecta is very challenging because the high risk of pathological fracture. There is little to no data of such cases hadn’t been found to be described in the literature. We present a child with osteogenesis imperfect and clubfoot deformity, who had been previously inefficiently treated with plaster casts and developed pathological fractures of the tibia. The use of Ponseti method allowed us to completely correct the deformity and avoid complications.
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):63-65
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TWO-STAGE TREATMENT APPROACH TO SEVERE CASES OF HIP INSTABILITY IN PATIENTS WITH INFANTILE CEREBRAL PALSY
Umnov V.V.
Abstract
Hip instability is a common condition in patients with cerebral palsy. Its development leads to severe degenerative changes in the joint, accompanied with rapidly progressive contractures, pain, deformities of the adjacent segments and decreased limb support ability. One of the characteristic features of this disease is the development of osteochondral defect in the external part of the femoral head epiphysis. We report two clinical cases of successful two-stage surgical correction of joint elements aimed at moving the defect in the joint area, which is not loaded by the arch socket.
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):66-69
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SEMINAR: PROFILAKTIKA I LEChENIE KOKSARTROZA U DETEY
Solovieva K.C.
Abstract
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Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):70-71
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KONFERENTsIYa MOLODYKh UChENYKh NAUChNO-ISSLEDOVATEL'SKOGO DETSKOGO ORTOPEDIChESKOGO INSTITUTA IM. G. I. TURNERA MINISTERSTVA ZDRAVOOKhRANENIYa ROSSII «BUDUShchEE DETSKOY ORTOPEDII» NA ANGLIYSKOM YaZYKE
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Abstract
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):72-73
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Plan meropriyatiy na 2014 god
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Abstract
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):74-77
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Prezentatsiya
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Abstract
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):78-78
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Pravila dlya avtorov
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Abstract
Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(2):79-80
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