Lengthening of Femur by Bliskunov Device Using Application of Different Types of Osteotomies

A. I. Bliskunov; Блискунов А. И.; M. G. Le’kin; Лейкин М. Г.; S. A. Jumabekov; Джумабеков С. А.; V. G. Shuvaev; Шуваев В. Г.; V. N. Kokurnikov; Кокурников В. Н.; S. N. Kuzenko; Куценко С. Н.; V. V. Dragan; Драган В. В.; A. V. Plotkin; Плоткин А. В.; M. V. Andrianov; Андрианов М. В.; A. V. Zarichniy; Заричный А. В.; A. V. Tkach; Ткач А. В.; A. E. Shpuntov; Шпунтов А. Е.

doi:10.17816/vto101786

Lengthening of Femur by Bliskunov Device Using Application of Different Types of Osteotomies

作者: Bliskunov A.I.¹^,2, Le’kin M.G.¹^,2, Jumabekov S.A.¹^,2, Shuvaev V.G.¹^,2, Kokurnikov V.N.¹^,2, Kuzenko S.N.¹^,2, Dragan V.V.¹^,2, Plotkin A.V.¹^,2, Andrianov M.V.¹^,2, Zarichniy A.V.¹^,2, Tkach A.V.¹^,2, Shpuntov A.E.¹^,2
隶属关系:
1. Crimean Medical Institute
2. Simferopol State University
期: 卷 3, 编号 3 (1996)
页面: 22-30
栏目: Articles
URL: https://journals.rcsi.science/0869-8678/article/view/101786
DOI: https://doi.org/10.17816/vto101786
ID: 101786

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One hundred fifty two patients underwent lengthening of 174 femurs with fully implanted guided device inwhich patient’s muscular energy was used as a source of energy. Dissection of bone from the side of bone marrow canal was carried out by specially eleborated osteotome which provided transverse oblique, oblique transverse, Z-shape strraight and Z-shape oblique osteotomy. Transverse osteotomy was applied in 59 patients (33.9%), oblique - in 70 (40,6%), oblique transverse - in 26 (14.9%) patients. Distraction stage was completed in all patients. In 165 (94.8%) out of 174 cases planned volume lehgethening was achieved. In 150 patients devices were removed. Average rate of distraction was 1.4 ± 0,3 mm/ daily, average duration of distraction was 87 ± 13 days. Good results were achieved in 141 cases (94%), satisfactory - in 7 cases (4.6%), unsatisfactory - in 2 cases (1.4%) out of 150. Complications were observed in 30 (17.2%) out of 174 cases. In 9 cases (5.2%) complications influenced the treatment outcome. Analysis of complications showed that they might be to great extent prevented by accurate observance of the technique of distractor implantation, performance of osteotomy, rate of distraction and rational postoperative management of patient.