Experience in the use of composite biocompatible implants in the clinic of pediatric and adolescent orthopedics

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Abstract

Specialists from Children Orthopedic Clinic (CITO) and Institute of Medical Technology elaborated therapeutically active implants on the base of N-vinilpirrolidone and methylmethacrylate with different additives. Those implants were successfully applied in clinical practice. Experimental study on rabbits showed the possibility of implants to stimulate osteogenesis. Various types and shapes of implants were elaborated using different combinations of additives. Minimum invasive surgical intervention and indications to implants’ application were worked out. From 1987 to 2001 one hundred thirteen patients with various pathology (obstetrical paresis, clubfoot, juvenile femur head ephiphysiolysis, congenital hip dislocation, funnel-shaped deformity of thorax, dystrophic varus deformity of femur head, osteochondropathy of lower limbs) were treated surgically using new implants. At 3—5 years follow up good and excellent anatomic and functional results were noted in 89% of cases.

About the authors

O. A. Malakhov

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

G. A. Krasnoyarov

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

S. I. Belykh

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

O. V. Kozhevnikov

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

A. V. Ivanov

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

V. I. Tatarenkov

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

References

  1. Белых С.И., Мощенский А.Д., Фирсова Е.В. //Материалы 3-го науч. симпозиума по полимерам медицинского назначения. — Белгород-Днестровский, 1977. — С. 5-10.
  2. Волков М.В., Бизер В.А. Гомотрансплантация костной ткани у детей. — М., 1969.
  3. Кройтор Г.М. Использование фиксаторов из композиционных материалов для остеосинтеза при переломах длинных трубчатых костей: Дис.... канд. мед. наук. — М., 1990.
  4. Лаврищева Г.И. Репаративная регенерация кости в различных условиях: Автореф. дис.... д-ра мед. наук. — М., 1969.
  5. Малахов О.А., Стужина В.Т., Куцевол А.Г. //Науч.- практ. конф. детских травматологов-ортопедов Москвы, 23-я: Материалы. — М., 2000. — С. 3-6.
  6. Омельяненко Н.П., Карпов И.Н., Матвейчук И.В., Дорохин А.И. //Вестн. травматол. ортопед. — 2001. — N 1— С. 53-56.
  7. Поляков В.А., Чемянов Г.Г. Искусственная синтетическая костная ткань. — М., 1996.
  8. Пронцкявичус С.В., Петрулис А.Ю. //Сб. трудов ВНИИИМТ. — М., 1987. — N 4. — С. 73-79.
  9. Савельев В.И., Сивков С.Н. //Ортопед. травматол. — 1986. — N 8. — С. 22-25.
  10. Филиппов Ю.И. Клинико-рентгенологические, гематологические и некоторые биохимические показатели при интрамедуллярном остеосинтезе полимерными штифтами трубчатых костей: Автореф. дис.... канд. мед. наук. — М., 1982.
  11. Gendler Е. //J. Biomed. Mat. Res. — 1986. — Vol. 20, N 6. — P. 687-696.
  12. Urist M.R. et al. //Clin. Orthop. -— 1970. — N 68. — P. 279-283.

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2. Fig. 1. Patient K. 14 years old. Diagnosis: Haglund-Shinz disease on the right. a — radiographs before surgery: a defect in the area of the tubercle of the right calcaneus; b — radiographs 6 months after surgery: almost complete closure of the defect.

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3. Fig. 2. Patient L., 12 years old. Diagnosis: Koehler's disease 1 on the right. a — radiographs before treatment: destruction of the navicular bone with signs of fragmentation; b — radiographs 12 months after the introduction of the bioactive composition PPM-1: restoration of the structure of the navicular bone.

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4. Fig. 3. Patient L., 5 years old. Diagnosis: "dystrophic" varus deformity of the neck of the left femur. a — appearance of the patient, b — radiograph before surgery; c — radiograph after corrective osteotomy of the left femur with fixation with a DON plate and neck tunnelization with an ARECOS biostraw; d — radiograph 4 months after surgery; e — radiograph, f — clinical result 1 year after surgical treatment.

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5. Fig. 4. Patient G. Diagnosis: Perthes disease stage III on the left. a — radiographs before treatment: flattening of the femoral head and its fragmentation, cysts in the neck; b — radiographs 1.5 years after the start of treatment (tunnelization of the neck and the introduction of a bioactive straw).

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