Principles of treatment of polystructural injuries of limbs in children

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Abstract

Authors suggest to use a term «polystrusctural injuries» when two or more anatomic structures within either one segment or extremity are injured and reconstructive treatment is required. Experience in treatment of 256 patients with polystructural limb injuries is summarized. The consequence of reconstructive operations on skin, bones, muscular-ligamentous elements, vessels and peripheral nerves. Main techniques for the reconstruction of injured anatomic structures depending on their nature and combinations are presented. Using elaborated principles of treatment for polystructural limb injuries positive results are achieved in 93.5% of cases.

 

About the authors

V. N. Merkulov

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

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

O. G. Sokolov

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

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

A. I. Dorokhin

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

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

V. T. Stuzhina

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

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

References

Supplementary files

Supplementary Files
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1. JATS XML
2. Rice. 1. Patient M. Radiographs of the lower leg before treatment.

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3. Rice. Fig. 2. Staged restoration of full-fledged skin using the method of endoexpander dermotension: a - before treatment (scars on the anterior surface of the lower leg); b — in the process of endoexpander dermotension; c — after skin plastic surgery.

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4. Rice. Fig. 3. Radiographs of the lower leg immediately after the application of the distraction apparatus (a), during the distraction (b), after bone autoplasty of the defect (c) and after restoration of the continuity of the tibia (d).

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5. Rice. 4. Functional result of treatment.

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