RESUMO
Roentgeno-morphological peculiarities of the bones forming the knee joint were studied in 47 patients with knee deformation caused by hematogenous osteomyelitis before and after treatment by the method of transosseous osteosynthesis. The stages of reconstruction of distraction regenerate were observed by radiography and computed tomography methods.
Assuntos
Deformidades Adquiridas do Pé , Articulação do Joelho , Procedimentos Ortopédicos/métodos , Osteomielite/complicações , Antropometria , Densidade Óssea , Osso e Ossos/patologia , Criança , Feminino , Deformidades Adquiridas do Pé/diagnóstico por imagem , Deformidades Adquiridas do Pé/etiologia , Deformidades Adquiridas do Pé/fisiopatologia , Deformidades Adquiridas do Pé/cirurgia , Humanos , Articulação do Joelho/diagnóstico por imagem , Articulação do Joelho/patologia , Articulação do Joelho/fisiopatologia , Articulação do Joelho/cirurgia , Masculino , Osteomielite/etiologia , Osteomielite/fisiopatologia , Avaliação de Resultados em Cuidados de Saúde , Tomografia Computadorizada por Raios X/métodosRESUMO
The data of X-ray and computed tomographic studies of a long tube distraction reclaim were analyzed in 80 patients who had limb shortening and deformity of varying etiology. The analysis has shown that during distraction there is a positive correlation between the increase in the connective-tissue interlayer area of a distraction reclaim and the overall increase in the area of the distraction reclaim (their ratio is not greater than 30% under the optimal elongation conditions). During fixation there is a decrease in the ratio of the area of a growth zone to the total area of a reclaim and in its total density with a parallel increase in the density of cortical laminae of a newly formed bone. Complete organotypic rearrangement comes to the end in the range of 1-3 years depending on the magnitude of pathomorphological and biomechanical changes and limb function.
Assuntos
Desigualdade de Membros Inferiores/cirurgia , Osteogênese por Distração/métodos , Tíbia/cirurgia , Tomografia Computadorizada por Raios X/métodos , Adolescente , Criança , Feminino , Humanos , Desigualdade de Membros Inferiores/diagnóstico por imagem , Masculino , Tíbia/diagnóstico por imagem , Resultado do TratamentoRESUMO
The author has made an analysis of results of treatment of 116 patients. A classification of recurrences of the disease is given. Possible errors of the treatment and complications are described as well as the measures of their prevention.