Assessment of experience of treatment of patients with consequences osteomyelitis using the technique of intramedullary stressed reinforcement

Abstract

Aim. Evaluation of the experience of treatment of patients with consequences of hematogenous osteomyelitis using the technique of intramedullary reinforcement.Materials and methods. The data treatment of 25 patients aged 12 to 17 years with a shortening of the humerus after hematogenous osteomyelitis. Patients were divided into two groups: the first (n = 15) – to extend the shoulder technique was used bifocal distraction osteosynthesis; the second (n = 10) – to extend the shoulder technique used bifocal distraction osteosynthesis using intramedullary reinforcement (IMR).Results. Applying the methodology IMR reduced the fixation index by an average of 4,6 days/cm (p <0,05). Long term recovery movement in the shoulder and elbow joints of patients in both groups after the treatment was not significantly different. In assessing the safety of the IMA revealed no differences in adverse events. Changes of biochemical parameters marked in patients with IMA group, were typical of patients undergoing limb lengthening by Ilizarov.Conclusion. According to clinical data, as well as according to other research methods, contraindications in terms of the safety of the IMR with the humerus lengthening in patients with consequences of osteomyelitis is not revealed.

Keywords

• дистракционный остеосинтез
• интрамедуллярное армирование
• укорочение плеча
• гематогенный остеомиелит
• биохимия крови