Functional state of blood circulation and neuromuscular system of the lower limb of patients with congenital pseudarthrosis of the tibia after consolidation of the nonunion

Abstract

The aim of this study was to evaluate the clinical and functional state of the neuromuscular system and the blood supply to the lower limbs of children with congenital pseudarthrosis of the tibia (CPT) after consolidation. Material and Methods. A total of 100 patients with CPT were analyzed. We performed a clinical examination of patients, panoramic X-ray of the lower extremities, electroneuromyogram, and reovasography. Results and Conclusions. The primary complaints of patients with CPT after the consolidation of the non-union were lameness, deformations of lower extremities, and pain in the local joints. The electromyoneuromyogram data of the lower limbs of patients with CPT exhibited a decrease of the contractility of the muscles of the lower limbs, and neuropathy of the peroneal nerves of both lower limbs. The reovasography data of the lower limbs of patients with CPT displayed improvement in blood circulation in the lower extremities after the consolidation of the tibia. These data promote the current methods of treatment of patients with CPT; however, the temperature, degree of limb lengthening, and deformity correction should be considered in the future.

Keywords

congenital pseudarthrosis of the tibia / correction deformity / neuropathy / shortening

References

[1] Поздеев А.П., Захарьян Е.А. Особенности течения врожденных ложных суставов костей голени у детей дистрофического и диспластического генеза // Ортопедия, травматология и восстановительная хирургия детского возраста. - 2014. - Т. 2. - № 1. - С. 78-84. [Pozdeev AP, Zakharyan EA. Features of congenital pseudarthrosis of the tibia of dysplastic and neurodystrofic genesis. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2014;2(1):78-84. (In Russ).] doi: 10.17816/PTORS2178-84

[2] Khan T, Joseph B. Controversies in the management of congenital pseudarthrosis of the tibia and fibula. Bone Joint J. 2013;95-B(8):1027-34. doi: 10.1302/0301-620X.95B8.31434.

[3] Pannier S. Congenital pseudarthrosis of the tibia. Orthop Traumatol Surg Res. 2011;97(7):750-61. doi: 10.1016/j.otsr.2011.09.001.

[4] Cho TJ, Choi IH, Lee KS, et al. Proximal tibial lengthening by distraction osteogenesis in congenital pseudarthrosis of the tibia. J Pediatr Orthop. 2007;27(8):915-20. doi: 10.1097/bpo.0b013e31815a6058.

RIGHTS & PERMISSIONS

Pozdeev A.P., Zakharyan E.A., Zubairov T.F., Nikityuk I.E.