To the Question of Reparative Regeneration in Children

Abstract

The commentary touches upon the interpretation of the term “refracture” and discusses the hemodynamic features in the area of the emerging fusion in primary and repeated fractures in children. In particular, not only the role of methods for studying blood circulation in the diagnosis of disorders of reparative processes is considered, but attention is also focused on the risk of complications in the conservative and surgical treatment of fractures of the long bones of the extremities in children. It is emphasized that in order to minimize the risks of refractory development, it is necessary to take into account the individual characteristics of a pediatric patient, the method of fixing a fracture, rehabilitation and dispensary observation. The commentary provides a brief overview of publications by domestic and foreign authors on this problem.

Keywords

fracture / refracture / hemodynamics / thermometry / bone tissue regeneration / children

References

[1] Martus J.Е. Operative Fixation Versus Cast Immobilization: Tibial Shaft Fractures in Adolescents. J Pediatr Orthop. 2021;41(Suppl 1):S33-S38. doi: 10.1097/BPO.0000000000001806.

[2] Egger A., Murphy J., Johnson M., Hosseinzadeh P., Louer C. Elastic Stable Intramedullary Nailing of Pediatric Tibial Fractures. JBJS Essent Surg Tech. 2020;10(4):e19.00063. doi: 10.2106/JBJS.ST.19.00063.

[3] Poutoglidou F., Metaxiotis D., Kazas C., Alvanos D., Mpeletsiotis A. Flexible intramedullary nailing in the treatment of forearm fractures in children and adolescents, a systematic review. J Orthop. 2020;14(20):125-130. doi: 10.1016/j.jor.2020.01.002.

[4] Stenroos A., Puhakka J., Nietosvaara Y., Kosola J. Treatment of Closed Tibia Shaft Fractures in Children: A Systematic Review and Meta-Analysis. Eur J Pediatr Surg. 2020;30(6):483-489. doi: 10.1055/s-0039-1693991.

[5] Cruz A.I. Jr., Raducha J.E., Swarup I., Schachne J.M., Fabricant P.D. Evidence-based update on the surgical treatment of pediatric tibial shaft fractures. Curr Opin Pediatr. 2019;31(1):92-102. doi: 10.1097/MOP.0000000000000704.

[6] Grob D., Magerl F. Refractures. Unfallchirurg. 1987;90(2):51-58.

[7] Kessler S.B., Schweiberer L. Refrakturen nach operativer Frakturenbehandlung. Berlin: Springer-Verlag; 1988. 73 p.

[8] Lyman A., Wenger D., Landin L. Pediatric diaphyseal forearm fractures: epidemiology and treatment in an urban population during a 10-year period, with special attention to titanium elastic nailing and its complications. J Pediatr Orthop B. 2016;25(5):439-446. doi: 10.1097/BPB.0000000000000278.

[9] Barabash Yu.A., Mandrov D.V., Balayan V.D. [Comprehensive comparative evaluation of results of surgical management of unstable distal tibia fractures]. Saratovskii nauchno-meditsinskii zhurnal [Saratov Journal of Medical Scientific Research]. 2019;15(1):48-52. (In Russian).

[10] Барабаш Ю.А., Мандров Д.В., Балаян В.Д. Комплексная сравнительная оценка результатов хирургического лечения нестабильных переломов дистального отдела голени. Саратовский научно-медицинский журнал. 2019;15(1):48-52.

[11] Vasutina M., Pechnikova N., Toropova Ya. [Methods of Visualization and Analysis of The Microcirculatory State in Veterinary and Experimental Practices]. Laboratornye zhivotnye dlya nauchnyh issledovanii [Laboratory Animals for Science]. 2019;(2):1-18. doi: 10.29296/2618723X-2019-02-07. (In Russian).

[12] Васютина М.Л., Печникова Н.А., Торопова Я.Г. Методы визуализации и анализа состояния микроциркуляторного русла в ветеринарной и экспериментальной практике. Лабораторные животные для научных исследований. 2019;(2):1-18. doi: 10.29296/2618723X-2019-02-07.

[13] Pozdeev A.P., Zakharyan E.A., Zubairov T.F., Nikityuk I.E. [Functional status of peripheral blood flow and neuromuscular system of the lower extremities after surgical treatment of congenital false joint of the lower leg]. Ortopediya, travmatologiya i vosstanovitel’naya hirurgiya detskogo vozrasta [Pediatric Traumatology, Orthopaedics, and Reconstructive Surgery]. 2015;3(4): 6-11. doi: 10.17816/PTORS346-11. (In Russian).

[14] Поздеев А.П., Захарьян Е.А., Зубаиров Т.Ф., Никитюк И.Е. Функциональное состояние периферического кровотока и нервно-мышечной системы нижних конечностей у пациентов с врожденным ложным суставом костей голени после устранения псевдоартроза. Ортопедия, травматология и восстановительная хирургия детского возраста. 2015;3(4): 6-11. doi: 10.17816/PTORS346-11.

[15] Puseva M.E., Kinash I.N., Verkhozina T.K. [Dynamics of regional blood flow parameters in patients with fracture of radial shaft in transosseous osteosynthesis]. Sibirskii meditsinskii zhurnal (Irkutsk) [South Ural State Medical University]. 2015;(6):91-94. (In Russian).

[16] Пусева М.Э., Кинаш И.Н., Верхозина Т.К. Динамика показателей регионарного кровотока у больных с переломом диафиза лучевой кости при чрескостном остеосинтезе. Сибирский медицинский журнал (Иркутск). 2015;(6):91-94.

RIGHTS & PERMISSIONS

Eco-Vector