ANALYSIS OF INDEXES OF THE REFERENCE LINES AND ANGLES IN CHANGING THE LEGS FORM USING EXTERNAL OSTEOSYNTHESIS (PRELIMINARY REPORT)

Abstract

The analysis of correlation of reference lines and angles (RLA) of the lower extremities at 64 patients who have addressed with wishes about change of the form of legs is carried out. It has appeared that in all cases there was some kind of deviations from correlations accepted for norm. At correction of the form of legs the authors used original configuration of the external fixation apparatus allowing correction and as much as possible authentically to estimate the reached result. By means of the developed configurations the correction of the leg form in 34 patients is executed. The orthopedic correction, allowed to receive the form which has satisfied the patient, has been executed in two cases (6%). At 94% of patients esthetic reconstruction is executed. Esthetic correction (after surgery the values of all RLA remain within norm) hasn’t been executed in any case. Complications are registered in four patients (12%), 4% of which were infectious. It hasn’t affected the end result.

Keywords

external osteosynthesis / reference lines and angles / leg form / esthetic correction / esthetic reconstruction / orthopedic correction

References

[1] 1. Артемьев, А.А. Эстетическая и реконструктивная хирургия нижних конечностей. / А.А. Артемьев [и др.] ; под ред. А.А. Артемьева. – М. : ГЭОТАР- Медиа, 2008. – 248 с.

[2] 2. Использование чрескостного аппарата на основе компьютерной навигации при лечении пациентов с переломами и деформациями длинных трубчатых костей: мед. технология ФС№2009/397 от 10.12.2009 / сост. Л.Н. Соломин, А.И. Утехин, В.А. Виленский, П.Н. Кулеш, К.Л. Корчагин, А.Н. Иванов. – СПб., 2010. – 48 с. (http://www.rniito.org/download/orthosuv-frame-rus.pdf).

[3] 3. Каплунов, О.А. Косметическая коррекция формы и длины ног / О.А. Каплунов, А.Г. Каплунов, В.И. Шевцов. – М. : ГЭОТАР-Медиа, 2010. – 160 с.

[4] 4. Маркер, Н.А. Прогнозирование тактики и результата ортопедической косметической коррекции деформации голени : дис. … канд. мед. наук. – Курган, 2009. – 180 с.

[5] 5. Маркс, В.О. Ортопедическая диагностика : руководство для врачей / В.О. Маркс. – Минск : Наука и техника, 1978. – 512 с.

[6] 6. Соломин, Л.Н. Определение референтных линий и углов длинных трубчатых костей : пособие для врачей / Л.Н. Соломин [и др.]. – СПб. : РНИИТО им. Р.Р. Вредена, 2010. – 38 с. (http://rniito.org/download/Ref-Lines-Angl.pdf ).

[7] 7. Paley, D. Principles of deformity correction / D. Paley. – New York : Springer-Verlag, 2003. – 806 p.