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APPLICATION OF THE METHOD OF TEMPORARY BLOCKING OF GROWTH ZONES IN THE TREATMENT OF DEFORMITIES OF THE LOWER EXTREMITIES IN CHILDREN

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1. Title Title of document APPLICATION OF THE METHOD OF TEMPORARY BLOCKING OF GROWTH ZONES IN THE TREATMENT OF DEFORMITIES OF THE LOWER EXTREMITIES IN CHILDREN
2. Creator Author's name, affiliation, country PV V Ryzhov; Samara State Medical University
2. Creator Author's name, affiliation, country NV V Pirogova; Samara State Medical University
2. Creator Author's name, affiliation, country AV V Shmelkov; Samara State Medical University
3. Subject Discipline(s)
3. Subject Keyword(s) axial deformities; "temporary epiphysiodesis"; managed growth; blocking of growth zones
4. Description Abstract Aim - to evaluate the effectiveness of surgical correction of shortening and axial deformities of the lower extremities in children by temporary blocking of the growth zones. Materials and methods. The article presents five-year experience (2011-2016) in the treatment of 45 children (59 knees) with deformities of the lower extremities of different etiology. These cases included such congenital and acquired deformities as post-traumatic deformities, Blount's disease, metaphyseal dysplasia, after-effects of osteomyelitis, exostotic chondrodysplasia. Shortening or elongation of the limbs were found in 13 patients, the angular deformity - in 29 patients, combined deformity - in 3 patients. Results. In our practice, the timing of the correction of deformity ranged from 10 to 32 months. The degree and time of correction of the deformation directly depend on its severity and age of patients. The analysis of the results of the treatment of children with the use of this methodology showed the following results: good outcomes were observed in 37 patients (82.2%), satisfactory - in 8 patients (17.8%), unsatisfactory outcomes were not observed. Complications occurred in 3 patients (6.6%). Irreversible complications were not observed. Conclusions. Method of temporary blocking of the growth zones of long bones (method of controlled growth, temporary epiphysiodesis) is a good alternative to corrective osteotomies due to sufficient efficacy, minimal invasiveness, and little risk of complications.
5. Publisher Organizing agency, location FSBEI of Higher Education SamSMU of Ministry of Health of the Russian Federation
6. Contributor Sponsor(s)
7. Date (DD-MM-YYYY) 15.09.2017
8. Type Status & genre Peer-reviewed Article
8. Type Type Research Article
9. Format File format
10. Identifier Uniform Resource Identifier https://innoscience.ru/2500-1388/article/view/21500
10. Identifier Digital Object Identifier (DOI) 10.35693/2500-1388-2017-0-3-58-62
10. Identifier Digital Object Identifier (DOI) (PDF (Rus)) 10.35693/2500-1388-21500-17740
11. Source Title; vol., no. (year) Science and Innovations in Medicine; Vol 2, No 3 (2017)
12. Language English=en ru
13. Relation Supp. Files
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
15. Rights Copyright and permissions Copyright (c) 2017 Ryzhov P.V., Pirogova N.V., Shmelkov A.V.
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This work is licensed under a Creative Commons Attribution 4.0 International License.