Novosti
Khirurgii

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Year 2022 Vol. 30 No 4

REVIEWS

À.V. POPKOV, N.A. KONONOVICH, D.A. POPKOV, À. À. CHERTISHCHEV

A CASE OF THE EFFECTIVE APPLICATION OF TWO ELASTIC NAILS WITH BIOACTIVE COATING FOR TREATMENT OF PSEUDOARTHROSIS OF THE LEG BONES

Federal State Budgetary Institution “Russian Ilizarov Scientific Center "Restorative Traumatology and Orthopaedics" of Ministry of Healthcare, the Russian Federation, Kurgan,
Russia Federation

A positive result of the use of bioactive-coated flexible nails to treat the pseudarthrosis of the shin bones in a 52-year-old patient suffered hematogenous osteomyelitis in childhood has been presented. Subsequently, a shortening of the left leg, as well as its deformation after an incorrect healed of a tibial shaft fracture have been formed. The formation of a pseudarthrosis was a consequence of unsuccessful distraction osteosynthesis to restore the segment length and eliminate deformity. The choice of treatment method was based on the results of an experimental study in vivo and the known literature data. The advantage of this technique was its low injury rate in comparison with the known methods of false joints treating and the possibility of providing conditions for the activation of osteogenesis at the junction of pathologically altered bone fragments. Intramedullary osteosynthesis by bioactive-coated flexible implants associated by external fixator provided supporting the stable rigid fixation throughout the entire treatment period. All these factors contributed to early consolidation (within 60 days) while maintaining the achieved state after the termination of hardware fixation. The technique used for the treatment of long bones pseudoarthrosis is considered to be easily implementable having the broad perspectives to eliminate such pathology.

Keywords: pseudoarthrosis, flexible implants, hydroxyapatite coating, bioactive implant
p. 408-414 of the original issue
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Address for correspondence:
640014, Russian Federation,
Kurgan, st. M. Ulyanova, 6,
National Medical Research Center
of Traumatology and Orthopedics
Named after Academician G. A. Ilizarov,
Experimental Laboratory,
tel. office: +7(3522) 41-52-27,
e-mail: n.a.kononovich@mail.ru,
Kononovich Natalya A.
Information about the authors:
Popkov Arnold V., MD, Professor, Chief Researcher of the Clinic of Neuroorthopedics, Systemic Diseases and Pathology of the Foot, National Medical Research Center for Traumatology and Orthopedics named after Acdemician G. A. Ilizarov, Ministry of Health of Russia, Kurgan, Russian Federation
https://orcid.org/0000-0001-5791-1989
Kononovich Natalia A. PhD, Leading Researcher, Experimental Laboratory, National Medical Research Center for Traumatology and Orthopedics Named after Academician G. A. Ilizarov, Ministry of Health of Russia, Kurgan, Russian Federation
https://orcid.org/0000-0002-5990-8908,
Popkov Dmitry A., MD, Head of the Clinic for Neuroorthopedics, Systemic Diseases and Pathology of the Foot, Academician G. A. Ilizarov National Medical Research Center for Traumatology and Orthopedics, Ministry of Health of Russia, Kurgan, Russian Federation
https://orcid.org/0000-0002-8996-867X
Chertishchev Alexander A., Orthopedist-Traumatologist, Physician of the Highest Category of Traumatology and Orthopedic Department No. 12, National Medical Research Center of Traumatology and Orthopedics Named After. Academician G.A. Ilizarov Ministry of Health of Russia, Kurgan, Russian Federation.
https://orcid.org/0000-0002-3796-2444
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