Surgery of False Joints of Long Tubular Bones in Children Using the Shape Memory Materials

Abstract

The article presents the clinical observations of 15 patients aged from 10 months to 14 years with the false joints of long tubular bones of various etiology after their elimination by pathological tissues resection, placing the osteogenic tissue in the defect zone, the structures based on porous nickelid titanium saturated with poorly differentiated cellular elements of mesenchymal origin, fixation of fragments by brackets of nickelid titanium with shape memory. In all cases the obtained result was satisfactory and functional.

References
[1] S.N. Leonova, A.V. Rekhov, A.L. Kameka, Treatment of fractures complicated with purulent infection, Siberian Medical Journal. 5 (2013) 141-143.


[2] A.A. Radkevich, V.E. Gyunter, P.G. Sysolyatin, I.I. Anisenya, R.F. Patent 2178277. [in Russian] (2002).


[3] P.G. Sysolyatin, A.A. Radkevich, V.E. Gyunter, R.F. Patent 2180812. [in Russian] (2002).


[4] S.P. Mironov, A.V. Ivanov, V.K. Ilyina et al., Use of autologous stromal marrow cells for surgical treatment of congenital crus bones pseudoarthrosis in children, Priorov Journal of Traumatology and Orthopedics [in Russian]. 2 (2011) 46-52.


[5] E Jewell, G. Merrel, The use of a sliding bone graft in the upper extremity for long bone nonunions, J. Hand Surg. Am. 40 (2015) 1025-1027.


[6] J. Li, L. Shi, G.J. Chen, Image navigation assisted joint-saving surgery for treatment of bone sarcoma around knee in skeletally immature patients, Surg. Oncol. 23 (2014) 132-139.


[7] B. Erol, O. Basci, M.O. Topkar et al., Mid-term radiological and functional results of biological reconstructions of extremity-located bone sarcomas in children and young adults, J. Pediatr. Orthop. B. 24 (2015) 469-478.


[8] S.B. Shah, A.K. Mishra, P. Chalise et al., Outcome of treatment of nonunion tibial shaft fracture by intramedullary interlocking nail augmentated with autogenous cancellous bone graft, Nepal Med. Coll. J. 16 (2014) 58-62.


[9] V. Puvanesarajah, J.R. Shapiro, P.D. Sponseller, Sandwich allografts for long-bone nonunions in patients with osteogenesis imperfecta: a retrospective study, J. Bone Joint Surg. Am. 97 (2015) 318-325.


[10] S.K. Mithani, R.C. Srinivasan, R. Kamal et al., Salvage of distal radius nonunion with a dorsal spanning distraction plate, J. Hand Surg. Am. 39 (2014) 981-984.


[11] H. Arslan, E. Özkul, M. Gem et al., Segmental bone loss in pediatric lower extremity fractures: indications and results of bone transport, J. Pediatr. Orthop. 35 (2015) 8-12.


[12] D.A. Campanacci, S. Puccini S, G. Caff et al., Vascularised fibular grafts as a salvage procedure in failed intercalary reconstructions after bone tumour resection of the femur, Injury. 45 (2014) 399-404.


[13] F. Soldado, J. Knörr, S. Haddad et al., Vascularized tibial periosteal graft in complex cases of bone nonunion in children, Microsurgery. 35 (2015) 239-243.