Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2012 Vol. 20 No 5

TRAUMATOLOGY AND ORTHOPEDICS

M.H. MALIKOV1, U.A. KURBANOV1, A.A. DAVLATOV2

TRANSPLANTATION OF THE VASCULARIZED BONE TANSPLANTS AT TRAUMATIC DEFECTS AND FALSE JOINTS OF THE UPPER LIMBS BONES

Tajik Abu Ali Ibn Sino State Medical University 1,
THE Republican Scientific Center of the Cardiovascular and Thoracic Surgery 2,
Dushanbe
The Republic of Tajikistan

Objectives. Preliminary analysis and development of the optimal methods for transplanting simple and compound vascularized flaps at the post-traumatic bone defects and false joints of the upper limb.
Methods. 14 free and transferred microsurgical transplants, simple and compound skin and bone grafts were done at the traumatic bone defects and false joints of the upper limb. There were 10 males and 4 females. The age of patients ranged from 11 to 37. The cause of traumatic bone defects and false joints were: gunshot wounds, (3), industrial accident injuries and falls from heights (9), electric trauma (2). Arteriography, electroneuromyography, Doppler sonography were performed in all patients as additional methods of investigation in the perioperative period.
Results. While choosing a way of treatment and studying a long-term outcome it was found out that the reconstruction results of the upper extremity defects depend on the nature of an injury, concomitant injuries of other anatomic structures and the proper selection of the graft. At the same time the benefits of vascularized combinations of tissues over traditional methods of autoplasty was proved. It was established that patients with posttraumatic defects and false joints had a simultaneous damage of the neurovascular bundles, tendons as well as the defects of covering tissues worsening the severity of the injury.
Conclusions. Absence of complications in the donor sites, an adequate recovery of limb function in relatively short time testifies to appropriateness of more widespread use of vascularized grafts in post-traumatic defects and false joints of the upper limb.

Keywords: false joints, bone defects, vascularized grafts, osteogenesis
p. 82- 90 of the original issue
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Address for correspondence:
734003, Respublika Tadzhikistan, g. Dushanbe, ul. Sanoi, d. 33 Respublikanskiy nauchnyiy tsentr serdechno-sosudistoy i grudnoy khirurgii, otdelenie rekonstruktivno-plasticheskoy mikrokhirurgii,
e-mail: egan0428@mail.ru,
Malikov Mirzobadal Halifaevich
Information about the authors:
Malikov M.H. Candidate of Medical Sciences, Associate Professor of the Surgical Diseases Chair 2 of Tajik Abu Ali Ibn Sino State Medical University.
Kurbanov U.A. Doctor of Medical Sciences, Professor, Rector of Tajik Abu Ali Ibn Sino State Medical University.
Davlatov A.A. Candidate of Medical Sciences, Head of the Reconstructive and Microsurgery Department of Republican Scientific Center of Cardiovascular and Thoracic Surgery.
Contacts | ©Vitebsk State Medical University, 2007