genortГений ортопедииGenij Ortopedii1028-44272542-131XЦЕНТР ИЛИЗАРОВА10.18019/1028-4427-2021-27-4-461-467genort-32Research ArticleОригинальные статьиOriginal articlesНесовершенный остеогенез: роль и место ортопедической хирургии нижних конечностейOsteogenesis imperfecta: the role and place of orthopedic surgery of the lower extremitiesПопковД. А.PopkovD. A.

Попков Дмитрий Арнольдович, д. м. н., профессор РАН, членкорр. Французской Академии медицинских наук,

г. Курган

Dmitry A. Popkov, M.D., Ph.D., Professor of RAS, correspondent member French Academy of Medical Sciences,

Kurgan

dpopkov@mail.ruМингазовЕ. Р.MingazovE. R.

Мингазов Эдуард Рифович,

г. Курган

Eduard R. Mingazov, M.D.,

Kurgan

ed.dobryak@gmail.comГубинА. В.GubinA. V.

Губин Александр Вадимович, д. м. н.,

г. Москва

Alexander V. Gubin, M.D., Ph.D.,

Moscow

alexander@gubin.spb.ruГвоздевН. С.GvozdevN. S.

Гвоздев Никита Сергеевич,

г. Курган

Nikita S. Gvozdev,

Kurgan

gvozdev_n.s@mail.ruАрановичА. М.AranovichA. M.

Аранович Анна Майоровна, д. м. н., профессор,

г. Курган

Anna M. Aranovich, M.D., Ph.D., Professor,

Kurgan

aranovich_anna@mail.ruСеменовА. Л.SemyonovA. L.

Семенов Александр Леонидович,

г. Новосибирск

Alexander L. Semyonov,

Novosibirsk

semenov152@yandex.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр травматологии и ортопедии имени академика Г.А. Илизарова» Министерства здравоохранения Российской ФедерацииРоссияIlizarov National Medical Research Centre for Traumatology and OrthopedicsRussian FederationФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр травматологии и ортопедии имени Н.Н. Приорова» Министерства здравоохранения Российской ФедерацииРоссияNational Medical Research Center of Traumatology and Orthopedics n.a. N.N. PriorovRussian FederationФедеральное государственное бюджетное учреждение «Новосибирский научно-исследовательский институт травматологии и ортопедии им. Я.Л. Цивьяна» Министерства здравоохранения Российской ФедерацииРоссияNovosibirsk Research Institute of Traumatology and Orthopaedics N.a. Ya.l. TsivyanRussian Federation202128082021274№ 4 (2021)461467Copyright © Попков Д.А., Мингазов Е.Р., Губин А.В., Гвоздев Н.С., Аранович А.М., Семенов А.Л., 20212021Попков Д.А., Мингазов Е.Р., Губин А.В., Гвоздев Н.С., Аранович А.М., Семенов А.Л.Popkov D.A., Mingazov E.R., Gubin A.V., Gvozdev N.S., Aranovich A.M., Semyonov A.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ilizarov-journal.com/jour/article/view/32Введение

Введение. Хирургическая коррекция ортопедических проблем у детей и взрослых с тяжелыми формами несовершенного остеогенеза вызывает интерес медицинского сообщества.

Целью данной статьи стал обзор современной релевантной литературы о роли ортопедической хирургии при лечении детей и взрослых с несовершенным остеогенезом и интеграции хирургии в мультидисциплинарный подход при лечении пациентов с несовершенным остеогенезом. Статья построена на материале доклада, созданного для впервые проводимой в России образовательной конференции European Pediatric Orthopaedic Society в Центре Илизарова в 2021 году.

Материалы и методы

Материалы и методы. При подготовке обзора были использованы поисково-информационные источники: научный поисковый портал PubMed, Scopus, ResearchGate, РИНЦ, а также издательские продукты (Elsevier, Springer).

Результаты и обсуждение

Результаты и обсуждение. Публикация включает обсуждение классификации, показаний, особенностей хирургической техники и раннего послеоперационного периода, роли ранней функциональной нагрузки, особенностей отдаленных результатов лечения при использовании телескопических трансфизарных конструкций при коррекции деформаций длинных трубчатых костей нижних конечностей, а также аспектов сочетания ортопедической хирургии и бисфосфонат-терапии.

Заключение

Заключение. Ортопедическое сопровождение детей и взрослых с тяжелыми и средней степени тяжести формами несовершенного остеогенеза требует построения многофакторной стратегии, учитывающей требования физической терапии и медикаментозного лечения, а также применения специализированных имплантов, инструментария и способов хирургического вмешательства, где по-прежнему идет поиск оптимального решения. 

Introduction

Introduction. Surgical correction of orthopedic problems in children and adults with severe osteogenesis imperfecta is of interest to the medical community.

The aim of this study was to review the current relevant literature on the role of orthopedic surgery in the treatment of children and adults with osteogenesis imperfecta and the integration of surgery into a multidisciplinary approach to the treatment of patients with osteogenesis imperfecta. The review is based on the material of the report presented at the first educational conference of the European Pediatric Orthopedic Society which was held in Russia at the Ilizarov Center in 2021.

Material and methods

Material and methods. To prepare the review, we searched for information sources at the scientific platforms such as PubMed, Scopus, ResearchGate, RSCI, as well as published products (Elsevier, Springer).

Results and discussion

Results and discussion. The review includes a discussion of the classification, indications, features of the surgical technique and the early postoperative period, the role of early functional loading, the features of long-term treatment results of using telescopic transphyseal constructs in the correction of deformities of lower limb long bones as well as issues of the combination of orthopedic surgery and bisphosphonate therapy.

Conclusion

Conclusion. Orthopedic support of children and adults with severe and moderate types of osteogenesis imperfecta requires construction of a multifactorial strategy that takes into account the requirements of physical therapy and medication treatment, as well as the use of specialized implants, instrumentation and methods of surgical intervention, while an optimal solution has been still sought.

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The authors declare that there are no conflicts of interest present.