CONTEMPORARY CONDITION OF THE PROBLEM CONCERNING TREATMENT OF CHILDREN WITH LONGITUDINAL ECTROMELIA OF TIBIA

Abstract

There are two trends of methodological approach to treatment of patients with this pathology at present: the first one is limb prosthetics after amputation or isolation of underdeveloped segments, and the second one is an organosaving trend, including prosthetics of itself, prosthetics after conservative and operative limb preparation. We consider organosaving surgeries for this defect to be the most prospective and humane. Parents of the children with longitudinal tibial ectromelia give preference to limb saving. New effective techniques for stabilization of fibula with respect to femur depending on anatomic variety of the defect were proposed at Russian Ilizarov Scientific Centre “Restorative Traumatology and Orthopaedics” on the basis of modern achievements in the field of transosseous osteosynthesis, as well as methods of limb reconstruction and a special device for their performance, allowing to restore limb weight-bearing in functionally favourable position.