On the issue of treatment of postosteomyelitis defects of long bones in children

The purpose of our study was to improve the results of treatment of postosteomyelitis pseudarthrosis
and long tubular bones defects using the PCI method.
Materials and methods. The study was conducted on the basis of the Aksai Republican Children's
Clinical Hospital for the period from 2000 to 2015 and the Center for Children's Emergency Medical Care
in Almaty for the period 2015 to 2022. The results of treatment of 53 children with false joints and defects
of long tubular bones that formed despite the treatment of the osteomyelitic process were studied. Based on
this material, the authors came to some conclusions.
Results. The evaluation of the results of treatment of patients was carried out according to the scale developed by us "A system for assessing the functional state of limbs with their injuries in children and adolescents". The obtained treatment results indicate the advantages of the ongoing surgical treatment
system, as well as the subsequent rehabilitation of children.
Conclusions. The determination of tactics for the treatment of post-osteomyelitic defects should
be carried out only after a complete diagnostic procedure aimed at determining the condition of bone
fragments. During treatment, it is necessary to observe the stages of restoration of damaged structures.

1. Barskaja, M. A., Kuz'min, A. I., Terekhina, M. I., Munin, A. G., Zebrova, T. A., Osipov, N. L. (2015). Ostryj gematogennyj osteomielit u detej. Modern problems of science and education. 12(7), 1217-1219 (In Russian).

2. Musso, P., Parigi, S., Bossi, G., Marseglia, G.L., Galli, L. and Chiappini, E. (2021). Epidemiology and Management of Acute Hematogenous Osteomyelitis, Neonatal Osteomyelitis and Spondylodiscitis in a Third Level Paediatric Center. Children, 8(8), 616, DOI: https://doi.org/10.3390/children8080616.

3. Popescu, B., Tevanov, I., Carp, M., Ulici, A. (2020). Acute hematogenous osteomyelitis in pediatric patients: epidemiology and risk factors of a poor outcome. Journal of International Medical Research, 48 (4), DOI: 10.1177/0300060520910889.

4. Akzhigitov, G. N. and Judin, Ja. B. (1998). Gematogennyj osteomielit, Medicina, Moscow, 288 p. (In Russian).

5. Galkin V. N., Razin M. P., Skobelev V. A., Salamajkin N. I. (2004). Gematogennyj osteomielit u detej: uchebno-metodicheskoe posobie dlja studentov medicinskih vuzov. 2-e izd. Kirov, 37 (In Russian).

6. Bodriyan, S. G. (2006). Incidence, course and outcomes of osteomyelitis in children. Bulletin of SGMU, (1), 35-37 (In Russian).

7. Mashkov, A. E., Slesarev, V. V. (2015). Osobennosti kompleksnogo lecheniya ostrogo gematogennogo osteomielitau detej. Universum: Medicine and pharmacy, 4 (17). Retrieved October10, 2023, from https://7universum.com/ru/med/archive/item/2068 (In Russian).

8. Strelkov, N. S., Razin M. P. (2018). Gematogennyj osteomielit u detej. GJeOTAR-Media, Moscow, 160 p. (In Russian).

9. Mironov, S. P., Ciskarashvili, A. V., Gorbatjuk, D. S. (2019). Chronic post-traumatic osteomyelitis as a problem of contemporary traumatology and orthopedics (literature review). Genij ortopedii, 25 (4), 610-621.

10. Brause, B. (2010). Infections with prostheses in bones and joints. In: Mandell, G.L., Bennett, J.E., Dolin, R., eds. Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases. 7th edition (vols 1 and 2), Livingstone, 1, part II, section K, 1469 p.

11. Rak, A. V., Nikitin, G. D., Linnik, S. A., Khaimin, V. V., Kravtsov, D. V., Romashov, P. P. and Zhdanova, V. I. (2002). Hronicheskij osteomelit i ego lechenie, 1, 355-356 (In Russian).

12. Gubin, A. V., Kljushin, N. M., Korkin, A. A., Kojushkov, A. N. (2013). Ispol'zovanie chreskostnogo osteosinteza v lechenii hronicheskogo osteomielita u detej. Ilizarov readings: materials of the All-Russian scientific and practical conference with international participation «Current issues of traumatology and orthopedics of childhood», Kurgan, 54-55 (In Russian).

13. Dujsenov, N. B. (2004). K probleme lechenija lozhnyh sustavov bedrennoj kosti u detej. Materials of VIII Internetional Scientific Conference “Family helth in the XXI century”. Goa, India, P. 85-86 (In Russian).

14. Dujsenov, N. B. (2009). Sistema reabilitacii detej pri povrezhdenijah kostej konechnostej s ispol'zovaniem chreskostnogo osteosinteza: dissertation abstract. Moscow, 42 p. (In Russian).

15. Cykunov, M. B., Merkulov, V. N., Dujsenov, u detej i podrostkov. N. N. Priorov Journal of N. B. (2007). Sistema ocenki funkcional'nogo Traumatology and Orthopedics. Medicinе, Moscow sostoyaniya konechnostej pri ih povrezhdeniyah 3, P. 52-59.