Experience in treatment of limb contractures and deformities in children with congenital arthrogryposis is presented. The main principles of treatment were detected. Complex of diagnostic and curative measures including conservative treatment of patients stating from birth is described in details. Conservative treatment consists of therapeutic exercises, massage, physiotherapy, special braces and plaster bandages. Surgical treatment method using external fixation devices is presented. The method of biocontrol disturbance detection is given and the use of functional biocontrol (FBC) method for the treatment of this pathology is well grounded. Early results of FBC use are evaluated as positive ones that confirms the expedience of further use of FBC for the treatment of patients with congenital arthrogryposis.
New composite «material for osteoplasty» was used for the treatment of 70 children, aged from 1.5 to 15 years, with various orthopaedic pathology. "Material" consists of defatted spongy and cortical-spongy bone matrix soaked with copolymer containing bioactive drugs as well as fetal bone tissue. Preliminary testing showed that the suggested implants were of high firmness. To assess the stimulating effect of "material for osteoplasty" upon the process of bone tissue reparative regeneration, monitoring of regional microcirculation by ultrasound Doppler mapping was used in complex with other methods. Osteoconductive and osteoinductive characteristics of the implants were observed in 76% of cases. The results of ultrasound Doppler mapping showed good correlation with the morphologic picture.
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