СОН СУЯГИ ПОСТОСТЕОМИЕЛИТИК НУҚСОНЛАРИДА КИЧИК БОЛДИР СУЯГИ АУТОПЛАСТИКАСИ ВА ТАШҚИ ФИКСАЦИЯ
##article.subject##:
Постостеомиелитик нуқсон; сон суяги; аутотрансплантация; кичик болдир суяги; суяк пластикаси; ташқи фиксация аппарати; дистракцион остеогенез##article.abstract##
Сон суягининг постостеомиелитик диафизар нуқсонлари травматологик ва ортопедик амалиётларнинг ногиронликка сабаб бўлувчи энг мураккаб асоратларидан бири ҳисобланади. Ушбу соҳадаги сурункали остеомиелит кўпинча яққол ангиотрофик бузилишлар, суяк тўқимаси тақчиллиги ҳамда классик остеосинтез ва дистракцион остеогенез усулларини қўллашдаги техник чекловлар билан кечади. Шу боис, сон суягининг узунлиги ва функциясини сақлаган ҳолда унинг бутунлигини тиклаш учун биологик асосланган ва техник жиҳатдан қулай ташқи фиксаторлар иштирокидаги усулларни ишлаб чиқиш замонавий реконструктив хирургиянинг долзарб вазифасидир. Сон суягининг постостеомиелитик диафизар нуқсонларини аутотрансплантат билан тўлдириш орқали даволаш услуби ёритилган бўлиб, у оёқ узунлигини сақлаб қолиш ва патологик асоратлар ривожланиш хавфини камайтиришни таъминлайди
Библиографические ссылки
Coombs J, Billow D, Cereijo C, Patterson B, Pinney S. Risk factors for infection following open fractures // Injury. 2022;53(6):1590-7.
Nicholson JA, et al. Fracture non-union in long bones: a literature review of risk factors // Injury. 2021;52(8):2228-38.
Oryan A, Alidadi S, Moshiri A. Current concerns and future prospects of bone tissue engineering // J Tissue Eng Regen Med. 2020;14(6):758-797.
Yang X, Xu X, Li J, et al. Management of infected bone defects of the femoral shaft by Masquelet technique // BMC Musculoskelet Disord. 2024;25:552.
Arshad Z, Dorniakova M, et al. Management of chronic osteomyelitis of the femur and tibia: a scoping review // EFORT Open Rev. 2021;6(9):868-79.
Rosslenbroich SB, Lange C, et al. Current management of diaphyseal long-bone defects — a review of repair and reconstruction techniques // J Clin Med. 2023;12(19):6283.
Feltri P, Fagotti A, et al. Union, complication, re-intervention and failure rates of treatment for large diaphyseal defects of long bones: a systematic review // Sci Rep. 2022;12(1):12140.
Migliorini F, La Padula G, Torsiello E, Spiezia F, Oliva F. Strategies for large bone defect reconstruction after trauma, infections or tumour excision: a comprehensive review // Eur J Med Res. 2021;26:118.
Akdemir M, Yügel NK, Caynak Z, et al. Treatment of femoral defective osteomyelitis with minimally invasive plate reconstruction: a case series // Injury. 2020;51(6):1401-1409.
Peng C, Liu K, Tian Q, et al. Evaluation of complications associated with bifocal bone transport // BMC Musculoskelet Disord. 2022;23:132.
Lu Y, Zhang H, Cao Y. Induced membrane technique for segmental bone defects due to post-traumatic osteomyelitis // Orthop Surg. 2023;15(5):1450-1462.
Xie L, Huang Y, Yu Y. Ilizarov method and combined methods in treatment of long bone defects // J Orthop Traumatol. 2023;24.
Schaeffer CV, et al. Vascularized bone grafts in post-traumatic segmental defects // J Bone Joint Reconstr. 2022.
Feltri P, Fagotti A, et al. Vascularized fibular grafts for long bone defects: a systematic review // Injury. 2023;54:301-10.
Smolle C, Wolf F, et al. The vascularized fibula as salvage procedure in extensive long bone defects // Life (Basel). 2024;14(3):318.
Feltri P, Solaro L, Errani C, Schiavon G, Candrian C, Filardo G. Vascularized fibular grafts: pros and cons // Arch Orthop Trauma Surg. 2023;143(1):29-48.
Noorlander-Borgdorff MP, de Vos-Jansen NW, Hoornenborg D, et al. Long-term results after vascularized fibula grafts // J Orthop Trauma. 2024;38(5):e345-e353.
Baleani M, Hillmann A, Brunelli G, et al. Intercalary reconstruction of long bones by massive allograft // Front Pediatr. 2022;10:868299.
Wisanuyotin T, Pongkunakorn A, Klubwattanakul P, et al. Allograft versus autograft after resection of bone tumors // Sci Rep. 2022;12:18772.
Подкосов ОД, Говоров МВ, Паршиков МВ, Чемянов ГИ, Пиманчев ОВ. Повышение эффективности хирургического восстановления больших костных дефектов при посттравматическом остеомиелите конечностей // Медицинский вестник ГВКГ им. Н.Н. Бурденко. 2023;3(13):77-84.
Zhou M, Wang J, Li F, et al. Comparison of free vascularized fibular grafts and Masquelet technique // J Orthop Traumatol. 2024;25.
Xie J, et al. Ilizarov bone transport to treat infected nonunion of long bones // PLoS One. 2021;16(7):e0255033.
Yalikun A, Ma Q, Hou K, et al. Outcomes of bone transport using rail fixator // Front Surg. 2022;9:970765.
Paul S, Vathulya M, Kandwal P, Jagtap M, Behl R. Comparison of free vascularized fibula grafting and Ilizarov transport // J Orthop Surg Res. 2023;18:256.
Aihemaitijiang Y, et al. Orthofix external fixator + vascularized fibula vs. lengthening // BMC Musculoskelet Disord. 2025;26:175.
Masquelet AC, Begue T. The concept of induced membrane for reconstruction of long bone defects // Orthop Clin North Am. 2010;41(1):27–37. doi:10.1016/j.ocl.2009.07.011.
Siregar H. Non-vascularized autologous fibular graft in post-traumatic defects // Open Access Maced J Med Sci. 2021;9(A):6723.
Jilani LZ, et al. Non-vascularized fibula with compression plating in aseptic complex non-union // Int J Burn Trauma. 2024;14(4):75-83.
Schemitsch EH. Size matters: defining critical bone defect size // J Orthop Trauma. 2017;31(S2):S1-S2.
Schmidt AH. Autologous bone graft: is it still the gold standard? // Injury. 2021;52(12):3362-3367.
Alshahrani AS, Alsubait AS, Alghamdi AA, et al. Outcomes of autologous bone grafts vs bone substitutes in tibial plateau fractures: A meta-analysis // World J Clin Cases. 2025;16(9):1244-1258.
Shi Z, Yang X, Bertocco E, et al. Bone grafts and synthetic substitutes in dental and orthopedic applications // Front Bioeng Biotechnol. 2025;13:1759864.
Dantas GMM, de Albuquerque JLM, de Souza ACC, et al. Updates on Bone Grafts and Substitutes: Clinical and biological perspectives // Bioengineering (Basel). 2025;12(12):12753175.
Su Y, Li X, Wang Z, et al. Risk factors for recurrence of chronic osteomyelitis and the role of bioactive scaffolds in surgical treatment // Front Bioeng Biotechnol. 2024;12:1368818. doi:10.3389/fbioe.2024.1368818.
Li Y, Zhang X, Shen Y, et al. Comprehensive Management of Chronic Osteomyelitis: From Radical Debridement to Bone Regeneration Using Bioactive Scaffolds // J Orthop Surg Res. 2025;20(1):45-58. doi:10.1186/s13018-025-05432-1.
Schöllmann H, Weichert V, Neidlein C, et al. Fiberfill©—A New Bone Substitute for Treatment of Chronic Osteomyelitis? // J Clin Med. 2026;15(3):1277. doi:10.3389/fmed.2026.1277.
Давиров Ш.М.,Мансуров Дж.Ш., Уринбаев П.У., Холхужаев Ф.И. Способ замещения посттравматического дефекта диафиза длинных трубчатых костей аутотрансплантатом малоберцовой кости // Патент РФ № IAP 2844245, 28.07.2025
Davirov SM, Urinbaev PU, Mansurov DzSh, Gafurov FA, Borzunov DYu. Variant of bone restoration in humeral nonunion with a free fibular autograft in the conditions of transosseous osteosynthesis. Genij Ortopedii. 2025;31(4):502-509. doi: 10.18019/1028-4427-2025-31-4-502-509.
Davirov Sh.M., Urinbaev P.U., Mansurov Dj.Sh. Osteoplastic reconstruction of extensive diaphyseal long bone defects using external fixation devices // Journal of Biomedicine and Practice. – 2026. – Vol. 11, Issue 1. – P.246-255
Давиров Ш.М., Уринбаев П.У., Мансуров Д.Ш., Абдурахмонов Ш.Б., Хамираев С.П. Билак суякларининг постостеомиелитик нуқсонларини Илизаров бўйича компрессион-дистракцион остеосинтез шароитида кичик болдир суяги аутотрансплантати билан реконструкция қилиш // Тиббиётда янги кун. – 2026. – № 4 (90). – Б. 111–124
Шевцов В. И., Давиров Ш. М., Мансуров Ж. Ш., Очилов У. У. Autotransplantation with an avascular implant for extensive defects of the long tubular bones // Modern Science: Theory and Practice. – 2026. – Part 1. – С. 52-63. DOI: 10.34660/INF.2026.51.90.037.
Давиров Ш.М. Усовершенствование метода лечения больных с посттравматическими и постостеомиелитическими дефектами костной ткани длинных трубчатых костей: монография. – Самарканд: TURON NASHR, 2025. – 124 с
Jiang J, Zhu S, Liu X. Current application and future perspectives of antimicrobial biodegradable bone substitutes in the treatment of osteomyelitis // Front Bioeng Biotechnol. 2024;12:1375266. doi:10.3389/fbioe.2024.1375266.
Wang H, Li H, Jin S, et al. Biomaterials for bone infections: antibacterial mechanisms and immunomodulatory effects // Front Cell Infect Microbiol. 2025;15:1589653. doi:10.3389/fcimb.2025.1589653.
Iftekhar MS, Buckley RJ, Giannoudis PV, et al. Managing Bone Infections Beyond Systemic Antibiotics: A Scoping Review of Innovative Local Treatment Strategies // Pathogens. 2026;15(2):201-224. doi:10.3390/pathogens15020201.
Rodionova SS, Makarov MA, Kolondaev AF, et al. Comparative analysis of the effectiveness of bone plastic materials impregnated with vancomycin in the treatment of chronic osteomyelitis // Traumatol Orthop Russ. 2025;31(2):112-125. doi:10.17816/2311-2905-2025-31-2.
Ayvaz M, Macdonald DW, Wheelwright EF, et al. Hip-preserving reconstruction with vascularized fibular autograft // J Bone Joint Surg Br. 2021;103-B(8):1397-1403.
Saadh, M. J., Hussain, Q. M., Albadr, R. J., Doshi, H., Rekha, M. M., Kundlas, M., Rizaev, J., ... & Farhood, B. (2025). Advanced feature fusion of radiomics and deep learning for accurate detection of wrist fractures on X-ray images. BMC Musculoskeletal Disorders, 26(1), 498.
