Artificial Deformity Creation as a Method for Limb Salvage for Patients with Massive Tibial and Soft Tissue Defects : A Report of 26 Cases

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dc.contributor.authorPlotnikovs, Konstantins
dc.contributor.authorKamenska, Jekaterina
dc.contributor.authorMovcans, Jevgenijs
dc.contributor.authorPasters, Vitalijs
dc.contributor.authorSolomin, Leonid
dc.contributor.authorPlaudis, Haralds
dc.contributor.institutionDepartment of Surgery
dc.date.accessioned2024-06-03T14:35:01Z
dc.date.available2024-06-03T14:35:01Z
dc.date.issued2023-09-01
dc.descriptionPublisher Copyright: © The Author(s). 2023 Open Access.
dc.description.abstractSoft tissue and bone defects that occur consequence of high-energy trauma are serious and challenging problems. The aim of this retrospective cohort study is to show that the artificial deformity creation (ADCr) method allows the closure of soft-tissue defects, avoids amputation, and can facilitate the reconstruction of bone defects and restore limb length. Patients and methods: Twenty-six adult patients (age range 20–81 years) with soft tissue defects of the lower limb were treated at the Riga East University Hospital from 2018 to 2021. All patients were treated using the ADCr method which is the technique of establishing an interim deformity for resolving tissue loss. The lower extremity functional scale (LEFS) and application of methods of ilizarov (ASAMI) criteria were used for the evaluation of bone healing and lower extremity function. Results: Complete union was achieved in all cases. The functional evaluation showed that most patients could achieve excellent and good results and return to activities of daily living. The functional result was poor in one case of a multi-fragmentary distal tibial articular fracture for which an ankle fusion was performed. Final union in this case was achieved with some residual deformity. Conclusion: The method of ADCr is an effective surgical technique in cases of severe tibial injuries with concomitant loss of bone and soft tissues. This method could be used in cases when either a plastic or microsurgeon is not available or for instances when closing the defect with a flap is either impossible or contraindicated. Excellent and good functional results are possible without severe complications.en
dc.description.statusPeer reviewed
dc.format.extent7
dc.format.extent1720687
dc.identifier.citationPlotnikovs, K, Kamenska, J, Movcans, J, Pasters, V, Solomin, L & Plaudis, H 2023, 'Artificial Deformity Creation as a Method for Limb Salvage for Patients with Massive Tibial and Soft Tissue Defects : A Report of 26 Cases', Strategies in Trauma and Limb Reconstruction, vol. 18, no. 3, pp. 133-139. https://doi.org/10.5005/jp-journals-10080-1599
dc.identifier.doi10.5005/jp-journals-10080-1599
dc.identifier.issn1828-8936
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/15517
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85183897532&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofStrategies in Trauma and Limb Reconstruction
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectArtificial deformity creation
dc.subjectIlizarov
dc.subjectInterim deformity
dc.subjectLimb lengthening
dc.subjectLimb salvage
dc.subjectOrtho-SUV frame
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectOrthopedics and Sports Medicine
dc.titleArtificial Deformity Creation as a Method for Limb Salvage for Patients with Massive Tibial and Soft Tissue Defects : A Report of 26 Casesen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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