Osteoreparation assessment in patients during lower limb length cosmetic correction according to the Ilizarov method

Purpose. Complex studying the dynamics of osteoreparative processes in patients underwent the cosmetic lengthening of lower limb bones according to Ilizarov. Materials and Methods. The complex study of the dynamics of osteoreparative processes in patients underwent the cosmetic lengthening of the lower limb according to Ilizarov performed. The biochemical parameters of blood serum and daily urine studied in 14 somatically normal persons (at the age of 20-35 years) who underwent cosmetic lengthening of lower limb bones. Monolocal distraction osteosynthesis of leg bones, tibial osteotomy in the upper third, fibular osteotomy in the lower third performed in all the patients. Distraction started on Day 4-6 after surgery. Results. Osteoreparative processes in patients underwent the cosmetic lengthening of lower limb bones according to Ilizarov revealed to be characterized by substantial activation of osteosynthetic processes in the first day of distraction with further increase of osteolysis; by the presence of calcium balance disorder compensation; by osteogenesis supporting inflammation reaction; by the change in skeletal muscle status as a factor limiting distraction osteosynthesis potential. Conclusion. steoreparative activity in patients underwent the cosmetic lower limb lengthening according to Ilizarov supported through maintaining organism’s calcium balance, as well as through the development of the acute phase reaction (inflammation) fulfilling an osteogenesis supporting function.