Substrates of energy supply of skeletal muscles for surgical lengthening of leg bones

The metabolism of the main energy supply substrates of skeletal muscles has been studied for leg bone lengthening according to the Ilizarov method. The intensive glycogen consumption has been demonstrated to occur in the anterior tibial muscle of the limb segment being lengthened, the gastrocnemius muscle has been shown to use blood glucose and intracellular reserves of lipids as energy substrates. It has been determined that the similar muscles of contralateral limb segment use extra-muscular energy substrates (glucose and blood lipids).