Federalnoe gosudarstvennoe byudzhetnoe uchrezhdenie "Tsentralnyj nauchno-issledovatelskij institut travmatologii i ortopedii imeni N.N. Priorova" Ministerstva zdravookhraneniya Rossijskoj Federatsii (
发明人:
Dan Ivan Manvelovich,Дан Иван Манвелович,Kesyan Gurgen Abavenovich,Кесян Гурген Абавенович,Tomskij Aleksej Alekseevich,Томский Алексей Алексеевич,Dekopov Andrej Vladimirovich,Декопов Андрей Владимиров
申请号：
RU2015156340
公开号：
RU0002628370C2
申请日:
2015.12.28
申请国别(地区):
RU
年份:
2017
代理人:
摘要：
FIELD: medicine.SUBSTANCE: for surgical treatment of heterotopic ossification with local neural simulation of the patient spastic syndrome, preliminary multilayer spiral computerized tomography (CT) is used to ptovide spatial imaging of bone structures and ossificates. The method of magnetic resonance imaging reveals the ossificate soft tissue component which is not visualized by MSCT. Then the heterotopic ossificate maturity stage is determine by calcium-phosphorus metabolism indices - alkaline phosphatase, osteocalcin, and bone matrix formation marker PINP - N-terminal pro-peptide of type 1 procollagen in patients venous blood. If the measured parameters of N-terminal propeptide of type 1 procollagen - PINP are less than 76 ng/ml, even in case of an isolated lesion of one elbow or knee joint, alkaline phosphatase level is in the range 40-150 U/l and osteocalcin level is within 11-46 ng/mL, completion of osteoid formation and mineralization with formation and maturation of newly formed cancellous bone is concluded. In this case, surgical ossificates removal from the affected joint is prescribed. At that, local neural simulation of spastic syndrom is performed prior to surgical removal of ossificates, until it a stable decrease to the level of 0 to 1 on Ashworth scale is reached. Next, surgical treatment is performed involving ossificate resection or removal of an adequate volume of heterogeneous bone to restore the functionally adequate range of motion in the affected joint.EFFECT: possibility of surgical treatment of heterotopic ossification in patients with spastic syndrome, minimizing the risk of complications during surgical treatment, and pathological process recurrence.3 cl, 5 exИзобретение относится к медицине, а именно к травматологии и ортопедии, и может быть использовано для хирургического лечения гетеротопической оссификации с выполнением локального нейромоделирования спастического синдрома пациента. Для этого предварительно методом многослойной спиральн
