A.N. TARASOV

Astrakhan State Medical University of the Ministry of Health of the Russian Federation

 Contact details:

Tarasov A.N. – D.Sc. (medicine), Professor of the Department of Traumatology and Orthopedics

Address: 121 Bakinskaya St., Astrakhan, Russian Federation, 414000, e-mail: tarasov_an@mail.ru

The aim of the work is to study the effectiveness of plastic replacement of resection defects after removal of benign tumors and tumor-like bone lesions.

Material and methods. The study included 1755 patients with benign tumors and tumor-like lesions, who underwent various types of bone resections: planar (427), marginal (705), intrafocal (521) and segmental (102). 653 patients completed replacement of the resection defect.

Results. Clinical and radiological examination of patients from 1 to 15 years after surgery showed that the restructuring of cortical bone allografts continues depending on the age from 2 to 3 years and ends organotypically with normalization of the bone structure and formation of the bone marrow cavity. The restructuring of spongy allografts is completed by the year after the intervention with a similar x-ray picture.

Conclusion. Bone alloplasty remains a promising and priority area in the surgical treatment of patients with benign tumors and tumor-like bone lesions.

Key words: benign bone tumors, tumor-like bone lesions, bone resection, alloplasty, autoplasty, complications.

REFERENCES

1. Lekishvili M.V., Kasymov I.A., Yurasova Yu.B., Pankratov A.S. Alloplasty as a method of bone tissue restoration. Technologies of living systems, 2006, vol. 3, no. 2, pp. 3-8. (in Russ.).
2. Kirilova I.A., Fomichev N.G., Podorozhnaya V.T., Trubnikov V.I. New types of materials for bone grafting in the light of modern ideas about bone grafts. Spine surgery, 2007, no. 2, pp. 66-70. (in Russ.).
3. Patalyak S.V. The problem of choosing the best way to replace post-resection defects in bone tumors. Siberian Oncological Journal, 2011, supplement no. 1, pp. 90-91. (in Russ.).
4. Shvets A.I., Ivchenko V.K., Samoilenko A.A., Ivchenko D.V. Treatment of fractures of long bones with bone defects. Trauma, 2011, vol. 12, no 2, pp. 95-98. (in Russ.).
5. Deev R.V., Bozo I.Ya. The evolution of osteoplastic materials. Actual problems of tissue and cell transplantology: a collection of abstracts of the Vth All-Russian Symposium with international participation. Ed. prof. E.R. Muldasheva. Ufa: Publishing house «Bashkortostan», 2012, pp. 61-63. (in Russ.).
6. Kirilova, IA, Sadovoy, MA, Podorozhnaya, V.T. Comparative characteristics of materials for bone plastics: composition and properties. Spinal surgery, 2012, no 3, pp. 72-83. (in Russ.).
7. Gilev, MV, Volokitina, EA, Antoniadi, Yu.V. et.al. Bone autoplasty by the region of the iliac crest in the surgery of intra-articular fractures of the limbs. Analysis of the complications encountered. Bulletin of the Ural Medical Academic Science, 2017, vol. 14, no. 1, pp. 5-11. (in Russ.).
8. Finkemeier C.G. Bone-grafting and bone-graft substitutes. Bone Joint Surg. Am., 2002, vol. 84, pp. 454-464.
9. Schnettler R., Franke J., Rimashevskiy D. et.al. Allogeneic Bone Grafting Materials — Update of the Current Scientific Status. Traumatology and Orthopedics of Russia, 2017, no. 4 (23), pp. 92-100.
10. Marin I., Kaprosh N., Mihul N. et.al. Some Aspects of Alloplasty of Bone Defects Formed after Removal of Benign Tumors and Tumor-like Formations. Orthopedics, Traumatology and Prosthetics, 2009, no. 1, pp. 103-105. (in Russ.).
11. Abakarov A.A., Abakarov A.A. Results of surgical treatment of benign tumors and dysplastic bone processes. Vestnik DGMA, 2014, no. 2 (11), p. 52-56. (in Russ.).
12. Arutyunyan MG, Tuleubaev B.E., Kurmangaliev E.T. Preparation of bone allograft and its application in the Republic of Kazakhstan. Actual problems of tissue and cell transplantation: A collection of abstracts of the VII All-Russian Symposium with international participation. Astrakhan: Publishing House of Astrakhan State Medical University, 2017, pp. 8-10. (in Russ.).