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I V Goncharenko

Publications and source records attributed to I V Goncharenko.

13 recordsLinked to original sources
PubMed1990

Transfer of free vascularized bone and skin-bone autografts: experiences in the application of external fixation apparatus.

The results of transfer of free vascularized bone and skin-bone autografts in 95 patients with defects (54) and nonunions (41) of tubular bones of different genesis are presented. In 71 cases, an external fixation apparatus was used for purposes of osteosynthesis. In 50 cases, the Ilizarov apparatus was applied prior to osteoplasty to correct deformity and fully or partially to correct a shortening of the extremity bone segment. In seven cases, lengthening of the bone segment was performed using an external fixation apparatus after osteoplastic reconstruction of the defect. Treatment was completed in 76 cases (80.0 percent); of these, the outcome was positive in 89.5 percent of cases. Failure was recorded in 10.5 percent of cases. The advantages of using an external fixation apparatus in combination with vascularized bone and osteocutaneous autografts are discussed.

Adolescent↗
PubMed1989

Restoration of the function of the cubital joint in extensive defects of bones and soft tissues using endoprosthesis and free skin grafts.

A new method of restoration of the function of the upper limb in extensive posttraumatic defects of bones and soft tissues of the cubital joint has been elaborated. The method is based on the excision of scar tissues with simultaneous implantation of the endoprosthesis of the K. M. Sivash type. The produced defect is covered by a free vascularized thoracodorsal skin-muscle transplant using the microstructural technique. Four operations have been performed so far. Clinical observations are reported. The method is efficient as it ensures reliable covering of the hinge part of the endoprosthesis by full-thickness skin, shortening the time of rehabilitation treatment 3-4 times and achieving more complete restoration of the function of the upper limb.

Adult↗
PubMed1989

[Errors and complications of plastic surgery of defects and false joints of the humerus using free vascularized bone autografts].

The authors analyse the errors and the complications in the plasty of defects and false joints of the humerus with free vascularized bone autografts in 20 patients aged 8-50 with the period of duration of the disease from 6 months to 9 years. The size of the defect was 3-20 cm (15 patients). In 17 cases a fibular bone graft on a vascular pedicle was used. In 8 patients 14 various kinds of complications occurred in different combinations. Non-union of one of the ends of the graft was observed most frequently (4) due to faults of osteosynthesis. In all patients consolidation was achieved. In this type of complications the authors advise to make an early repeated intervention with the aim of shortening the duration of treatment and subsequent rehabilitation. They stress the perspective character and the validity of this method of plasty, especially in extensive defects in association with poor vascularization of the injured segment of the extremity. Accurate performance of all stages of the intervention and the surgeon's personal experience play an important role in prevention of errors and complications in employing microsurgical technique in the treatment of this category of patients.

Adolescent↗
PubMed1986

[Free bone and skin-bone autoplasty on a vascular pedicle in patients with defects and pseudarthroses].

Radical sequestr- and necrectomy followed by skin, bone or skin-bone autoplasty on the vascular pedicle with microvascular anastomoses between the autotransplant vessels and those of the extremity was successfully fulfilled in 16 patients with defects of tubular bones and false joints complicated by chronic osteomyelitis. The pedicled autografts were taken from the upper flaring portion of the ilium (13), from the fibula (2) and from the external surface of the femur (1). The two-step method of autoplasty is described.

Adult↗