Abstract

Objective: comparative study of the possibilities of radiation methods in control of bone regeneration in fractures.Materials and methods. A study of bone calluse formation was conducted in 116 patients with broken tubular bones of the upper and lower limbs from the first day of the fracture to the complete consolidation of the fractures. In X-rays and CT determined the mineral density of bone calluses, with ultrasonic elastography shear wave and compression elastography determined the rigidity of bone calluses in kPa.Results. X-ray bone corn was determined at the end of the second – the beginning of the third stage of bone calluse formation. On CT bone corn density (in the HU), its structure and the condition of bone breaks were determined in some patients in all stages of bone regenerate formation. In ultrasound examination in the multiparametric mode studied the rigidity, structure and vascularization of bone calluses, the correct comparison of bone breaks from the first day of the fracture to their complete fusion.Conclusions. Ultrasonic studies in multiparametric mode can be used to control bone regeneration in fractures. Ultrasonic elastography shear wave, in determining the rigidity of bone calluse, in sensitivity and specificity exceeds the indicators of ultrasonic compression elastography at all stages of bone regenerate formation.

Highlights

  • In X-rays and CT determined the mineral density of bone calluses, with ultrasonic elastography shear wave and compression elastography determined the rigidity of bone calluses in kPa

  • X-ray bone corn was determined at the end of the second – the beginning of the third stage of bone calluse formation

  • On CT bone corn density, its structure and the condition of bone breaks were determined in some patients in all stages of bone regenerate formation

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Summary

New radiation techniques in controlling bone regeneration in fractures

Objective: comparative study of the possibilities of radiation methods in control of bone regeneration in fractures. In ultrasound examination in the multiparametric mode studied the rigidity, structure and vascularization of bone calluses, the correct comparison of bone breaks from the first day of the fracture to their complete fusion. Ultrasonic studies in multiparametric mode can be used to control bone regeneration in fractures. Ultrasonic elastography shear wave, in determining the rigidity of bone calluse, in sensitivity and specificity exceeds the indicators of ultrasonic compression elastography at all stages of bone regenerate formation. For citation: Tukhbatullin М.G., Kormilina A.R., Pasynkov D.V., Kurotchkin S.V. New radiation techniques in controlling bone regeneration in fractures. Ультразвуковое исследование (УЗИ) зоны перелома представляет определенный интерес у клиницистов отсутствием лучевой нагрузки и возможностью многократного сканирования для контроля за состоянием костной мозоли [3, 4]. В более ранних публикациях УЗИ в травматологии в основном использовалось только в В-режиме, тогда отсутствовали современные ультразвуковые технологии

Материал и методы
Результаты и их обсуждение
Срок после перелома
Список литературы
Full Text
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