ORTHOPEDIC MANIFESTATIONS OF CONGENITAL VASCULAR MALFORMATIONS OF THE LOWER EXTREMITIES

Authors

  • Yurii Guk SI «Institute of traumatology and orthopaedics of NAMS of Ukraine», Kyiv, Ukraine
  • Larysa Chernuha Shalimov`s national institute of surgery and transplantation National Academy of Medikal Sciences of Ukraine, Kyiv, Ukraine
  • Andrii Zyma SI «Institute of traumatology and orthopaedics of NAMS of Ukraine», Kyiv, Ukraine
  • Andrii Cheverda SI «Institute of traumatology and orthopaedics of NAMS of Ukraine», Kyiv, Ukraine
  • Tamara Kincha-Polischuk SI «Institute of traumatology and orthopaedics of NAMS of Ukraine», Kyiv, Ukraine
  • Roman Vyderko SI «Institute of traumatology and orthopaedics of NAMS of Ukraine», Kyiv, Ukraine

DOI:

https://doi.org/10.15674/0030-59872021349-53

Keywords:

Сongenital vascular malformations, orthopedic manifestations, leg length discrepancy

Abstract

The spectrum of orthopedic manifestations of congenital vascular malformations of lower limbs remains insufficiently studied. Objective. To analyze the results of examination of patients with orthopedic manifestations of congenital vascular malformations. Methods. 24 patients with various forms of congenital vascular malformations of the lower extremities were examined. Distribution of patients according to the Hamburg classification of vascular malformations: arteriovenous type — 14 patients; venous — 6; capillary — 2; capillaryvenous — 1; lymphatic — 1 patient. The diagnosis of orthopedic
pathology was performed on the basis of clinical examination, X-ray, ultrasound, X-ray densitometry. Results. All patients with congenital  vascular malformations were diagnosed with orthopedic pathology: leg length discrepancy (75 %), secondary scoliotic deformity (16 %), knee flexion contracture 40° (8 %), flatfoot (12 %), equinus deformity of the foot (8 %), osteoporosis of the affected limb (16 %), areas of pathological reconstruction of the affected bone (lytic areas) (4 %), hip osteoarthritis of the affected limb (grade 2) (4 %). Leg length discrepancy was observed due to the elongation of the affected
limb — in 16 patients (67 %), shortening — in 2 (8 %). Leg length discrepancy was in the range of 0.5–6 cm. Elongation of the affected limb < 2 cm was noted in 5 patients (21 %), > 2 cm — in 11 patients (46 %); shortening of the affected limb < 2 cm was observed in one patient (4 %), > 2 cm — in one patient (4 %). Among the patients with  leg length discrepancy, 61 % had combinations of several orthopedic manifestations of the disease. Conclusions. Patients with congenital vascular malformations have a wide range of orthopedic pathology, among them the leading is leg length discrepancy (75 %) due to elongation
(67 %) or shortening of the affected limb (8 %). Leg length discrepancy is most often observed in patients with arteriovenous type of vascular malformation (67 %), elongation of the lower limb > 2 cm (75 %) significantly predominating in this category. Among patients with a difference in the length of the lower limbs in 61 % of cases, there is a combination with other orthopedic manifestations of the disease. Systematization of orthopedic pathology and development lesions’ classification of the musculoskeletal system taking into account the forms of vascular malformation will improve the diagnosis
of the disease and improve the tactics of its orthopedic treatment. 

Author Biographies

Yurii Guk, SI «Institute of traumatology and orthopaedics of NAMS of Ukraine», Kyiv

MD, Prof. in Traumatology and Orthopаedics

Larysa Chernuha, Shalimov`s national institute of surgery and transplantation National Academy of Medikal Sciences of Ukraine, Kyiv

MD, Prof. in Vascular Surgery

Andrii Zyma, SI «Institute of traumatology and orthopaedics of NAMS of Ukraine», Kyiv

MD

Andrii Cheverda, SI «Institute of traumatology and orthopaedics of NAMS of Ukraine», Kyiv

MD, PhD

Tamara Kincha-Polischuk, SI «Institute of traumatology and orthopaedics of NAMS of Ukraine», Kyiv

PhF

Roman Vyderko, SI «Institute of traumatology and orthopaedics of NAMS of Ukraine», Kyiv

MD

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How to Cite

Guk, Y. ., Chernuha, L., Zyma, A. ., Cheverda, A. ., Kincha-Polischuk, T. ., & Vyderko, R. . (2023). ORTHOPEDIC MANIFESTATIONS OF CONGENITAL VASCULAR MALFORMATIONS OF THE LOWER EXTREMITIES. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (3), 49–53. https://doi.org/10.15674/0030-59872021349-53

Issue

No. 3 (2021)

Section

ORIGINAL ARTICLES

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