- Working orthopedic classification of the functional state of the lower extremities in congenital vascular malformations
Working orthopedic classification of the functional state of the lower extremities in congenital vascular malformations
Paediatric Surgery (Ukraine).2022.4(77):84-90; doi 10.15574/PS.2022.77.84
Vyderko R. V.1, Zyma A. M.1, Guk Yu. M.1, Chernukha L. M.2, Cheverda A. I.1, Kincha-Polishchuk T. A.1
1SI "Institute of Traumatology and Orthopedics of the NAMS of Ukraine", Kyiv
2SI "Shalimov’s National Institute of Surgery and Transplantology of the NAMS of Ukraine", Kyiv
For citation: Vyderko RV, Zyma AM, Guk YuM, Chernukha LM, Cheverda AI, Kincha-Polishchuk TA. (2022). Working orthopedic classification of the functional state of the lower extremities in congenital vascular malformations. Paediatric Surgery (Ukraine). 4(77): 84-90; doi 10.15574/PS.2022.77.84.
Article received: Sep 14, 2022. Accepted for publication: Des 19, 2022.
Purpose – to systematize orthopedic pathology and develop working orthopedic classification of the functional state of the lower limbs in congenital vascular malformations based on the analysis of clinical manifestations of various forms diseases.
Materials and methods. 38 patients with congenital vascular malformations were examined. Patients were assigned to the working classification scheme of congenital vascular malformations "VASC+T": arteriovenous – 25, venous – 7, capillary – 4, lymphatic – 2. The clinical course of the disease was evaluated (pain syndrome, clinical stage of chronic venous disease according to the CEAP classification). Diagnosis of orthopedic pathology based on clinical examination.
Results. Among all patients, 74% had an orthopedic pathology, 53% had a combination of several orthopedic manifestations. A working clinical and orthopedic classification of the functional state of the lower extremities in congenital vascular malformations has been developed, taking into account the intensity of the pain syndrome, the type of orthopedic pathology and its severity, and the clinical class of chronic venous disease. The distribution of patients was carried out according to the created classification: non-clinical group – 26%; I clinical group – 29%; II clinical group – 34%; III clinical group – 11%.
Conclusions. A working orthopedic classification of the functional state of the lower limbs in congenital vascular malformations has been created, which takes into account the pain syndrome, leading orthopedic manifestations (difference in the length of the lower limbs, contractures of large joints, foot deformities) and their severity, the clinical class of chronic vein disease. The developed working clinical-orthopedic classification of the functional state of the lower extremities in congenital vascular malformations will allow to create a basis for the choice of treatment tactics for the pathology of the musculoskeletal system in this category of patients.
The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Institution's Local Ethics Committee. Informed consent was obtained from the children's parents (or their guardians) for the research.
No conflict of interests was declared by the author.
Keywords: congenital vascular malformations, working orthopedic classification.
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