Abstract
According to published reports, an incomplete restoration of the muscular strength is observed after malleolar fractures. This made us evaluate the contractile capacity of the tibial muscles after treatment of 59 adult patients with malleolar fractures using Ilizarov’s method. In addition, five patients underwent comprehensive follow-up examinations long after fracture treatment. We found that a practically complete restoration of the anatomical size, electrogenesis, and contractile property of the tibial muscles was possible in the interval from five to eight years after treatment. This can be explained by a precise repositioning and reliable fixation of the bone fragments during treatment and an increase in the sensitivity of the neuromotor responses to specific impacts during muscle adaptation to function under conditions of habitual motor activity.
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References
Abdurzakov, U.A. and Davletov, J.M., Surgical treatment of malleolar fractures, Travmatol. Ortoped. (Astana), 2008, no. 2(14), p. 38.
Stevens, J.E., Pathare, N.C., Tillman, S.M., et al., Relative contributions of muscle activation and muscle size to plantarflexor torque during rehabilitation after immobilization, J. Orthop. Res., 2006, vol. 24, no. 8, p. 1729.
Steinfeld, Y., Shabat, S., Nyska, M., et al., Ankle rotators strength and functional indices following operative intervention for ankle fractures, Isokinet. Exerc. Sci., 2012, vol. 20, no. 3, p. 173.
Zhanaspaev, M.A., Restoration of the lower extremities after the surgical treatment of fractures of the malleolar bone diaphysis, Travmatol. Ortoped. (Astana), 2003, no. 2(special issue), p. 143.
Ceroni, D., Martin, X.E., Farpour-Lambert, N.J., et al., Assessment of muscular performance in teenagers after a lower extremity fracture, J. Pediatr. Orthop., 2010, vol. 30, no. 8, p. 807.
Nilsson, G., Ageberg, E., Ekdahl, C., et al., Balance in single-limb stance after surgically treated ankle fractures: a 14-month follow up, BMC Musculoskelet Disord., 2006, vol. 5, p. 7.
Nilsson, G.M., Jonsson, K., Ekdahl, C.S., et al., Effects of a training program after surgically treated ankle fracture: a prospective randomized controlled trial, BMC Musculoskelet. Disord., 2009, vol. 10, p. 118.
Gurko, N.S., Volodin, A.V., Kiprenskiy, Y., et al., Analysis of reasons for incomplete structural and functional recovery of skeletal muscles after a severe limb trauma (ultrastructural study), Patol. Fisiol. Eksp. Terap., 1991, no. 6, p. 50.
Zubarev, T.V. and Stelmach, K.K., Electromyographic assessment of the functional status of the leg muscles in the recovery period in patients with closed diaphyseal fractures in Reabilitatsiya bol’nykh s povrezhdeniyami i zabolevaniyami kostei taza: Novye tekhnologii v lechenii povrezhdenii i zabolevanii oporno-dvigatel’noi sistemy (Rehabilitation of Patients with Injuries and Diseases of the Pelvic Bones: New Technologies in the Treatment of Injuries and Diseases of the Musculoskeletal System) (Proc. Republican Workshop), Yekaterinburg, 2003, p. 168.
Shein, A.P., Local and systemic reactions sensorimotor structures operative limb lengthening, Extended Abstract of Doctoral (Biol.) Dissertation, Tyumen, 2004.
Kolcheva, O.V., Features of the restoration of functional muscle characteristics in school children of 13–17 years of age after a fracture of malleolar bones, Extended Abstract of Cand. Sci. (Biol.) Dissertation, Chelyabinsk, 2006.
Schurov, I.V., Marfitsyn, V.P., Shwed, S.I., and Kolcheva, O.V., Phenomenona of antientropic accelerated recovery of functional and structural properties of injured malleolar tissues, Genii Ortoped., 2006, no. 1, p. 63.
Nikolaev, L.P., Rukovodstvo po biomekhanike v primenenii k ortopedii, travmatologii i protezirovaniyu (Applied biomechanics manual for orthopedics, traumatology and prosthetics), Kiev, 1947.
Schurov, V.A., RF Patent 2 029 536, MKI A 61 N 1/00, no. 5042260/14; appl. May 15, 1992; publ. no. 6, February 27, 1995.
Brurok, J., Helgerud, J., Karlsen, T. et al., Effect of lower extremity functional electrical stimulation pulsed isometric contractions on arm cycling peak oxygen uptake in spinal cord injured individuals, J. Rehabil. Med., 2013, vol. 45, no. 3, p. 254.
Schurov, V.A., Kolcheva, O.V., and Schurov, I.V., Trauma as a factor stimulating subsequent recovery of the contractile ability of the muscles, Genii Ortoped., 2007, no. 3, p. 44.
Shein, A.P. and Krivoruchko, G.A., Voluntary control of muscle tension in lengthened and intact limbs in different ranges of force load, Hum. Physiol., 2012, vol. 38, no. 2, p. 145.
Schurov, V.A., Kolchev, O.V., and Butorina, N.I., Dynamometry of leg muscles in male patients with diseases of the musculoskeletal system, Genii Ortoped., 2007, no. 3, p. 63.
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Original Russian Text © V.A. Schurov, N.D. Khubaev, Y.L. Mitina, A.A. Skripnikov, 2015, published in Fiziologiya Cheloveka, 2015, Vol. 41, No. 1, pp. 99–105.
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Schurov, V.A., Khubaev, N.D., Mitina, Y.L. et al. Restoration of the contractile capacity of the tibial muscles after closed malleolar fractures. Hum Physiol 41, 83–88 (2015). https://doi.org/10.1134/S0362119714050132
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DOI: https://doi.org/10.1134/S0362119714050132