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Human Physiology

, Volume 41, Issue 3, pp 289–295 | Cite as

Velocity of regional blood flow and blood flow in the middle cerebral artery in surgical leg lengthening in patients with congenital and acquired limb shortening

  • V. A. SchurovEmail author
  • A. V. Popkov
Article

Abstract

A comparative study of the changes in blood flow velocity in the popliteal artery, arteries of the regenerated bone and the cerebral arteries was performed in 45 patients with congenital and acquired diseases of the limbs at different stages of the Ilizarov surgical lengthening of leg shortened by 3–15 cm. An increase in the regional blood flow was detected in all patients during periods of distraction and fixation. An increase in the blood flow velocity in the middle cerebral artery on the contralateral side by 25% was found only in patients of the first adult age with acquired limb shortening. Based on the results of analyzing the reaction of cerebral arteries in functional test with an additional muscle work, we assumed that the absence of response in congenital diseases is caused by a relative excess of somatic afferentation as a result of the morphological and functional immaturity of the brain regulatory systems.

Keywords

limb lengthening Ilizarov method middle cerebral artery 

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Copyright information

© Pleiades Publishing, Inc. 2015

Authors and Affiliations

  1. 1.Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopaedics” of the RF Ministry of HealthKurganRussia

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