METHOD OF SURGICAL TREATMENT OF HETEROTOPIC OSSIFICATION IN THE BACKGROUND OF THE PATIENT'S SPASTIC SYNDROME

摘要

FIELD: medicine.;SUBSTANCE: invention relates to traumatology and orthopedics and can be applicable for surgical treatment of heterotopic ossification in the background of the spastic syndrome of the patient. Determine the stage of maturity of heterotopic ossification on indicators of calcium-phosphorus metabolism in venous blood of the patient, at the same time determine the contents in the venous blood of the patient of alkaline phosphatase in U/l and osteocalcin, ng/ml as well as marker characteristics of formation of bone matrix (PINP) - N-terminal propeptide of procollagen type 1 in ng/ml. In the presence of passage of active regenerative processes testifying to the incompleteness of the process of osteoid generation, its mineralization with the maturation of spongy bone tissue of newly formed bone, then the surgical removal of the formed heterotopic ossification is considered premature. In the presence of completeness of the osteoid formation process and its mineralization with formation and ageing of spongy bone tissue of newly formed bone, adequacy of metabolic maturity of heterotopic ossification of patient surgical removal of the formed heterotopic ossification in the affected joint is performed.;EFFECT: method allows to reduce the risk of complications in surgery and reduce the risk of relapse.;1 cl