{"content":[{"text":"AUTOMATIC TWENTY-FOUR-HOUR EXTREMITY LENTHENING","bbox":{"left":0.20763,"top":0.067893,"width":0.624804,"height":0.015783000000000005}},{"text":"V. I. Shevtsov, A. V. Popkov","bbox":{"left":0.44763,"top":0.11692,"width":0.236367,"height":0.01578299999999999}},{"text":"The academician G. A. Ilizarov Russian Research Centre «Restorative Traumatology and","bbox":{"left":0.20521,"top":0.141504,"width":0.7213160000000001,"height":0.01578299999999999}},{"text":"Orthopedics”, the city of Kurgan, Russia","bbox":{"left":0.371597,"top":0.166088,"width":0.32900199999999996,"height":0.01578299999999999}},{"text":"(chief manager – Associate Member of the Russian Academy of Medical Sciences,","bbox":{"left":0.230823,"top":0.190673,"width":0.670065,"height":0.01578299999999999}},{"text":"professor V. I. Shevtsov)","bbox":{"left":0.434924,"top":0.215257,"width":0.202291,"height":0.01578299999999999}},{"text":"According to the findings given by the experts of the World Health Organization (WHO)","bbox":{"left":0.202588,"top":0.245756,"width":0.726426,"height":0.01578300000000002}},{"text":"committee the number of congenital anomalies of skeleton growth in children doubled within the","bbox":{"left":0.142992,"top":0.269485,"width":0.786144,"height":0.01578299999999999}},{"text":"last quarter of the 20-th century and at the present moment there is a serious social problem","bbox":{"left":0.142992,"top":0.293214,"width":0.7862,"height":0.01578299999999999}},{"text":"concerning health of children’s population. In Russia, for instance, the number of patients with","bbox":{"left":0.142992,"top":0.317015,"width":0.786114,"height":0.01578299999999999}},{"text":"musculoskeletal system abnormalities increased by 53%, the number of children with congenital","bbox":{"left":0.142992,"top":0.340744,"width":0.786315,"height":0.01578299999999999}},{"text":"anomalies – by 41,8% since 1966.","bbox":{"left":0.142992,"top":0.364473,"width":0.276205,"height":0.01578299999999999}},{"text":"There","bbox":{"left":0.202588,"top":0.388274,"width":0.04707700000000001,"height":0.01578299999999999}},{"text":"is","bbox":{"left":0.262151,"top":0.388274,"width":0.013467000000000007,"height":0.01578299999999999}},{"text":"an","bbox":{"left":0.288097,"top":0.388274,"width":0.019050999999999985,"height":0.01578299999999999}},{"text":"evident","bbox":{"left":0.31963,"top":0.388274,"width":0.05933100000000002,"height":0.01578299999999999}},{"text":"tendency","bbox":{"left":0.391446,"top":0.388274,"width":0.07289099999999998,"height":0.01578299999999999}},{"text":"of","bbox":{"left":0.47682,"top":0.388274,"width":0.016811999999999994,"height":0.01578299999999999}},{"text":"increasing","bbox":{"left":0.50594,"top":0.388274,"width":0.082766,"height":0.01578299999999999}},{"text":"the","bbox":{"left":0.601194,"top":0.388274,"width":0.024642000000000053,"height":0.01578299999999999}},{"text":"number","bbox":{"left":0.638327,"top":0.388274,"width":0.061455999999999955,"height":0.01578299999999999}},{"text":"of","bbox":{"left":0.712272,"top":0.388274,"width":0.016800000000000037,"height":0.01578299999999999}},{"text":"patients","bbox":{"left":0.74156,"top":0.388274,"width":0.06274599999999997,"height":0.01578299999999999}},{"text":"in","bbox":{"left":0.81679,"top":0.388274,"width":0.01569100000000001,"height":0.01578299999999999}},{"text":"the","bbox":{"left":0.844969,"top":0.388274,"width":0.024642000000000053,"height":0.01578299999999999}},{"text":"group","bbox":{"left":0.882103,"top":0.388274,"width":0.04705199999999998,"height":0.01578299999999999}},{"text":"“Congenital anomalies” in Russia according to the recent findings. In 1993 the number of cases","bbox":{"left":0.142992,"top":0.412003,"width":0.7861149999999999,"height":0.01578299999999999}},{"text":"of","bbox":{"left":0.142992,"top":0.435732,"width":0.01680999999999999,"height":0.01578299999999999}},{"text":"congenital","bbox":{"left":0.171913,"top":0.435732,"width":0.08410700000000002,"height":0.01578299999999999}},{"text":"anomalies","bbox":{"left":0.268134,"top":0.435732,"width":0.08169799999999999,"height":0.01578299999999999}},{"text":"in","bbox":{"left":0.36194,"top":0.435732,"width":0.01570100000000002,"height":0.01578299999999999}},{"text":"children","bbox":{"left":0.389752,"top":0.435732,"width":0.06616100000000003,"height":0.01578299999999999}},{"text":"and","bbox":{"left":0.468024,"top":0.435732,"width":0.029142999999999974,"height":0.01578299999999999}},{"text":"teenagers,","bbox":{"left":0.509278,"top":0.435732,"width":0.08126299999999997,"height":0.01578299999999999}},{"text":"among","bbox":{"left":0.60267,"top":0.435732,"width":0.05491400000000002,"height":0.01578299999999999}},{"text":"which","bbox":{"left":0.669713,"top":0.435732,"width":0.04930699999999999,"height":0.01578299999999999}},{"text":"musculoskeletal","bbox":{"left":0.731149,"top":0.435732,"width":0.12985099999999994,"height":0.01578299999999999}},{"text":"system","bbox":{"left":0.873133,"top":0.435732,"width":0.05604399999999998,"height":0.01578299999999999}},{"text":"malformations made up 40-50%, was 17,4 out of 1000 people of the given age, in 1998 – 28, 2","bbox":{"left":0.142992,"top":0.459532,"width":0.7861469999999999,"height":0.01578299999999999}},{"text":"(“The official report of health level of the Russian Federation population in 1998” the Russian","bbox":{"left":0.142992,"top":0.483262,"width":0.786231,"height":0.01578299999999999}},{"text":"Health Ministry, RAMS, 1999).","bbox":{"left":0.142992,"top":0.506991,"width":0.25775699999999996,"height":0.01578299999999999}},{"text":"Constant increase of number of congenital anomalies of human musculoskeletal system","bbox":{"left":0.202588,"top":0.530791,"width":0.72659,"height":0.01578299999999999}},{"text":"formation and systemic disease put forward the problem of extremities lengthening, patients’","bbox":{"left":0.142992,"top":0.554521,"width":0.7861790000000001,"height":0.01578299999999999}},{"text":"stature recovery as an important medico-social task.","bbox":{"left":0.142992,"top":0.57825,"width":0.4194629999999999,"height":0.01578299999999999}},{"text":"In","bbox":{"left":0.202588,"top":0.60205,"width":0.016803999999999986,"height":0.01578299999999999}},{"text":"spite","bbox":{"left":0.228244,"top":0.60205,"width":0.038111000000000006,"height":0.01578299999999999}},{"text":"of","bbox":{"left":0.275209,"top":0.60205,"width":0.016803999999999986,"height":0.01578299999999999}},{"text":"nearly","bbox":{"left":0.300865,"top":0.60205,"width":0.05042000000000002,"height":0.01578299999999999}},{"text":"three-centuries-old","bbox":{"left":0.360137,"top":0.60205,"width":0.15234799999999998,"height":0.01578299999999999}},{"text":"history","bbox":{"left":0.521338,"top":0.60205,"width":0.056062999999999974,"height":0.01578299999999999}},{"text":"of study","bbox":{"left":0.586255,"top":0.60205,"width":0.06922099999999998,"height":0.01578299999999999}},{"text":"the problem of congenital limb","bbox":{"left":0.66433,"top":0.60205,"width":0.264811,"height":0.01578299999999999}},{"text":"malformations","bbox":{"left":0.142992,"top":0.62578,"width":0.11754300000000001,"height":0.01578299999999999}},{"text":"treatment","bbox":{"left":0.271454,"top":0.62578,"width":0.076131,"height":0.01578299999999999}},{"text":"is","bbox":{"left":0.358511,"top":0.62578,"width":0.013488,"height":0.01578299999999999}},{"text":"still","bbox":{"left":0.382919,"top":0.62578,"width":0.03039799999999998,"height":0.01578299999999999}},{"text":"difficult","bbox":{"left":0.424243,"top":0.62578,"width":0.06506299999999998,"height":0.01578299999999999}},{"text":"to","bbox":{"left":0.500232,"top":0.62578,"width":0.015723000000000042,"height":0.01578299999999999}},{"text":"solve.","bbox":{"left":0.526878,"top":0.62578,"width":0.047555000000000014,"height":0.01578299999999999}},{"text":"The","bbox":{"left":0.585326,"top":0.62578,"width":0.031362,"height":0.01578299999999999}},{"text":"Russian","bbox":{"left":0.627584,"top":0.62578,"width":0.06388399999999994,"height":0.01578299999999999}},{"text":"Scientific","bbox":{"left":0.702361,"top":0.62578,"width":0.07731900000000003,"height":0.01578299999999999}},{"text":"Centre’s “VTO”","bbox":{"left":0.790576,"top":0.62578,"width":0.13859600000000005,"height":0.01578299999999999}},{"text":"worked out approaches to treat congenital diseases in musculoskeletal system, are characterized","bbox":{"left":0.142992,"top":0.649509,"width":0.786237,"height":0.01578299999999999}},{"text":"by practical trend to eliminate anatomic symptom complex (restoration of the structure of a bone,","bbox":{"left":0.142992,"top":0.673309,"width":0.786266,"height":0.01578299999999999}},{"text":"its length and form, elimination of segment deformity, restoration of biomechanical chain of a","bbox":{"left":0.142991,"top":0.697039,"width":0.786125,"height":0.01578299999999999}},{"text":"limb), patient’s functional and social rehabilitation. Instead of traumatic and occasionally even","bbox":{"left":0.142991,"top":0.720768,"width":0.786273,"height":0.01578299999999999}},{"text":"crippling","bbox":{"left":0.142991,"top":0.744568,"width":0.07292400000000002,"height":0.01578299999999999}},{"text":"methods","bbox":{"left":0.231128,"top":0.744568,"width":0.068268,"height":0.01578299999999999}},{"text":"of","bbox":{"left":0.314606,"top":0.744568,"width":0.016811999999999994,"height":0.01578299999999999}},{"text":"operative","bbox":{"left":0.34663,"top":0.744568,"width":0.07513900000000001,"height":0.01578299999999999}},{"text":"treatment","bbox":{"left":0.436985,"top":0.744568,"width":0.07609899999999997,"height":0.01578299999999999}},{"text":"there","bbox":{"left":0.528202,"top":0.744568,"width":0.04032899999999995,"height":0.01578299999999999}},{"text":"appeared","bbox":{"left":0.583765,"top":0.744568,"width":0.07281499999999996,"height":0.01578299999999999}},{"text":"physiologically","bbox":{"left":0.671811,"top":0.744568,"width":0.12444900000000003,"height":0.01578299999999999}},{"text":"well-grounded","bbox":{"left":0.811398,"top":0.744568,"width":0.11776500000000001,"height":0.01578299999999999}},{"text":"functional ways which do not disturb blood supply of a limb and use certain predetermined","bbox":{"left":0.142991,"top":0.768297,"width":0.786305,"height":0.01578299999999999}},{"text":"reserves of physiological adaptation to new growth and development conditions.","bbox":{"left":0.142991,"top":0.792027,"width":0.650001,"height":0.01578299999999999}},{"text":"Analysis of published works devoted to the problem of extremities lengthening showed","bbox":{"left":0.202588,"top":0.815827,"width":0.726638,"height":0.01578299999999999}},{"text":"that methods of gradual and dosed distraction by devices of external fixation are spread these","bbox":{"left":0.142991,"top":0.839556,"width":0.7861530000000001,"height":0.01578299999999999}},{"text":"days. The most popular are apparatus created by Ilizarov, Wagner and Orthofix. Orthopedists","bbox":{"left":0.142991,"top":0.863285,"width":0.786217,"height":0.01578299999999999}},{"text":"reckon that the advantage of transosseous distractive osteosynthesis method by Ilizarov is in a","bbox":{"left":0.142991,"top":0.887086,"width":0.786048,"height":0.01578299999999999}},{"text":"complex of optimal conditions that provide good treatment of a patient: stable osteosynthesis,","bbox":{"left":0.142991,"top":0.910815,"width":0.7861720000000001,"height":0.01578299999999999}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}