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1.
Bull Exp Biol Med ; 176(5): 585-590, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38724813

ABSTRACT

Leukocyte elastase is a marker of inflammation. Previously, a relationship was found between the severity of mental disorders in patients and elastase-like activity of blood plasma. The effect of various neurotropic drugs on leukocyte elastase activity was analyzed in an in vitro experiment. We revealed an inhibitory effect of the benzodiazepine tranquilizers diazepam and bromodihydrochlorophenylbenzodiazepine and immunomodulators aminodihydrophthalazinedione and diclofenac on the plasma elastase-like activity of healthy donors and pure human neutrophil elastase. The antipsychotics chlorpromazine and alimemazine, as well as the nootropic vinpocetine increased elastase-like activity in a dose-dependent manner. The activating effect of chlorpromazine and vinpocetine, but not alimemazine, was reproduced in neutrophil elastase. We hypothesized that these drugs can affect the development of inflammatory reactions in the complex therapy of mental disorders.


Subject(s)
Antipsychotic Agents , Chlorpromazine , Diazepam , Leukocyte Elastase , Humans , Leukocyte Elastase/metabolism , Chlorpromazine/pharmacology , Diazepam/pharmacology , Antipsychotic Agents/pharmacology , Diclofenac/pharmacology , Nootropic Agents/pharmacology , Tranquilizing Agents/pharmacology , Immunologic Factors/pharmacology , Vinca Alkaloids
2.
Dokl Biochem Biophys ; 497(1): 104-107, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33895924

ABSTRACT

The cytotoxicity of doxorubicin (Dox) and its peptide modifications Z-Gly-Pro-Dox and Boc-Gly-Pro-Dox were studied. Tetrahymena pyriformis was used as a test system, which made it possible, due to the short life cycle and high reproduction rate of ciliates, to trace their response to the effects of toxicants over several generations. It was found that peptide modification of the Dox molecule markedly reduces its cytotoxic and cytostatic effect. The Z-Gly-Pro-Dox modification has less cytotoxic and cytostatic effect compared to Boc-Gly-Pro-Dox. When determining the ability of drugs (at a concentration of 100 µM) to prevent bacterial contamination of samples, it was shown that the smallest degree of overgrowth was recorded in the presence of Dox (OD600nm 81.1). Boc-Gly-Pro-Dox also had a bacteriostatic effect, though less pronounced (OD600nm 93.8). The degree of overgrowth in the presence of Z-Gly-Pro-Dox was close to that of distilled water. The results obtained on ciliates did not contradict the data obtained in similar studies on mice.


Subject(s)
Cytotoxins/chemistry , Cytotoxins/toxicity , Doxorubicin/chemistry , Doxorubicin/toxicity , Peptides/chemistry , Tetrahymena pyriformis/drug effects , Animals , Dose-Response Relationship, Drug , Mice , Structure-Activity Relationship
3.
Exp Gerontol ; 149: 111329, 2021 07 01.
Article in English | MEDLINE | ID: mdl-33785397

ABSTRACT

Aging is associated with a decline in the erectile capacity and sexual motivation. Emerging new therapy for the treatment of these age-related pathologies in men is the use of the regulatory peptides. We validated the use of HLDF-6-amide (Thr-Gly-Glu-Hse-His-Arg-NH2) as a potential modulator of sexual performance in aged male rats. Behavioral tests, including the standard parameters of sexual behavior, were performed longitudinally at 20 and 26 months of age. The effects of HLDF-6-amide administered daily at 300 µg/kg for 3 week on the levels of sex hormones and the activity of antioxidant enzymes and indicators of inflammation were evaluated. HLDF-6-amide administration increased the copulative activity of the 20-month-old male rats. This effect of HLDF-6-amide was more pronounced in the 26-month-old rats. Although HLDF-6-amide did not have the effect on the levels of circulating testosterone and estradiol, it reduced the activity of leukocyte elastase and glutathione-S-peroxidase, suggesting that the peptide has anti-inflammatory and antioxidant properties. Therefore, this study shows that HLDF-6-amide has the positive impact on sexual activity in this rodent model, representing a new therapeutic approach for improving sexual performance in older men.


Subject(s)
Amides , Oligopeptides , Animals , Male , Oligopeptides/pharmacology , Peptides , Rats , Testosterone
4.
Dokl Biol Sci ; 490(1): 9-11, 2020 Jan.
Article in English | MEDLINE | ID: mdl-32342318

ABSTRACT

The present study was aimed at the assessment of effects of anxiolytic Selank and nootropic Semax on the whole-brain resting-state functional connectivity (FC) of each of the predefined regions of interest (ROIs) in 52 healthy participants. The ROIs included amygdala (one of the key regions for the regulation of anxiety) and dorsolateral prefrontal cortex (DLPFC; the key region for executive functions, including working memory) in the right and left hemisphere. Resting-state fMRI was carried out three times, namely before, after 5 and 20 min of the injection of either Semax, or Selank, or placebo. Between-group alongwith between-condition differences were revealed in FC between the right amygdala and a region in fusiform, inferior and middle temporal as well as parahippocampal gyri in the right hemisphere. Post hoc analysis allowed us to define both general and specific effects of Selank and Semax on FC between the right amygdala and the right temporal cortex for the first time.


Subject(s)
Adrenocorticotropic Hormone/analogs & derivatives , Anti-Anxiety Agents/pharmacology , Brain/drug effects , Nootropic Agents/pharmacology , Oligopeptides/pharmacology , Peptide Fragments/pharmacology , Adrenocorticotropic Hormone/pharmacology , Adult , Amygdala/drug effects , Amygdala/physiology , Brain/physiology , Connectome , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Prefrontal Cortex/drug effects , Prefrontal Cortex/physiology
5.
Bull Exp Biol Med ; 165(5): 653-656, 2018 Sep.
Article in English | MEDLINE | ID: mdl-30225715

ABSTRACT

The effects of nootropic drug Semax on the neuronal network of the brain were studied by the resting state functional magnetic-resonance imaging (resting state fMRI). The study was carried out on two groups of healthy volunteers (11 men and 13 women aged 43.9±9.5 years). Resting state fMRI was carried out 3 times: directly before and 5 and 20 min after intranasal 1% Semax (14 subjects) or placebo (10 subjects). The topography of the resting state default mode network was studied. A greater volume of the default mode network rostral (medial frontal cortex) subcomponent was detected in the Semax group in comparison with controls. Resting state fMRI confirmed Semax effects on the neuronal network of the brain and demonstrated topography of these effects.


Subject(s)
Adrenocorticotropic Hormone/analogs & derivatives , Nerve Net/drug effects , Nootropic Agents/pharmacology , Peptide Fragments/pharmacology , Prefrontal Cortex/drug effects , Administration, Intranasal , Adrenocorticotropic Hormone/pharmacology , Adult , Brain Mapping , Drug Administration Schedule , Female , Healthy Volunteers , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Nerve Net/diagnostic imaging , Prefrontal Cortex/diagnostic imaging , Rest/physiology
6.
Dokl Biochem Biophys ; 468(1): 232-4, 2016 May.
Article in English | MEDLINE | ID: mdl-27417730

ABSTRACT

The aim of this research was to design a method of immobilization of high-purity human butyrylcholinesterase on the surface of gold nanoparticles preserving the activity of the enzyme. In order to achieve this aim, the method of fractionation and purification of human butyrylcholinesterase from plasma was modified. The synthesis of 15-nm gold nanoparticles was carried out by citrated method. A method of conjugation of the high-purity butyrylcholinesterase with gold nanoparticles was developed. It was found that the Immobilization of butyrylcholinesterase on the surface of gold nanoparticles resulted in a significant (to 23%) increase in the specific activity of the enzyme.


Subject(s)
Butyrylcholinesterase , Gold Compounds/chemical synthesis , Metal Nanoparticles , Butyrylcholinesterase/chemistry , Butyrylcholinesterase/isolation & purification , Enzyme Stability , Gold Compounds/chemistry , Humans , Hydrogen-Ion Concentration , Metal Nanoparticles/chemistry , Particle Size
7.
Vopr Virusol ; 61(1): 45-8, 2016.
Article in Russian | MEDLINE | ID: mdl-27145602

ABSTRACT

The bacteriophage ΦAb-Sp7 was isolated from the cells of the Azospirillum brasilense Sp7. The morphology, size of the gram-negative colonies, and range of lytic activity against other strains and species of the genus Azospirillum was tested. The isolated phage DNA was examined using electrophoretic and restriction analysis, and the size of the genome were established. The electron microscopy. resuIts show that the phage (capsid) has a strand-like form. The electron microscopy study of the bacteriophage ΦAb-Sp7 adsorption on the A. brasilense Sp7 bacterial surface was performed.


Subject(s)
Azospirillum brasilense/virology , Bacteriophages/genetics , DNA, Viral/chemistry , Genome, Viral , Adsorption , Azospirillum brasilense/chemistry , Azospirillum brasilense/ultrastructure , Bacteriophages/growth & development , Bacteriophages/ultrastructure , Capsid/ultrastructure , DNA Restriction Enzymes/chemistry , Genome Size , Lysogeny , Restriction Mapping
8.
Article in Russian | MEDLINE | ID: mdl-26356395

ABSTRACT

AIM: To compare the efficacy and tolerability of monotherapy with phenazepam to complex treatment with the peptide preparation selank and phenazepam in patients with anxiety disorders. MATERIAL AND METHODS: Authors explored the anxiolytic effect and tolerability of monotherapy with phenazepam (30 patients) and complex treatment with selank and phenazepam (40 patients) in anxiety-phobic, hypochondriac and somatoform disorders (ICD-10 items F40.2-9, F41.1-9, F45.0-2). Therapeutic effect was assessed clinically and with HDRS, CGI and Spilberger scales. Tolerability was evaluated using the UKU scale. Stroop test and verbal fluency test were used. Quality of life was assessed with the SF-36. RESULTS: The positive effect of phenazepam was achieved earlier in the optimization of treatment with selank on HDRS. The combined treatment decreased the level of undesirable side-effects of phenazepam (attention and memory impairment, asthenia, sedation, increase in sleep duration, sexual disturbances, emotional indifference and orthostatism) during the course of treatment and after the tranquilizer withdrawal. Taken together, the therapeutic efficacy and reduction of side-effects had a positive impact on the quality-of-life of the patients treated with selank as add-on to phenazepam. CONCLUSION: The results extend therapeutic possibilities of treatment of anxietyspectrum disorders with the combination of benzodiazepine tranquilizers and selank.


Subject(s)
Anti-Anxiety Agents/therapeutic use , Anxiety Disorders/drug therapy , Benzodiazepines/therapeutic use , Oligopeptides/therapeutic use , Adolescent , Adult , Anti-Anxiety Agents/adverse effects , Benzodiazepines/adverse effects , Drug Therapy, Combination , Female , Humans , International Classification of Diseases , Male , Middle Aged , Psychiatric Status Rating Scales , Quality of Life , Young Adult
9.
Prikl Biokhim Mikrobiol ; 51(3): 313-8, 2015.
Article in Russian | MEDLINE | ID: mdl-26204775

ABSTRACT

The dependence-of changes in the electrooptical properties of Azospirillum brasilense cell suspension Sp7 during interaction with bacteriophage ΦAb-Sp7 on the number and time of interactions was studied. Incubation of cells with bacteriophage significantly changed the electrooptical signal within one minute. The selective effect of bacteriophage ΦAb on 18 strains of bacteria of the genus Azospirillum was studied: A. amazonense Ami4, A. brasilense Sp7, Cd, Sp107, Sp245, Jm6B2, Brl4, KR77, S17, S27, SR55, SR75, A. halopraeferans Au4, A. irakense KBC1, K A3, A. lipoferum Sp59b, SR65 and RG20a. We determined the limit of reliable determination of microbial cells infected with bacteriophage: - 10(4) cells/mL. The presence of foreign cell cultures of E. coli B-878 and E. coli XL-1 did not complicate the detection of A brasilense Sp7 cells with the use of bacteriophage ΦAb-Sp7. The results demonstrated that bacteriophage (ΦAb-Sp7 can be used for the detection of Azospirillum microbial cells via t electrooptical analysis of cell suspensions.


Subject(s)
Azospirillum brasilense/classification , Azospirillum brasilense/virology , Bacteriophage Typing/instrumentation , Bacteriophage Typing/methods , Bacteriophages
10.
Neuropeptides ; 52: 113-7, 2015 Aug.
Article in English | MEDLINE | ID: mdl-26051627

ABSTRACT

BACKGROUND: To investigate the mechanisms of inflammation in neonates after cerebral ischemia (CI), we evaluated the DPP4 activity in their blood sera and compared these values with clinical indicators. METHODS: The activity of DPP4 was determined in blood serum by a fluorescent method. We studied the correlation between the blood serum DPP4 activity and clinical, neurological and biochemical parameters in neonates with CI. RESULTS: No correlation between the DPP4 activity in umbilical blood and the venous blood of mothers was discovered. Increased blood serum DPP4 activity in full-term and pre-term newborns with CI is demonstrated. The interrelation between serum DPP4 activity and the functional disturbances of CNS (such as depression or excitement) was found in mature but not in premature newborns. Enzyme activity was still elevated at 2-3weeks after birth. CONCLUSION: It is possible that in neonates this enzymatic system operates independently from mothers. It is assumed that increased DPP4 activity in newborns with CI is apparently connected with immune system activation in response to hypoxic stress. The obtained data support the participation of DPP4 in adaptive reactions of newborns and its regulating influence during hypoxemic damage of the CNS due to inflammation and neurodegeneration.


Subject(s)
Brain Ischemia/enzymology , Dipeptidyl Peptidase 4/blood , Encephalitis/enzymology , Adaptation, Physiological , Brain Ischemia/blood , Brain Ischemia/complications , Encephalitis/blood , Encephalitis/etiology , Female , Fetal Blood/enzymology , Humans , Infant, Newborn , Infant, Premature , Male , Neurologic Examination
11.
Bioorg Khim ; 41(6): 644-56, 2015.
Article in Russian | MEDLINE | ID: mdl-27125017

ABSTRACT

The goal of the study was to elaborate the pharmacokinetics methods of the amide derivative of peptide HLDF-6 (TGENHR-NH2) and its range of nootropic and neuroprotective activity is wide. The hexapeptide 41TGENHR46 is a fragment of the HDLF differentiation factor. It forms the basis for the development of preventive and therapeutic preparations for treating cerebrovascular and neurodegenerative conditions. Pharmacokinetic and molecular mechanisms of the action of the HLDF-6 peptide were studied using tritium- and deuterium-labeled derivatives of this peptide, produced with the use of the high-temperature solid-state catalytic isotope exchange reaction (HSCIE). This reaction was employed to produce the tritium-labeled peptide [3H]TGENHR-NH2 with a molar radioactivity of 230 Ci/mmol and the deuterium-labeled peptide [2H]TGENHR-NH2 with an average deuterium incorporation equal to 10.5 atoms. It was shown by the NMR spectroscopy that the isotope label distribution over the labeled peptide's molecule was uniform, which allowed qualitative analysis ofboth the peptide itself and its fragments in the organism's tissues to be conducted. The newly developed pharmacokinetics method makes it possible to avoid almost completely losses of the peptides under study due to biodegradation during the analysis of tissues. These labeled peptides were used in mice, rats and rabbits to study the pharmacokinetics of the peptide and to calculate the values of its principal pharmacokinetic parameters. Characteristics of its pharmacokinetic profile in the blood were obtained, the hypothesis of pharmacokinetics linearity tested, its metabolism analyzed and its bioavailability value, 34%, calculated. It has been shown that the studied TGENHR-NH2 peptide shows high resistance to hydrolysis in the blood plasma, with dipeptidyl aminopeptidases making the largest contribution to its hydrolysis.


Subject(s)
Deuterium/chemistry , Isotope Labeling , Oligopeptides , Tritium/chemistry , Animals , Humans , Mice , Oligopeptides/chemistry , Oligopeptides/pharmacokinetics , Oligopeptides/pharmacology , Rabbits , Rats
12.
Bull Exp Biol Med ; 157(6): 738-41, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25339589

ABSTRACT

Neurotensin-like peptides acting as functional antagonists of serotonin receptors were revealed in the head-shaking test on mice. The neurotensin-like peptides block the serotonin-induced platelet aggregation in humans. Radioligand binding assay showed that neurotensin-like peptides modulate specifi c binding of 5НТ2 serotonin receptor antagonist ketanserin, but have no effect on binding of ligands of 5HT2c receptor mesulergine and 5HT1а receptors NAN-190. Similar effects of neurotensin-like peptides in the experiments in vivo and in vitro suggest that the mechanisms of the detected antipsychotic effect of the peptides can be mediated by serotonin receptors.


Subject(s)
Antipsychotic Agents/pharmacology , Neurotensin/metabolism , Oligopeptides/pharmacology , Serotonin Antagonists/pharmacology , Serotonin/metabolism , Animals , Cell Membrane/metabolism , Ergolines , Frontal Lobe/cytology , Ketanserin/pharmacology , Male , Mice , Oligopeptides/metabolism , Piperazines , Platelet Aggregation/drug effects , Radioligand Assay , Rats , Statistics, Nonparametric
13.
Article in Russian | MEDLINE | ID: mdl-25176261

ABSTRACT

Objective. To study the efficacy and tolerability of the new anxyolytic peptide selank in comparison with phenazepam. Material and methods. A comparative study of the anxiolytic effect and tolerability of selank and phenazepam was carried out in 60 patients with phobic-anxiety- and somatoform disorders (F40.2-9, F41.1-9, F45.0-1 by ICD-10) were examined. Results Pronounced anxiolytic and mild nootropic effects of selank were demonstrated. The anxiolytic effect lasted for a week after last receiving the peptide. Selank had a positive impact on the quality of life of the patients. Conclusion. The data obtained in the study extend therapeutic possibilities in the treatment of anxiety disorders.


Subject(s)
Anti-Anxiety Agents/therapeutic use , Anxiety Disorders/drug therapy , Benzodiazepines/therapeutic use , Oligopeptides/therapeutic use , Adolescent , Adult , Anti-Anxiety Agents/adverse effects , Benzodiazepines/adverse effects , Female , Humans , Male , Middle Aged , Oligopeptides/adverse effects , Young Adult
15.
Bull Exp Biol Med ; 151(4): 429-31, 2011 Aug.
Article in English | MEDLINE | ID: mdl-22448358

ABSTRACT

Tripeptide Pro-Gly-Pro interacted with dopamine receptors in vitro and reduced behavioral manifestations of apomorphine-induced hyperfunction of the dopamine system in verticalization, stereotypy, and yawning tests. Presumably, the behavioral effects of Pro-Gly-Pro tripeptide were mediated through post- and presynaptic D(2)and D(3)receptors.


Subject(s)
Behavior, Animal/drug effects , Oligopeptides/pharmacology , Proline/analogs & derivatives , Receptors, Dopamine D2/drug effects , Receptors, Dopamine D3/drug effects , Animals , Male , Mice , Proline/pharmacology , Receptors, Dopamine D2/metabolism , Receptors, Dopamine D3/metabolism , Synapses/drug effects , Synapses/metabolism
16.
Eksp Klin Farmakol ; 74(10): 3-6, 2011.
Article in Russian | MEDLINE | ID: mdl-22238978

ABSTRACT

According to published data, peptide neurotensin is considered as endogenous antipsychotic agent. A series of oligopeptides have been synthesized based on the proposed active center of neurotensin. These oligopeptides (called neurotensin-like peptides, NLPs) have been studied on behavioral models, in which the functional state of the dopamine system of animals was modified by apomorphine injections. The results of verticalization, stereotypy, and yawning tests revealed NLPs that behave as antagonists of dopamine receptors. Radioligand analysis showed that these peptides compete for specific binding to these receptors with sulpiride, which is a D2-type selective antagonist of dopamine receptors. The high degree of NLPs efficiency manifested in the behavioral tests and radioligand analysis suggests that the their antipsychotic action can be mediated by dopamine receptors.


Subject(s)
Antipsychotic Agents/administration & dosage , Neurotensin/administration & dosage , Oligopeptides/administration & dosage , Psychotic Disorders/drug therapy , Receptors, Dopamine/metabolism , Animals , Animals, Outbred Strains , Antipsychotic Agents/chemical synthesis , Antipsychotic Agents/therapeutic use , Apomorphine/administration & dosage , Behavior, Animal/drug effects , Behavior, Animal/physiology , Dopamine/metabolism , Dopamine Agonists/metabolism , Dopamine Antagonists/metabolism , Male , Mice , Neurotensin/chemical synthesis , Neurotensin/therapeutic use , Oligopeptides/chemical synthesis , Oligopeptides/therapeutic use , Radioligand Assay , Rats , Stereotyped Behavior/drug effects , Stereotyped Behavior/physiology , Sulpiride/administration & dosage , Yawning/drug effects
17.
Mol Biol (Mosk) ; 44(1): 162-9, 2010.
Article in Russian | MEDLINE | ID: mdl-20198870

ABSTRACT

A study has been conducted on the morphology of artificial spider silk fibers, prepared from recombinant analogues of spiridons 1 and 2. It has been shown that by stretching out the "as spun" fiber, a reorganization of its spongy matrix occurs, which leads to the formation of microfibrills, followed by a reduction of the diameter of the fiber. The durability of an artificial fiber depends on the degree of stretching and on the substructure of the microfibrills. The model process of artificial fibers preparation reproduces to the great detail the natural process of spider web spinning. Future applications of this model include production of biomaterials with unique properties.


Subject(s)
Fibroins/chemistry , Recombinant Proteins/chemistry , Animals , Fibroins/genetics , Fibroins/ultrastructure , Protein Structure, Quaternary , Recombinant Proteins/genetics , Recombinant Proteins/ultrastructure , Spiders , Tensile Strength
18.
Eksp Klin Farmakol ; 72(2): 3-5, 2009.
Article in Russian | MEDLINE | ID: mdl-19441718

ABSTRACT

The effect of human and bovine beta-casomorphins-7 on the behavior of mice under conditions of 5-hydroxytryptophan (5-HT) induced hyperactivation of the serotoninergic system (head twitch test) has been studied. Intraperitoneal administration of each peptide in a dose of 1 mg/kg was shown to suppress the head twitch response in mice approximately by half (p < 0.01). This effect was completely blocked by the opioid receptor antagonist naloxone (10 mg/kg), which did not alter the behavior of mice in the head twitch test by itself. Thus, the influence of casomorphins on the serotoninergic system in vivo has been demonstrated for the first time. The role of 5-HT and opioid receptors in the mechanism of casomorphin action is discussed.


Subject(s)
5-Hydroxytryptophan/pharmacology , Behavior, Animal/physiology , Endorphins/pharmacology , Naloxone/pharmacology , Narcotic Antagonists/pharmacology , Peptide Fragments/pharmacology , Serotonin/physiology , 5-Hydroxytryptophan/administration & dosage , Animals , Behavior, Animal/drug effects , Cattle , Drug Antagonism , Endorphins/administration & dosage , Humans , Male , Mice , Naloxone/administration & dosage , Narcotic Antagonists/administration & dosage , Peptide Fragments/administration & dosage , Serotonin 5-HT2 Receptor Antagonists
19.
Vestn Ross Akad Med Nauk ; (9): 20-4, 2008.
Article in Russian | MEDLINE | ID: mdl-19065740

ABSTRACT

Over 3500 cases of long bone fracture in children and adolescents were analysed by objective methods including USG, CT, osteodensitometry, thermography, polarography, and radionuclide studies. A group of patients with delayed consolidation of bone fragments was distinguished based on the results of clinical and instrumental investigations. Diagnostic criteria and early signs of delayed consolidation were established. Methods for the treatment of such children were improved taking into account localization of the fracture, clinical signs of delayed consolidation and its underlying causes.


Subject(s)
Fracture Fixation/methods , Fractures, Bone/diagnosis , Fractures, Ununited/diagnosis , Hand Injuries/diagnosis , Leg Injuries/diagnosis , Adolescent , Child , Densitometry/methods , Diagnosis, Differential , Fractures, Bone/surgery , Fractures, Ununited/surgery , Hand Injuries/surgery , Humans , Leg Injuries/surgery , Polarography/methods , Thermography/methods , Tomography, X-Ray Computed/methods , Trauma Severity Indices
20.
Vestn Ross Akad Med Nauk ; (9): 17-20, 2008.
Article in Russian | MEDLINE | ID: mdl-19062573

ABSTRACT

Rehabilitation of disturbed motor functions and control of the restoration process were realized in a stepwise mode to compensate one or several elements of the affected limb function at a single stage. A total of 656 children aged from 5 to 18 years with bone injuries of traumatic and post-traumatic origin were treated by extrafocal transosseous osteosynthesis. Differential approach to rehabilitative therapy at all treatment stages (and sometimes in the preoperative period) made it possible to compensate or restore the affected limb function.


Subject(s)
Fracture Fixation, Internal/methods , Fractures, Bone/surgery , Leg Injuries/surgery , Leg Length Inequality/rehabilitation , Adolescent , Child , Child, Preschool , Female , Follow-Up Studies , Fractures, Bone/complications , Humans , Leg Injuries/complications , Leg Length Inequality/etiology , Leg Length Inequality/surgery , Male , Retrospective Studies , Treatment Outcome
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