Pediatric Reconstructive Surgery

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Pediatric orthopedic traumatologist
Bovkun Valery Nikolaevich
Pediatric orthopedic traumatologist. He specializes in the treatment of diseases such as congenital anomalies in the structure of the limbs, benign tumors of the hand, obstetric paralysis, trauma to blood vessels, nerves and bones of the hand. Attends specialized conferences and symposia annually.


The information provided in the article cannot be used to make a diagnosis, prescribe treatment and does not replace the advice of a doctor.
Description of the disease

“To break is not to build” – the postulate is known to everyone. It’s half the trouble if the whole thing is about torn clothes, torn wallpaper or broken furniture. But when it comes to the human body, it is very difficult to “build up” a new or lost fragment. Reconstructive surgery comes to the rescue at Ladisten, the clinic of modern orthopedics and traumatology.

What is reconstructive surgery?

In recent years, the number of injuries has increased among different population groups. People have started to practice sports more often, and the number of car accidents is unfortunately growing every day. These factors can lead to dangerous consequences such as injuries, deformations, complete loss of limbs or their parts.

Pediatric reconstructive surgery is a branch of medicine that deals with the reconstruction of damaged parts of the body in children. Three goals are pursued:

  • to restore the anatomy and functionality of the limb;
  • to give it the most natural and aesthetic look with the help of plastic manipulations;
  • to restore blood flow, nerve fascicles and ligaments that have been damaged.

What for are reconstructive operations performed?

The main task of reconstructive operations is to fully or partially recreate the damaged part of the body. This can be done in different ways, depending on the nature of the lesion.

Operations are indicated in the following cases:

  • disorders in anatomy and biomechanics of arms, legs and fingers;
  • congenital defects of arms and legs;
  • the presence of consequences of unsuccessful plastic surgery and injuries.

Since reconstructive operations are performed on the smallest fragments of the human body, reconstruction is closely related to microsurgery.

Injuries and pathologies that are corrected in Ladisten

The clinic successfully performs minimally invasive operations for patients of different ages and with different types of pathologies:

  1. Reconstructive surgery for injuries of the upper and lower limbs (superficial wounds) and fractures of the bones of the hand.
  2. Complex manipulations for congenital malformations of the upper and lower limbs: syndactyly, polydactyly, amniotic septa and other malformations of the hand.

Syndactyly is an anatomical defect associated with prenatal development disorder. As a result, two fingers are spliced together, and in difficult cases they have a common bone. Polydactyly is nothing more than presence of extra fingers. And if an extra finger is mainly a cosmetic defect, syndactyly leads to serious impairment of psychomotor functions.

  1. Microsurgery for ligament and nerve damage.
  2. Surgical removal of benign tumors on the body surface, such as papilloma, fibroma, atheroma and others. Usually, they are not a threat. But doctors advise to keep an eye on them. If the neoplasm has lost its clear outline and has changed in color, it is better to visit an oncologist. From an aesthetic point of view, many people prefer to get rid of even a benign tumor. This also includes hemangiomas – neoplasms associated with vascular malformations.
  3. Removal of hygroma (ganglion). This is a cyst that forms over the wrist joint as a result of fluid accumulation. It looks like a bump and can cause much discomfort.
  4. Correction of post-burn or post-traumatic scars.
  5. Step-by-step microsurgical reconstruction of obstetric (maternal) paralysis. This pathology is often a consequence of birth trauma. As a result of damage to the peripheral nervous system, the functionality is lost, muscle tone decreases and the hand hangs freely.
  6. Treatment of stenosing ligamentitis (Knott’s disease or “trigger finger”). The disease affects the tendons and ligaments in the hand area. The first characteristic sign is a crunch in the wrist. In the future, pain occurs at the base of the finger, it loses mobility.
  7. Restoration after the consequences of injuries to the limb tendons (contractures). As a result of scarring or changes in the tissues, a persistent limitation of joint mobility occurs which can be eliminated in a number of cases.

Advantages of reconstructive surgery at Ladisten Clinic

Ladisten was one of the first medical institutions in the post-Soviet space to introduce methods of reconstructive surgery. Patients from Europe and the CIS countries have been successfully treating here for over 30 years.

The staff constantly improves their qualification and acquires new knowledge. The clinic’s experts represent a rare combination of scientific titles and invaluable experience of practicing doctors. Thanks to that, the medical center has managed to gain reputation as a reliable and efficient international-level institution.

Ladisten uses modern equipment for carrying out of operations and diagnostics, as well as introduces innovative advanced technologies.

The outcome largely depends on the individual characteristics of the patient – heredity, nutrition, the presence of bad habits, concomitant diseases. Doctors take into account all factors, which makes it possible to choose the most effective methodics in each case.

Price of treatment

Reconstructive surgery requires expenses on materials, equipment and medical services. Ladisten sets prices based on the complexity of the manipulations. The main advantage is that the patient pays for everything through the cashier, he is provided with a price list, the final cost is transparent and understandable from the very first visit to the clinic.

Total amount includes the following:

  • surgical manipulations of varying complexity carried out using modern equipment;
  • services of doctors with 30 years of experience who have performed thousands of operations with a successful result in 99% of cases;
  • all medical supplies;
  • stay in the VIP-class wards of surgical hospital;
  • high-quality and tasty dietary food during the entire period of treatment in the clinic;
  • individual rehabilitation procedures for an accelerated and comfortable recovery.
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(Ru) Детский ортопед-травматолог высшей категории

(Ru) Врач ортопед-травматолог детский высшей категории, кандидат медицинских наук. Профессиональный стаж 14 лет. Ассоциированный член EPOS (European Paediatric Orthopaedic Society). Владение английским языком на уровне B2.

Work experience: (Ru) 14 лет
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Head doctor, orthopedic and traumatic surgeon

Head doctor of the Ladisten Clinic Medical Center, a professional certified surgeon in the field of pediatric and adult orthopedics and traumatology.

Work experience: 15 years
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Doctor of Medicine, anesthesiologist

Work experience: 27 years
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How the reconstructive operations are carried out

Reconstructive surgery includes several directions and different methods of treatment. At the clinic, the following techniques are used:

  • skin grafting – reconstruction of damaged areas of the skin;
  • tendoplasty – restoration of tendon defects using biological materials. It is performed mainly on the hand;
  • myoplasty is aimed at treating muscles. A section of the muscle is separated and used to correct defects in the tissue or adjacent muscle;
  • ligamentoplasty. It is performed when the cruciate ligament is torn. The damage is repaired with a tendon at the level of the injured knee. This does not affect the condition of the joint;
  • neurolysis and decompression of the nerve trunks. It involves the release of the nerve and restoration of its conduction. It can be restrained by scar tissue, adhesions, or callus;
  • peripheral vascular plastics is carried out mainly to combat atherosclerosis. During the operation, the lumen of the affected vessel is expanded with the help of special devices;
  • sclerotherapy. It is a manipulation aimed on treatment of varicose veins. For children, it is carried out to eliminate neoplasms in the lymphatic or vascular system. A special drug is injected into the affected vein, which shows a chemically caused effect on the walls of the vessel, gluing and narrowing it;
  • osteosynthesis of bone fragments with microplates and screws. This method is used to “bring together” broken bones. The method is based on natural knitting of bone tissue. Fragments or debris are fixed in the desired position with screws or plates until functions are fully restored;
  • microsurgical suture and plastic of vessels and nerves. This is a very complex microsurgery performed using a surgery microscope. It is used for stitching nerves and blood vessels. The microscope magnifies the nerve fascicles helping to align the more precisely and thus makes it possible to restore even the smallest nerves;
  • revascularization of segments of the upper and lower limbs. This includes engraftment of limb segments by suturing vessels and restoring blood flow. It is carried out in case of complete or partial amputation due to trauma. For better and more accurate stitching, a special microscope is also used.

In most cases, minimally invasive techniques with minimal interference in the body are used.

(Ru) Реабилитация

Patients come to the clinic with different diagnoses. In all cases, the diagnostics, treatment and rehabilitation are very individual. Recovery times can range from 1 day to several months. During the entire stage of rehabilitation, doctors monitor the process.

In case of complex surgeries, such as limb correction, the clinic offers additional services. Massage, exercise therapy and other modern techniques help the patient to get back on his or her feet faster.



Boy, 2 years old, Dnipro, Ukraine


Child, 1.5 years old. Ukraine, Dnipro

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