РЕЗУЛЬТАТЫ БЛОКИРУЮЩЕГО ИНТРАМЕДУЛЛЯРНОГО ОСТЕОСИНТЕЗА ДИАФИЗАРНЫХ И ОКОЛОСУСТАВНЫХ ПЕРЕЛОМОВ У БОЛЬНЫХ С ПОЛИТРАВМОЙ.
Abstract
We have produced 49 shoulder, femur and tibia osteosynthesis by bloking internal fixation in 47 patients with multiple and combined trauma. Paraarticular and diaphyseal femur fractures were predominated and found in 18 patients (39%), humerus fractures were detected in 9 (20%) of victims of diaphyseal shin fractures were observed in 22 (47%) patients. Multiple injuries of two or three segments were identified in 6 (13%) patients. We have applied the primary dynamic blocking concerning the stabilization of the transverse and oblique diaphyseal fractures, and we have
performed static blocking fragments with comminuted fractures. Postoperatiye complications were observed in 8 patients (17%) patients. Outcomes were followed up in 39 patients in terms of 8 to 18 months. Favorable anatomical and functional results were stated in 32 (68%) patients.
References
1. Кузьменко В.В., Гиршин С.Г., Литвина Е.А. Спорные вопросы в проблеме выбора тактики при множественных переломах и тяжелых сочетанных повреждениях. Оказание помощи при сочетанной травме: Сборник научных трудов. Том 108. М.: НИИ скорой помощи им. Н.В. Склифосовского. 1997. 218с.
2. Piotr Cieslik, Piotr Piekarczyk, Wojciech Marczynski. Results of retrograde intramedullary nailing for distal femoral fractures- own experience. "Ortopedia,Traumatologia, Rehabilitacja", 6(6), 2007.
3. Jenny JY, Jenny G, Gaudias J, Kempf I. Risk of infection in centro-medullary locking nailing of open fractures of the femur and tibia. Acta Orthop Belg 1995;61 Suppl 1:212-215.
4. Klein М., Rahn B.A., Frigg R., Kessler S., Perren S.M. Die Blutzirkulation nach Marknagelung ohne Aufbohren. Proceedings of the Osteosynthese International. Gerhard Kuentscher Kreis, Vienna,Austria, Mar 1989;3:16-18
5. Trojan E., Joseph Schatzker, MD, B.Sc. FRCS, Thomas Ruedi AO Seminar on Intramedullary Nailing from 7 -8 June 2000 in Moscow, Russia
