Preview

Acta Biomedica Scientifica

Advanced search

Method for Osteosynthesis of Long Tubular Bones Using a Distraction-Reposition Apparatus of External Fixation

https://doi.org/10.29413/ABS.2019-4.6.17

Abstract

Over the past decades, the problem of treating multiple fractures of the limb bones has been the focus of attention of most orthopedic traumatologists in our country and abroad. The urgency of the problem is also determined by the fact that the nature of injuries and their consequences changes with a tendency to increase. Qualitative changes in the structure of injuries are due to an increase in the level of multiple and associated injuries. The use of sequential osteosynthesis in patients with fractures of the long tubular bones of the extremities implies primary stabilization of bone fragments with an externalfixation device and repeated immersion osteosynthesis, when it is possible to achieve stabilization of the patient's condition. There are various rod and pin devices for fixation, some of them are for fixing (which are necessary to remove before the operation), some for preliminary reposition of the fracture during the operation (necessary to remove the skeletal traction or plaster cast and apply the apparatus, which only adds steps to the procedure). The proposed technique is notable for its simple assembly and application, as well as its ease of construction, which ensures patient mobility and allows the patient to stabilize without imperfections and perform final immersion osteosynthesis.

About the Authors

G. A. Palshin
M.K. Ammosov North-Eastern Federal University
Russian Federation

Gennady A. Palshin - Dr. Sc. (Med.), Professor, Head of the Department of Traumatology, Orthopedics and Disaster Medicine, MIof the M.K. Ammosov NEFU; Chief Traumatologist of the Ministry of Health of the Russian Federation in the Far Eastern Federal District; Vice president of the Association of Orthopedic Traumatologists of the Russian Federation in the Far Eastern Federal District

Belinskogo str. 58, Yakutsk 677000



S. S. Torduin
Republican Hospital N 2, Center for Emergency Medicine
Russian Federation

Stepan S. Torduin - Traumatologist, Head of the Department of Traumatology and Orthopedics.

Petra Alekseeva str. 83a, Yakutsk 677005



A. S. Maksimov
Republican Hospital N 2, Center for Emergency Medicine
Russian Federation

Aleksandr S. Maksimov - Traumatologist, Traumatology and Orthopedic Department.

Petra Alekseeva str. 83a, Yakutsk 677005



V. A. Levchenko
M.K. Ammosov North-Eastern Federal University
Russian Federation

Vladimir A. Levchenko - Resident Physician.

Belinskogo str. 58, Yakutsk 677000



References

1. Gayko GV, Kostyuk AN, Kosyakov AN, Kostyuk OA. Preventive immobilization in the treatment system of patients with polytrauma. Politravma. 2009; (2): 5-12. (In Russ.)

2. Gilev YaK, Pronskikh AA, Milyukov AYu. Blocked intramedullary osteosynthesis with pins in patients with polytrauma. Politravma. 2009; (1): 53-57. (In Russ.)

3. Popkov AV, Shelepov AV, Devyatykh RV, Popkov DA. Monolateral osteosynthesis for diaphyseal fractures of the humerus. Geniyortopedii. 2015; (3): 67. (In Russ.)

4. Ushakov SA, Dukin SYu, Mitreykin YuV. Tactics for the treatment of femoral fractures in patients with polytrauma. Geniy ortopedii. 2011. (3): 17. (In Russ.)

5. Shapovalov VM, Khominets VV. Features of the use of external and sequential osteosynthesis in wounded with gunshot fractures of long bones of the limbs. Travmatologiya i ortopediya Rossii. 2010. (1): 7-13. (In Russ.)


Review

For citations:


Palshin G.A., Torduin S.S., Maksimov A.S., Levchenko V.A. Method for Osteosynthesis of Long Tubular Bones Using a Distraction-Reposition Apparatus of External Fixation. Acta Biomedica Scientifica. 2019;4(6):112-116. (In Russ.) https://doi.org/10.29413/ABS.2019-4.6.17

Views: 797


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2541-9420 (Print)
ISSN 2587-9596 (Online)