Improvement of the method of reduction of bone fragments in diaphyseal fractures of the shin bones

1985 ◽  
Vol 66 (6) ◽  
pp. 459-459
Author(s):  
N. A. Kovalenko
Keyword(s):  
Primary Disability ◽  
Bone Fragments ◽  
Diaphyseal Fractures ◽  
Fractures Of Bones

Fractures of the shin bones are much more often than fractures of bones of other localization, complicated by the formation of false joints, constituting one of the main causes of primary disability in patients with traumatological profile. Early, low-traumatic and accurate reposition of fragments followed by stable immobilization significantly reduces the number of such complications.

scholarly journals Complications of Intramedullary Blocking Osteosynthesis of Bones of Limbs and Ways to Prevent Them

2020 ◽  
pp. 35-42
Author(s):  
A.B. Mansyrov ◽  
V.O. Lytovchenko ◽  
Ye.V. Gariachyi
Keyword(s):  
Bone Marrow ◽  
Soft Tissues ◽  
Bone Fractures ◽  
Surgical Techniques ◽  
Results Of Treatment ◽  
Fracture Area ◽  
Bone Fragments ◽  
Diaphyseal Fractures ◽  
Technical Principles ◽  
Fractures Of Bones

Summary. The main condition for preventing complications of intramedullary blocking osteosynthesis of long bones is following the tactical and technical principles of osteosynthesis and conscious rejection of such surgical techniques and manipulations that can lead to disturbances of the course of reparative processes of bone tissue. Objective. On the basis of the study and summary of the identified complications of intramedullary blocking osteosynthesis of diaphyseal fractures of bones of limbs, to determine ways to prevent complications of the reparation. Materials and Methods. The results of treatment of 403 patients who underwent intramedullary blocking osteosynthesis of the femur, tibia and humerus types A1-A3, B1–B3 and C2 by AO/ASIF were studied and analyzed. Results. Analyzing the technological complications that we have divided, depending on the consequences they led to, early (up to 2 weeks after surgery), late (2 weeks after surgery) and reparative, we found that the most common technological mistakes were incorrect preoperative planning and disruption of technology and surgery, which in 21.6% of cases led to instability of bone fragments in the fracture area, and the absence or disruption of recovery and rehabilitation of patients, which occurred in 26.3% of cases. Disorders of osteosynthesis technology, namely, significant intra-operative traumatization of bone fragments and soft tissues, and non-eliminated soft tissue interposition resulted in inappropriate consolidation of bone fragments in 39% and 13%, respectively. The main cause of reparative complications was bone marrow drilling, which was performed for 56% of the patients with delayed consolidation of bone fragments, 56.3% of the patients with false joints, and 48% of the patients with bone fractures. Conclusions. Strict following the tactical and technical principles of intramedullary blocking osteosynthesis and rejection of bone marrow drilling without indications will reduce the incidence of bone dysregeneration. The study of the effect of bone marrow drilling on reparative bone regeneration in intramedullary blocking osteosynthesis is actual and needs further deep analysis.

scholarly journals METHOD OF FORENSIC ASSESSMENT OF RISK FACTORS OF TREATMENT FAILURE OUTCOMES AS AN ELEMENT OF QUALITY MANAGEMENT OF MEDICAL CARE

2020 ◽  
Vol 73 (5) ◽  
pp. 1041-1047
Author(s):  
Vyacheslav K. Sokol ◽  
Vira A. Kolesnichenko ◽  
Kostyantin M. Sokol ◽  
Vladyslav A. Smiianov
Keyword(s):  
Forensic Assessment ◽  
Adverse Outcomes ◽  
Expert Assessment ◽  
Delayed Fracture ◽  
Fracture Consolidation ◽  
Secondary Displacement ◽  
Bone Fragments ◽  
Diaphyseal Fractures ◽  
Post Traumatic ◽  
The Stability

The aim: The aim of this research was to study causes of the development of adverse outcomes in isolated femоral diaphyseal fractures. Materials and methods: A retrospective analysis of the protocols of clinical and radiological examination of 21 patients was performed. Based on the initial expert assessment, these patients have not been established the severity of injuries due to the development of complications in the postoperative period. Conclusions: Patient-dependent, implant-dependent, and surgery-dependent causes that caused a violation of the stability of osteosynthesis (95.2%) were identified. This led to a secondary displacement of bone fragments (71.4%), delayed fracture consolidation (61.9%), the formation of pseudarthrosis (38.1%), the development of post-traumatic osteomyelitis (14,3), migration of screws from the osseous plate (47.6%), and the development of post-traumatic contracture of the knee joint (81.0%).

Mistakes and Complications at Treatment of Diaphyseal Shin Bones Fractures with "Repofix" Apparatus for External Transosseous Reposition and Fixation of Bone Fragments

2010 ◽  
Vol 17 (1) ◽  
pp. 70-74
Author(s):  
O V Oganesyan ◽  
E C Anisimov
Keyword(s):  
Treatment Efficacy ◽  
Bone Fragments ◽  
Diaphyseal Fractures

Data on 280 patients with diaphyseal fractures of shin bones been treated at CITO and other clinics using Oganesyan Repofix apparatus for external transosseous reposition and fixation of bone fragments were analyzed. It was shown that in 57 cases certain mistakes and related complications were detected at different treatment steps. Recommendations on the prevention of such complications were given. Awareness of potential mistakes and complications will help to avoid them and thus to increase the treatment efficacy.

Rod-through-plate fixation of canine diaphyseal fractures

2007 ◽  
Vol 20 (04) ◽  
pp. 308-311 ◽  
Author(s):  
V. Andrianov ◽  
G. Tralman ◽  
R. Hõim ◽  
T. Haviko ◽  
A. Lenzner ◽  
...  
Keyword(s):  
Bone Fractures ◽  
Callus Formation ◽  
Plate Fixation ◽  
Fracture Repair ◽  
Long Bone ◽  
Fixation Method ◽  
Proximal Fragment ◽  
Bone Fragments ◽  
Diaphyseal Fractures ◽  
Curved Rods

SummaryEfficacy of the rod-through-plate fixation for fracture repair was evaluated in six clinical cases of canine long bone fractures. This fixation incorporates principles of intramedullary and extramedullary osteosynthesis for transverse and short oblique fractures of long tubular bones. The plate-through-rod device is comprised of one pair of curved rods, a connecting plate and two bone screws. The connecting plate has both a hole and a channel on each end. Curved rods have a long curved part and a straight part with a hole in it for screw fixation. All components are made up of medical stainless steel. Clinical and radiographical examinations were performed from week seven to18 months after the operation. Functional abnormalities were not observed at this period in five patients and all fractures were healed. In one patient screw stripping in the proximal fragment of the femur was detected radiologically and minimal implant dislocation was noted at seven weeks after the initial repair. The rod-through-plate fixation method gives strong fixation of bone fragments with minimal traumatization of soft tissue during the operation. The design of the rod-through-plate is intended to reduce pressure of the plate on the cortex in the area of the fracture, whereas the dynamic fixation provided by the intramedullary rods may allow micromotion, thus stimulating callus formation and avoiding implant- induced osteoporosis. Clinical relevance: The rod-through-plate fixator has a simple construction and its use expands the treatment possibilities for diaphyseal fractures of long bones.

scholarly journals TREATMENT OF SHIN BONE FRACTURES USING EXTERNAL ROD APPARATUSES

2010 ◽  
Vol 16 (2) ◽  
pp. 39-44
Author(s):  
D. E. Kupkenov
Keyword(s):  
Bone Fractures ◽  
Stable Fixation ◽  
Treatment Results ◽  
Good Outcome ◽  
Bone Fragments ◽  
Diaphyseal Fractures

Treatment results of 30 patients with diaphyseal fractures of shin bones are presented. All patients were treated by transosseus osteosynthesis tehnique with rod apparatus developed by author. Good outcome of treatment was received in 28 (93,3%) patients, satisfactory - in 2 (6,7%) in one - three years after operation. This method of treatment permits to perform a closed accurate reposition of bone fragments, to achieve the stable fixation for the whole period of treatment and to mobilize patients on second day after operation.

scholarly journals Complications of intramedullar blocking osteosynthesis

2019 ◽  
Vol 84 (3) ◽  
pp. 101-109
Author(s):  
Asif Baglar оgly Mansyrov ◽  
V.A. Litovchenko ◽  
N.I. Berezka ◽  
Ye.V. Gariachy
Keyword(s):  
Soft Tissues ◽  
Surgical Intervention ◽  
Negative Impact ◽  
Medullary Canal ◽  
Functional Restoration ◽  
Medical Rehabilitation ◽  
Technical Errors ◽  
Bone Fragments ◽  
Diaphyseal Fractures ◽  
Anatomical Restoration

The complications of intramedullary blocking osteosynthesis of diaphyseal fractures of the limb bones due to tactical errors, as well as ways of preventing them, have been identified and summarized. Typical tactical errors of intramedullary blocking osteosynthesis were: application of the method against indications, violation of the osteosynthesis technology and the use of inadequate «author’s» techniques, introduction of own intraoperative “corrections” and change of course of the surgical intervention, excessive reaming of the medullary canal, significant intraoperative trauma of bone fragments and soft tissues, the wrong type of blocking or untimely dynamization, lack of continuity in medical rehabilitation. The most negative impact on the anatomical restoration of the bone and the functional restoration of the limb has the reaming of the medullary canal, performed without appropriate indications and with technical errors.

scholarly journals Femoral Diaphyseal Fractures Fixation Technique Using an Adjustable Nylon Tie in Dog (Canis lupus familiaris) and Cat (Felis catus domesticus)

2018 ◽  
Vol 46 ◽  
pp. 8
Author(s):  
Bruna Martins Da Silva ◽  
Ivan Felismino Charas Dos Santos ◽  
Danuta Pulz Doiche ◽  
Maria Gabriela Picelli De Azevedo ◽  
David José De Castro Martins ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Hind Limb ◽  
Present Report ◽  
Surgical Techniques ◽  
Small Animals ◽  
Fixation Technique ◽  
Bone Fragments ◽  
Diaphyseal Fractures ◽  
Polyamide 6.6 ◽  
Simple Fracture

Background: Adjustable nylon ties polyamide 6.6 is devices produced from the same material of surgical nylon wire and have been used in different surgical procedures in small animals and in human patient. Reports regarding the use of these devices as secondary fixation technique of femoral diaphyseal fractures in animals are rare in the literature. The aim of the present report case was to describe the use of adjustable nylon tie polyamide 6.6 as secondary fixation technique in a 3-year-old dog and 4-month-old cat, diagnosed with femoral diaphyseal fractures.Cases: Case 1. A 3-year-old female dog was presented with reluctance to support the left hind limb, with 5 days’ duration. Pain and edema on the left femoral diaphyseal region was identified. The limb was submitted to radiographic exam and revealed a closed, complete and comminuted fracture of the diaphysis of the femur, and was decided to perform a surgical stabilization by open reduction through primary fixation with intramedullary pin, and secondary fixation of bone fragments with adjustable nylon ties polyamide 6.6, as a substitute of steel cerclage wire. The bone fragments were alignment and fixated with five polyamide nylon ties. The excess was removed with a scalpel blade along the lock. Seven days after surgery the skin sutures were removed and were observed reluctance to support the left hind limb. Physiotherapy sessionswere prescribed. Forty days after the surgery was performed a radiographic exam of the left hind limb which revealed alignment of the bone axis. Six months after the surgery, the owner reported that the dog supported the left hind limb.Case 2. A 4-month-old female cat was presented with history of trauma, with 24 h’s duration, and reluctance in supporting the left hind limb. On physical examination there was identified pain on the left femoral diaphyseal region. Radiographic examination revealed a closed, complete and simple fracture of the diaphysis of the femur, and a surgical stabilization through primary fixation with intramedullary pin, and secondary fixation with three polyamide nylon ties was performed.Seven days after the surgery were observed reluctance to support the left hind limb. Three months after the surgery, the owner was contacted and he reported that the cat was supported the limb.Discussion: Adult dogs are more susceptible to diaphyseal fractures and so does the dog in the present report. On the other hand, young cats present high metaphyseal fracture rates due to the metaphyseal growth plate. However, the cat in the present report was different since it was 4-month-old and presented diaphyseal fracture. Different from steel cerclagewires, polyamide nylon ties were used as secondary fixation in diaphyseal fractures for the reason that of their stability in this kind of fracture, no tissue reaction and minimal tissue trauma. The adjustable nylon ties polyamide 6.6 were already used in different surgical procedures in human patients and animals. Complications reported in the literature due to theiruse were associated with erroneous surgical techniques. Adjustable nylon ties polyamide 6.6 proved to be efficient as bone cerclage device in diaphyseal multiple and simple fracture, as well as gave stability to the herein assessed adult dog and young cat, besides not inducing foreign body reactions.Keywords: small animals, polyamide, bones, cerclage, surgery.

scholarly journals The importance of the quality of power supply of treating fractures of the bones of the leg according to the ilizarov method

2019 ◽  
pp. 01-08
Author(s):  
Vladimir A Schurov ◽  
Iliya V Schurov
Keyword(s):  
Bone Fractures ◽  
Meat Products ◽  
Ilizarov Method ◽  
Vulnerable Patients ◽  
Working Age ◽  
Bone Fragments ◽  
Diaphyseal Fractures ◽  
Comminuted Fractures ◽  
The Impact

Annotation: The aim of the work was to analyze the impact of the deterioration in the quality of nutrition of the population during the economic crisis that occurred after 1990 on the treatment of bone fractures. The technique: In the period from 1970 to 2008, the impact of the deterioration in the nutrition quality of the population in particular of the Kurgan Region of Russia, expressed in preserving the caloric component due to an increase in the consumption of vegetables and bread and a decrease in the consumption of meat products by more than 35%, was analyzed. bone fragments in Ilizarov treatment in 1923 patients with closed diaphyseal fractures of the bones of the leg. Results: The increase in the periods of fixation of bone fragments began in 1976 among a group of socially most vulnerable patients of retirement age, then among people over 50, among students, and after 1986 it became apparent in groups of patients of working age and reached by 2000 38% with helical and 111% (p≤0,001) for comminuted fractures. Keywords: Fractures of shin bones, Ilizarov method, patient age, meat consumption

scholarly journals Bone fragments displacement in the treatment of diaphyseal fractures and their importance to the process of bone regeneration

2016 ◽  
Vol 0 (2) ◽  
pp. 31
Author(s):  
Olexey Popsuishapka ◽  
Valeriy Litvishkо ◽  
Nataliya Ashukina ◽  
Svetlana Іakovenko
Keyword(s):  
Bone Regeneration ◽  
Bone Fragments ◽  
Diaphyseal Fractures

Whale Poaching Detection Based on Microscopic Characteristics of Bottlenose Dolphins’ (Tursiops truncatus) Bone Fragments

2018 ◽  
Vol 43 (5) ◽  
pp. 519-528
Author(s):  
Manuela Zadravec ◽  
Zvonimir Kozarić ◽  
Snježana Kužir ◽  
Mario Mitak ◽  
Tomislav Gomerčić ◽  
...  
Keyword(s):  
Tursiops Truncatus ◽  
Bottlenose Dolphins ◽  
Bone Fragments
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