Email this article Treatment of children with diaphyseal femur fractures by closed intramedullar osteosynthesis
- Authors: Rozinov V.M.1,2, Yandiev S.I.1,2, Burkin I.A.1,2, Saveliev V.B.1,2, Chogovadze G.A.1,2, Pligina E.G.1,2
-
Affiliations:
- Moscow Institute of Pediatrics and Pediatric Surgery
- Moscow Children's City Clinical Hospital No. G.N. Speransky
- Issue: Vol 6, No 4 (1999)
- Pages: 21-27
- Section: Original study articles
- URL: https://journals.rcsi.science/0869-8678/article/view/105121
- DOI: https://doi.org/10.17816/vto105121
- ID: 105121
Cite item
Full Text
Abstract
The experience in treatment of 54 children with diaphyseal femur fractures by closed antegrade intramedullar osteosynthesis is presented The possibility of realization of closed intramedullar osteosynthesis excluding proximal femur growth zone damage is experimentally grounded. It is defined that echography provides all necessary information and allows to limit the irradiation load on the patients and medical staff. Original set of instruments for closed intramedullar osteosynthesis is suggested; recommendations on implant choice depending on the child’s age are given. The method is shown to provide a good anatomic functional result in overwhelming majority of children with diaphyseal femur fractures and to give 2.3-3 times decrease of the duration of inpatient treatment and rehabilitation period as compared with conservative treatment.
Full Text
##article.viewOnOriginalSite##About the authors
V. M. Rozinov
Moscow Institute of Pediatrics and Pediatric Surgery; Moscow Children's City Clinical Hospital No. G.N. Speransky
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow; Moscow
S. I. Yandiev
Moscow Institute of Pediatrics and Pediatric Surgery; Moscow Children's City Clinical Hospital No. G.N. Speransky
Email: info@eco-vector.com
Russian Federation, Moscow; Moscow
I. A. Burkin
Moscow Institute of Pediatrics and Pediatric Surgery; Moscow Children's City Clinical Hospital No. G.N. Speransky
Email: info@eco-vector.com
Russian Federation, Moscow; Moscow
V. B. Saveliev
Moscow Institute of Pediatrics and Pediatric Surgery; Moscow Children's City Clinical Hospital No. G.N. Speransky
Email: info@eco-vector.com
Russian Federation, Moscow; Moscow
G. A. Chogovadze
Moscow Institute of Pediatrics and Pediatric Surgery; Moscow Children's City Clinical Hospital No. G.N. Speransky
Email: info@eco-vector.com
Russian Federation, Moscow; Moscow
E. G. Pligina
Moscow Institute of Pediatrics and Pediatric Surgery; Moscow Children's City Clinical Hospital No. G.N. Speransky
Email: info@eco-vector.com
Russian Federation, Moscow; Moscow
References
- Ахундов А.А., Мамедов У.А., Мамедов А.А. и др. //Остеосинтез в комплексном лечении травм и ортопедических заболеваний у детей. — Л., 1984. — С. 12-14.
- Баиров Г.А., Капитанаки А.Л., Горелый В.В. и др. //Там же. — С. 18-19.
- Бондаренко Н.С., Казицкий В.М., Довгань Б.Л. и др. //Вопросы детской травматологии: Межвуз. сб. науч. работ. — Ч. 1. — Алма-Ата, 1989. — С. 28-31.
- Волков М.В., Тер-Егиазаров Г.М., Стужина В.Т. Ошибки и осложнения при лечении переломов длинных трубчатых костей у детей. — М., 1978. — С. 41-42.
- Ормантаев К.С., Марков Р.Ф. Детская травматология. — Алма-Ата, 1978. — С. 139-161.
- Розинов В.М., Савельев С.Б., Кешишян Р.А. и др. //Науч. практ. конф. детских ортопедов-травматологов г. Москвы, 19-я: Тезисы докладов. — М., 1995. — С. 58-59.
- Свадковский Б.С. Возрастная перестройка костной ткани. — М, 1961. — С. 95-96.
- Сувалян А.Г. Закрытый интрамедуллярный остеосинтез свежих диафизарных переломов (клиникоэкспериментальное исследование): Автореф. дис.... д-ра мед. наук. — М., 1986.
- Kirby R.M., Winquist R.A., Hansen S.T. //J. Pediatr. Orthop. — 1981. — N 1. — P. 193-197.
- Lhowe D.W., Hansen S.T. //J. Bone Jt Surg. — 1988.— Vol. 70A, N 6. — P. 812-820.
- Parsch K.D. //J. Pediatr. Orthop. — 1997. — N 6. — P. 117-125.
- Prevot J., Lascombes P., Ligier J.N. //Chirurgie. — 1993. - Vol. 119, N 9. — P. 473.
Supplementary files
