Modern concepts of treatment of complicated diaphyseal forearm fractures (literature review)

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Abstract

The analysis of modern domestic and foreign literature on the issues of surgical treatment of patients with diaphyseal forearm fractures is presented in the article, the main problems at these injuries are noted. The analysis has been carried out on the basis of databases of medical publications of CyberLeninka, eLibrary, PubMed and biliary databases. The treatment of complicated diaphyseal forearm fractures in the form of nonunions, pseudoarthrosis, defects and malunion is serious problem in traumatology and orthopaedics, because according to the literature data, unsatisfactory results in the treatment of this pathology reach 20–47%. This problem requires the development and implementation of modern functional methods of treatment, which would allow to combine the period of restoration of segment integrity with the period of rehabilitation without risk of osteosynthesis instability and nonunion. The problem of choosing the optimal tactics and methods of surgical fixation of these lesions remains a subject for discussion, which is the basis for scientific research on optimization of tactics and methods of surgical treatment of patients with consequences of diaphyseal forearm fractures.

About the authors

Sergey N. Chernyaev

Mechnikov North-Western State Medical University; Mariinsky City Hospital

Author for correspondence.
Email: traumamariin@gmail.com

MD, Cand. Sci. (Med.), assistant lecturer, Department of Traumatology and Orthopedics, Head of the Department of Traumatology and Orthopedics

Russian Federation, Saint Petersburg

Valentin A. Neverov

Mechnikov North-Western State Medical University; Mariinsky City Hospital

Email: 5507974@mail.ru

MD, PhD, Dr. Sci. (Med.), Professor, Head of the Department of Traumatology and Orthopedics, Chief of the Department of Traumatology and Orthopedics

Russian Federation, Saint Petersburg

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