Biological internal osteosynthesis at the present stage

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Abstract

Progressive direction in the development of inner osteosynthesis is the preservation of blood circulation in fracture zone, use of minimum operative approach and closed reposition. Authors have summarized the known principles of biological osteosynthesis and gave their opinion on problem. The experience in use of lightly invasive technique of osteosynthesis and AO implants are analyzed basing on 335 patients with fractures of various localization. Possibilities of active postoperative rehabilitation were shown. Original techniques of lightly invasive transcutaneous osteosynthesis with primary and secondary strained pins in periarticular fractures are given. Special attention is paid to the necessity of drug correction of bone quality in the postoperative period.

About the authors

A. F. Lazarev

Central Research Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

E. I. Solod

Central Research Institute of Traumatology and Orthopedics. N.N. Priorova

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

References

  1. Анкин Л.Н. Стабильно-функциональный остеосинтез в травматологии: Дис.... д-ра мед. наук. — Киев,1986.
  2. Анкин Л.Н. //Margo Anterior. — 1998. — N 6. — С. 1-3.
  3. Барабаш А.П., Соломин Л.Н. Комбинированный напряженный остеосинтез. — Благовещенск,1992.
  4. Виноградова Т.П., Лаврищева Г.И. Регенерация и пересадка костей. — М.,1984.
  5. Девятов А.А. Чрескостный остеосинтез. — Кишинев,1990.
  6. Корж А.А. //Вестн. хир. — 1984. — N 8. — С. 66-68.
  7. Илизаров Г.А. //Клинико-теоретические аспекты и экспериментальное обоснование чрескостного остеосинтеза при дистракции костных и мягких тканей. — Курган,1986. — С. 7-12.
  8. Охотский В.П. и др. //Всерос. сезд травматологов-ортопедов,5-й: Тезисы. - Ярославль,1990. — С. 275-277.
  9. Фокин В.А., Волна А.А. //Margo Anterior. — 1999. — N 1. —С. 1-2.
  10. Arm El. //Int. Orthop. — 2001. — Vol. 25, N 4. — P. 214- 218.
  11. Grudnes O., Rickeras O. //Acta Orthop. Scand. — 1993. — Vol. 64. — P. 340-342.
  12. Marsh D.R., Li G. //Br. Med. Bull. — 1999. — Vol. 55. — P. 856-869.
  13. Marsh D.R. //Clin. Orthop. — 1998. — N 355, Suppl. — P. 22-30.
  14. McKibbin B. //J. Bone Jt Surg. — 1978. — Vol. 60B. — P. 150-161.
  15. Miclau T., Remiger A., Tepic S. //J. Orthop. Trauma. — N 9. — P. 7-22.
  16. Rowley D. //Europ. Instruct. Course Lectures (London). — 2001. — Vol. 5. — P. 24.

Supplementary files

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2. Fig. 1. Patient B. Diagnosis: fracture of the middle third of the right femur, middle third and surgical neck of the right humerus, fracture of the olecranon on the right, impression fracture of the lateral condyle of the right tibia. a — radiographs at admission; b — after osteosynthesis; c — functionality 4 months after the operation; d — radiographs 1 year 8 months after surgery: union of fractures; e — after removal of metal fixators.

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3. Fig. 2. Patient K. Diagnosis: spiral fracture of the lower third of the right humerus. a — radiographs at admission; b — after osteosynthesis with the LCP plate.

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4. Fig. 3. Percutaneous osteosynthesis with a V-shaped wire for a fracture of the medial malleolus.

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5. Fig. 4. Patient R. Diagnosis: rupture of the symphysis, fracture of the bones of the left leg in the lower third. a — radiographs at admission; b — after osteosynthesis; c — functionality 1 week after the operation.

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