Biomechanical substantiation of compression osteosynthesis in near- and intra-articular fractures

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Abstract

Dynamic compressive osteosynthesis using elaborated special device was performed in 182 patients with peri- and intraarticular fractures of various localisation. The biomechanical background of that osteosynthesis was presented on the models of intraarticular fractures. Dosed compression osteosynthesis provides gentle compression on the fragmets taking into account biological resorption in the site of fragments contact till the time of fracture healing. Fixation stability allows to combine the immobilization and rehabilitation periods that decreases the terms of motion restoration in joint, the risk of contracture formation and development of deforming arthrosis. Good and satisfactory anatomical and functional results were achieved in 96.2% of patients

About the authors

T. N. Kallaev

Ulyanovsk City Clinical Emergency Hospital; Ulyanovsk State University

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

N. O. Kallaev

Ulyanovsk City Clinical Emergency Hospital; Ulyanovsk State University

Email: info@eco-vector.com
Russian Federation

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2. Fig. 1. Scheme of the apparatus for compression osteosynthesis.

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3. Fig. 2. Compression osteosynthesis of the medial malleolus of the tibia.

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4. Fig. 3. Calculation scheme for the distribution of forces in a fracture of the condyle of the tibia (explanations in the text).

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5. Fig. 4. Scheme of the distribution of forces on the fragment (explanations in the text).

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