The value of electrodiagnostics of the bone tissue in the choice of treating tactics of the open fractures of extremity bones
Keywords:electrodiagnosis of the bone, method of metal osteosynthesis, results of treatment of extremity bones open fractures
The use of UT70B digital multimeter instrument and methods of determination of the bone tissue electric resistance for detection of disorders of its structural and functional state at the open diaphyseal fractures of extremity bones at early stages of hospitalization. There was carried out the clinical approbation in 73 patients with injuries of the different severity. There was determined the degree of bone fragments vital capacity. There was proved the reasonability of the use of this method and the choice of treating tactics on elaborated scale.
Methods. Within the research there were examined 73 patients with open diaphyseal fractures of extremity bones who underwent electrodiagnosis of structural and functional state of the bone tissue by previously elaborated method, at hospitalization, in the first hours after injury. 59 patients with open diaphyseal fractures of extremity bones did not undergo electrodiagnosis. At diagnosis there were used AO/ASIF and Gustilo – Anderson classifications for all patients.
Results. The results of examination of 73 patients with open diaphyseal fractures of extremity bones of the different severity testify that the use of early diagnostics of disorders of structural and functional state of the bone tissue give a possibility to choose the type of osteosynthesis that allow to improve the anatomic and functional results of treatment by 38,8 %, to diminish the duration of stay in hospital, to improvе the indices of life quality and to prognosticate the processes of reparative regeneration of fracture.
Conclusions. Our studies demonstrated that the value of electric resistance of the bone tissue at the open diaphyseal fractures of extremity bones give a possibility to prognosticate its vital capacity.
The use of the minimally invasive method of detection of structural and functional state of the bone fragments gives a possibility to choose the treating tactics in the first hours after injury.
Electrodiagnosis of the bone fragments gives a possibility to prognosticate the results of treatment of patients at the low-energy and high-energy injury
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