The results of treatment of patients with polyfractures of the thigh bone

Authors

  • Дмитро В'ячеславович Власенко Kharkiv national medical university 4 Nauki ave., Kharkiv, Ukraine, 61022, Ukraine
  • Віктор Олексійович Литовченко Kharkiv national medical university 4 Nauki ave., Kharkiv, Ukraine, 61022, Ukraine
  • Євгеній Владиславович Гарячий Kharkiv national medical university 4 Nauki ave., Kharkiv, Ukraine, 61022, Ukraine
  • В'ячеслав Григорович Власенко Kharkiv national medical university 4 Nauki ave., Kharkiv, Ukraine, 61022, Ukraine

DOI:

https://doi.org/10.15587/2313-8416.2016.64973

Keywords:

polyfracture, thigh bone, anatomic-functional masses, blocking intramedullary osteosynthesis, monoosteosynthesis, results of treatment

Abstract

Aim. The biomechanical research allowed detect that the treatment of patients with polyfractures of thigh bone using monoconstruction – the blocking intramedullary pivot is biomechanically grounded and expedient at the final stabilization of the bone fragments.

Materials. The clinical part of the work included 48 patients with polyfractures of the thigh bone (34 men and 14 women) who were at the stationary treatment in traumatological department of Kharkiv regional clinical hospital – Center of the emergency and catastrophe medicine and in prof. O. I. Meschaninov Kharkiv municipal hospital of emergency. The examined patients were of the 18–70 years old, the mean age was 37,2 years. The patients were divided into two groups depending of the surgical approach to treatment.

Result. At assessment of the results of treatment of patients from the I (control) group according to S. D. Tumyan were detected 56 %, 24 % and 20 % of results respectively. At assessment of the results of treatment of patients from the II (main) group according to S. D. Tumyan were detected 82,6 % and 17,4 % of results respectively. There were no unsatisfactory results of the treatment of patients from the II clinical group.

Conclusion. It is completely evident that the offered surgical practice of the treatment of thigh bone polyfractures using one fixator (blocking intramedullary pivot) is expedient in the aspect of biomechanics and effective in the aspect of clinical use

Author Biographies

Дмитро В'ячеславович Власенко, Kharkiv national medical university 4 Nauki ave., Kharkiv, Ukraine, 61022

Department of emergency and urgent health care, orthopedics and traumatology

Віктор Олексійович Литовченко, Kharkiv national medical university 4 Nauki ave., Kharkiv, Ukraine, 61022

MD, professor

Departmentofemergencyandurgenthealthcare, orthopedicsandtraumatology

Євгеній Владиславович Гарячий, Kharkiv national medical university 4 Nauki ave., Kharkiv, Ukraine, 61022

Candidate of Medical Sciences, Assistant

Department of emergency and urgent health care, orthopedics and traumatology

В'ячеслав Григорович Власенко, Kharkiv national medical university 4 Nauki ave., Kharkiv, Ukraine, 61022

Candidate of Medical Sciences, Associate professor

Department of emergency and urgent health care, orthopedics and traumatology

References

Gajko, G. V., Kalashnikov, A. V., Vdovichenko, K. V. (2010). Vybir metodu likuvannja hvoryh iz diafizarnymy perelomamy velykogomilkovoi' kistky. Ukrai'ns'kyj medychnyj al'manah, 13 (1), 40–43.

Kalashnikov, A. V., Pavlishen, Ju. I., Piontkovs'kyj, V. K. (2006). Zastosuvannja zakrytogo blokujuchogo osteosyntezu u likuvanni diafizarnyh perelomiv dovgyh kistok kincivok. Dosvid zastosuvannja intrameduljarnogo blokuju chogo osteosyntezu. Kyiv: Intertehnodruk., 5–6.

Karasev, A. G. (2005). Chreskostnyj osteosintez po Ilizarovu pri lechenii bol'nyh s odnovremennymi perelomami bedra i goleni. Vestnik travmatologii i ortopedii im. N. N. Priorova, 1, 8–11.

Kovalenko, V. N., Bortkevich, O. P. (2003). Osteoartroz: Prakticheskoe rukovodstvo. Kyiv: Morion, 448.

Zorja, V. I., Novikov, S. V., Karchebnyj, N. N. et. al (2009). Nakostnyj kompressionno-dinamicheskij osteosintez v lechenii diafizarnyh perelomov bedrennoj kosti. Hirurgija zhurnal imeni N. I. Pirogova, 5, 52–57.

Chemiris, A. Y., Kudijevs'kyj, A. V., Kozhenkov, V. S. (2010). Nash dosvid likuvannja podvijnyh, potrijnyh ta bagatoulamkovyh perelomiv dovgyh trubchastyh kistok. Kyiv, 199.

Neubauer, T., Wagner, M., Hammerbauer, C. (2003). Sistema plastin s uglovoj stabil'nost'ju (LCP) – novyj AO standart nakostnogo osteosinteza. Vestnik travmatologii i ortopedii im. N. N. Priorova, 3, 27–35.

Sysenko, Ju. M., Shved, S. I., Kaminskij, A. V. (2000). Ustrojstvo dlja lechenija perelomov bedrennoj kosti vertel'noj oblasti. Genij ortopedii, 4, 82–85.

Tumjan, S. D. (1983). K itogam diskussii ob ocenke ishodov lechenija perelomov dlinnyh trubchatyh kostej. Ortopedija travmatologija i protezirovanie, 6, 63–65.

Ushakov, S. A., Lukin, S. Ju., Mitrejkin, Ju. V. (2011). Taktika lechenija perelomov bedrennoj kosti u pacientov s politravmoj. Genij ortopedii, 3, 17–22.

Shishhuk, V. D. (2010). Sovershenstvovanie metodov lechenija pri tjazhkih avtodorozhnyh travmah. Vіsnik Sums'kogo derzhavnogo unіversitetu. Ser. Medicina, 2, 192–199.

Cherkes-Zade, D., Monesi, M., Marcolini, A. (2003). Hirurgicheskoe lechenie perelomov distal'nogo otdela bedrennoj kosti s ispol'zovaniem sistemy LISS. Vestnik travmatologii i ortopedii im. N. N. Priorova, 3, 36–42.

Soylemez, M., Ozkan, K., Türkmen, I., Sahin, A., Yildiz, Y., Erturk, S. (2015). A biomechanical comparison of proximal femoral nails and locking proximal anatomic femoral plates in femoral fracture fixation A study on synthetic bones. Indian Journal of Orthopaedics, 49 (3), 347. doi: 10.4103/0019-5413.156220

Published

2016-03-30

Issue

Section

Medical