The results of treatment of patients with polyfractures of the thigh bone
DOI:
https://doi.org/10.15587/2313-8416.2016.64973Keywords:
polyfracture, thigh bone, anatomic-functional masses, blocking intramedullary osteosynthesis, monoosteosynthesis, results of treatmentAbstract
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
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Copyright (c) 2016 Дмитро В'ячеславович Власенко, Віктор Олексійович Литовченко, Євгеній Владиславович Гарячий, В'ячеслав Григорович Власенко
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