Analysis of reparative osteogenesis at diaphysial fractures of tibia by roentgenography data

Authors

  • Olena Sharmazanova Kharkiv Medical Academy of Postgraduate Education Amosova str., 58, Kharkiv, Ukraine, 61176, Ukraine https://orcid.org/0000-0003-1578-6715
  • Khatia Moseliani Kharkiv Medical Academy of Postgraduate Education Amosova str., 58, Kharkiv, Ukraine, 61176, Ukraine

DOI:

https://doi.org/10.15587/2519-4798.2017.109211

Keywords:

bones, tibia, diaphysial fractures, callus, roentgenography, reparative osteogenesis, complications

Abstract

Aim of research. To study the features of reparative osteogenesis at diaphysial tibia fractures in patients of a young and middle age.

Material and methods. There was presented the analysis of x-ray photographs of 122 patients with diaphysial tibia fractures 18 - 60 years old (men - 54,2%, women - 45,8%) in sanitary projections at the dynamic observation from 8 months to 3 years.

Research results. It was established that the full accretion of fractures in terms up to 4 months was detected only in 28,7% of cases (35 patients), in terms up to 6 months -in 33,6% (41 patients), up to 8 months - in 16, 4% (20 patients). In 26 patients (21,3%) the accretion of diaphysial tibia fractures was forming during 1,5-2 years. Most often at fractures accretion was observed a periosteal callus (83,6%), less often – intermediary one (11,4%) and paraossale (4,9%). Complication at fractures accretion were detected in 46 (37,7%) of traumatized persons.

Conclusions. In most cases diaphysial fractures of tibia accreted longer than 4 months with complications in each third patient

Author Biographies

Olena Sharmazanova, Kharkiv Medical Academy of Postgraduate Education Amosova str., 58, Kharkiv, Ukraine, 61176

MD, Professor, Head of Department

Department of X-ray Diagnostics 

Khatia Moseliani, Kharkiv Medical Academy of Postgraduate Education Amosova str., 58, Kharkiv, Ukraine, 61176

Department of X-ray Diagnostics 

References

  1. Mamaev, V. I. (2008). Chreskostnuy osteosyntez i vozmojnosti prognozirovania ishodov lechenia posledstviy perelomov kostey. Vestnik travmatologii i ortopedii im. N. N. Priorova, 3, 27–29.
  2. Litvishko, V. О., Popsuishapka, О. K. (2015). Funkcionalne likuvannia diafizarnukh perelomov kistok gomilku z vukorustanniam gipsovoi poviazku abo strujnevogo aparatu. Ortopedia, travmatologia i protezirivanie, 4, 91–102.
  3. Popsuishapka, А. K., Uzhigova, O. E., Litvishko, V. А. (2013). Chastota nesrachenia otlomkov pri izolirovannukh diafizarnukh perelomakh dlinnukh kostei konechnostei. Ortopedia, travmatologia i protezirivanie, 1, 39–43.
  4. Korzh, N. А., Gerasimenko, S. I., Klimovickii, V. G., Loskutov, A. E. et. al. (2010). Rasprostranennost perelomov kostei i rezyltatu ih lechenia v Ukraine (kliniko-epidemiologicheskoe issledovanie). Ortopedia, travmatologia i protezirivanie, 3, 26–35.
  5. Semizorov, А. N. (2007). Rentgenografia v diagnostike i lechenii perelomov kostei. Moscow: Vidar-М, 176.
  6. Stepanov, R. V. (2011). Kompkeksnaia luchevaia diagnostika v ocenke reparativnogo processa pri lechenii bolnukh s zakrutumi diafizarnumi perelomami kostei goleni. 21.
  7. Claes, L., Grass, R., Schmickal, T., Kisse, B., Eggers, C., Gerngro, H. et. al. (2002). Monitoring and healing analysis of 100 tibial shaft fractures. Langenbeck’s Archives of Surgery, 387 (3-4), 146–152. doi: 10.1007/s00423-002-0306-x
  8. Kessler, T. et. al. (1994). Follow-up of fracture healing –indications and clinical relevance of direct radiographic magnification in comparison with conventional roentgen imaging. Unfallchirurg, 97 (12), 619–624.
  9. Gongalsrii, V. I., Martunenko, G. F., Lihvar, G. Т. et. al. (1987). Obem isledovanii i lechebno-profikakticheskoi pomoschi ortopedo-travmatolodicheskim bolnum v poliklinikakh. Vedomstvennaia instrukciia MZ USSR.
  10. Dedukh, N. V., Khmuzov, S. А., Tikhonenko, А. А. (2008). Novue tehnologii v regeneracii kosti: ispolzovanie faktorov rosta. Ortopedia, travmatologia i protezirivanie, 4, 129–133.

Published

2017-08-31

How to Cite

Sharmazanova, O., & Moseliani, K. (2017). Analysis of reparative osteogenesis at diaphysial fractures of tibia by roentgenography data. ScienceRise: Medical Science, (8 (16), 51–53. https://doi.org/10.15587/2519-4798.2017.109211

Issue

Section

Medical Science