CURRENT STATUS OF INTERNAL OSTEOSYNTHESIS IN TREATMENT OF PATIENTS WITH LONG-BONE FRACTURES IN MUNICIPAL MULTI-FIELD EMERGENCY HOSPITAL OF THE RUSSIAN MEGALOPOLIS
R. M. Tikhilov , I. G. Belenkiy , D. I. Kutyanov
Traumatology and Orthopedics of Russia ›› 2012, Vol. 18 ›› Issue (4) : 17 -25.
CURRENT STATUS OF INTERNAL OSTEOSYNTHESIS IN TREATMENT OF PATIENTS WITH LONG-BONE FRACTURES IN MUNICIPAL MULTI-FIELD EMERGENCY HOSPITAL OF THE RUSSIAN MEGALOPOLIS
Objective: Determine the changes in the structure of methods of internal osteosynthesis in treatment of patients with long-bone fractures in municipal multi-field emergency hospital of the modern Russian megalopolis. Carry out comparative analysis of effectiveness of use of minimally invasive osteosynthesis and conventional plating of long-bone fractures. Material and methods. We have studied the results of 1249 surgical operations of internal fixation of long-bone fractures performed in one of a municipal multi-field emergency hospitals of Saint Petersburg (Russia). We have studied the statistics of 1999-2000 and 2010. Results and conclusions. Minimally invasive osteosynthesis has occupied a leading position in the structure of internal fixation of long-bone fractures within the current 10 years period. Although such operations demand precise following surgical techniques, ability to use expensive implants and equipment as well as comparatively higher and longer training of orthopedic surgeons. These circumstances seriously limit effective use of minimally invasive osteosynthesis for the current moment. But at the same time conventional plating techniques haven’t lost their importance for treatment of patients with long-bone fractures. These techniques still occupy an important part among the methods of osteosynthesis used in the Russian multi-field hospitals. It reveals the need for continuous improvement of tactics used by orthopedic surgeons as well as the technique of performing such operations.
| [1] |
Бялик Е.И. Ранний остеосинтез переломов костей конечностей при сочетанной травме [дис. ... д-ра мед. наук]. М.: НИИСП им. Склифософского; 2004. 338 с. |
| [2] |
Дулаев А.К., Дыдыкин А.В., Хоминец В.В. Хирургические навигационные технологии при остеосинтезе переломов длинных костей конечностей. Материалы VIII съезда травматологов-ортопедов России. Самара; 2006. с. 177. |
| [3] |
Иванов П.А. Лечение открытых переломов длинных костей конечностей у пострадавших с множественной и сочетанной травмой [дис. ... д-ра мед. наук]. М.: НИИСП им. Склифософского; 2009. 370 с. |
| [4] |
Корнилов Н.В. Травматология и ортопедия Санкт-Петербурга (1996-2002). СПб.: Медицинская пресса; 2004. 164 с. |
| [5] |
Кутянов Д.И. Дыдыкин А.В., Дулаев А.К., Заяц В.В. Лечение метаэпифизарных переломов длинных костей конечностей с использованием технологий интрамедуллярного блокированного остеосинтеза. Материалы IX съезда травматологов-ортопедов России. Саратов; 2010. Т. 1. с. 178-179. |
| [6] |
Неверов В.А., Хромов А.А., Черняев С.Н. Функциональный метод лечения переломов длинных трубчатых костей - блокированный интрамедуллярный остеосинтез. Вестник хирургии им. И.И. Грекова. 2007; 166 (1):25-29. |
| [7] |
Соколов В.А. Множественные и сочетанные травмы. М.: ГЭОТАР-Медиа; 2006. 483 с. |
| [8] |
Тихилов Р.М. Воронцова Т.Н., Лучанинов С.С. Организационно-методическая работа по созданию и развитию травматологической службы. СПб.: РНИИТО им. Р.Р. Вредена; 2009. 372 с. |
| [9] |
Perren S.M. Evolution of the internal fixation of long bone fractures. J. Bone Joint Surg. 2002; 84-B (8):1093-1110. |
| [10] |
Roberts C.S., Pape H.C., Jones A.L., Malkani A.L., Rodriguez J.L., Giannoudis P.V. Damage control orthopaedics. Evolving concepts in the treatment of patients who have sustained orthopaedic trauma. J. Bone Joint Surg. 2005; 87-A (2):434-449. |
| [11] |
Stein H., Horesh Z., Lerner A. Current trends for the biological treatment of segmental bone loss in high-energy long bone fractures. Orthopedics. 2006; 29:773-777. |
/
| 〈 |
|
〉 |
PDF
