Osteosynthesis of extremity bones in patients with post-traumatic ischaemia during different periods of their ischaemic process

Sergey Strafun, Olexey Dolgopolov, Andrey Tkach

Abstract


The article analyses results of osteosynthesis of extremity bones in conditions of post-traumatic ischaemia in 94 patients. Indications for treating fractures with a definite technique of osteosynthesis were elaborated depending upon the period of the ischaemic process and the degree of ischaemia severity. Thus, in local hypertensive ischaemic syndrome, excellent results of treatment were obtained with external fixation by means of device techniques; consolidations of fractures were achieved in 75 % of cases. When treating complications of fracture consolidation during the acute and reactive-restorative periods of ischaemic contracture, preference was given to device techniques of fixation and osteosynthesis with plates, thereby making it possible to restore bone integrity in 100 % of cases. Complex bone deformities during the residual period of ischaemic contracture were mostly treated by means of combined osteosynthesis.

Keywords


local hypertensive ischemic syndrome; ischemic contracture; ischemia; fracture; osteosynthesis; complications

References


Volkov M. V. Errors and complications with treatment of bones fractures / M. V. Volkov, O. N. Gudushaury, O. A. Ushakova. — M.: Medicine, 1970. — 182 p.

The principles of stable-functional extrafocal osteosynthesis with long bones fractures / V. G. Klimovitskiy, V. Y. Khudobin, V. N. Pasternak, Y. V. Prudnikov: scientific-practical conference with international participation devoted to the 25-th anniversary of chair of traumatology and vertebrology of medical academy of postgraduate education in Kharkov (Kharkov, 11th of April 2003). — Kharkov, 2003. — P. 24–28.

Kopitchak I. P. The clinical-morphologic features and treatment of shin fracture in victims with politrauma: author’s abstact for obtain of scientific degree of Candidate of medical sciences: on speciality 14.00.21 «Traumatology and orthopedics» / I. P. Kopitchak. — 2011. — 20 p.

Sokolov V. A. Multiple and associated injuries / V. A. Sokolov. — M.: GEOTAR, 2006. — 196 p.

Strafun S. S. Diagnosis and treatment of local hypertensive-ischemic syndrome with extremities bones fractures / S. S. Strafun, V. G. Leskov // Collection of scientific works in medical academy of postgraduate education by P. L. Shupik. — K., 2000. — P. 80–84.

Strafun S. S. Complications of ischemic genesis with bones extremities fractures/ S. S. Strafun, A. T. Brusko, O. V. Dolgopolov // Orthopаedics, traumatology and prosthetics. — 2009. — № 2. — P. 17–20.

Interrelation of intraosseous blood pressure and subfascial pressure / S. S. Strafun, B. A. T.rusko, I. V. Liskina et al. // Bulletin of orthopedic, traumatology and prosthetics. — 2005. — № 2. — P. 12–15.

Strafun S. S. Diagnosis and treatment of ischemic lesions with extremities fractures / S. S. Strafun, S. V. Timoshenko // Orthopаedics, traumatology and prosthetics. — 2006. — № 1. — Р. 24–32.

Prophylaxis and treatment of ischemic hand and foot contractures / S. S. Srafun, A. T. Brusko, A. P. Liabakh et al. — К.: Stilos, 2007. — 264 р.

Shapovalov V. M. Traumatology and orthopedics / V. M. Shapovalov, S. A. Grytsanov, A. N. Yerokhov / Edited by prof. V. M. Shapovalov. — 2th ed. — SРb.: Ltd Publising house «Folliant», 2004. — 544 р.

Browner B. D. Skeletal Trauma / B. D. Browner, J. B. Jupiter. — 4th ed. — Philadelphia, Pa: Saunders Elsevier. — 2008. — 544 р.

Geiderman J. M. General principles of orthopedic injuries / J. M. Geiderman // Rosen’s emergency medicine: concepts and clinical practice / J. Marx. — 6th ed. — St Philadelphia, Pa: Mosby Elsevier. — 2006. — 122 р.

Jason W. Removal of a broken cannulated tibial nail B / W. Jason, Levine and M. Georgiadis // J. Bone Joint Surg. — 2004. — № 4. — P. 247–249.

Mubarak S. I. Compartment syndromes and Volkmann’s contracture / S. I. Mubarak, A. R. Hargens. — Philadelphia, W. B. Saunders, 1981. — 232 p.

Nirmal C. T. Staged management of high-energy proximal tibia fractures / C. T. Nirmal, A. F. R. Pramod // Bulletin Hospital for Joint Diseases. — 2004. — Vol. 62, № 1. — P. 23–47.

Seiler J. G. Compartment syndromes of the upper extremity / J. G. Seiler, P. J. Casey, S. H. Binford // J. South Orthop. Assoc. — 2000. — Vol. 9, № 4. — Р. 233–347.

Wagner R. Complications of plate osteosynthesis of the femur shaft / R. Wagner, A. Weckbach // Unfallchirurgie. — 1994. — Bd. 97 (3). — S. 139–143.




DOI: https://doi.org/10.15674/0030-59872013421-29

Refbacks

  • There are currently no refbacks.


Copyright (c) 2014 Sergey Strafun, Olexey Dolgopolov, Andrey Tkach

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.