Treatment of children with diaphyseal femur fractures by closed intramedullar osteosynthesis

封面

如何引用文章

全文:

详细

The experience in treatment of 54 children with diaphyseal femur fractures by closed antegrade intramedullar osteosynthesis is presented The possibility of realization of closed intramedullar osteosynthesis excluding proximal femur growth zone damage is experimentally grounded. It is defined that echography provides all necessary information and allows to limit the irradiation load on the patients and medical staff. Original set of instruments for closed intramedullar osteosynthesis is suggested; recommendations on implant choice depending on the child’s age are given. The method is shown to provide a good anatomic functional result in overwhelming majority of children with diaphyseal femur fractures and to give 2.3-3 times decrease of the duration of inpatient treatment and rehabilitation period as compared with conservative treatment.

作者简介

V. Rozinov

Moscow Institute of Pediatrics and Pediatric Surgery; Moscow Children's City Clinical Hospital No. G.N. Speransky

编辑信件的主要联系方式.
Email: info@eco-vector.com
俄罗斯联邦, Moscow; Moscow

S. Yandiev

Moscow Institute of Pediatrics and Pediatric Surgery; Moscow Children's City Clinical Hospital No. G.N. Speransky

Email: info@eco-vector.com
俄罗斯联邦, Moscow; Moscow

I. Burkin

Moscow Institute of Pediatrics and Pediatric Surgery; Moscow Children's City Clinical Hospital No. G.N. Speransky

Email: info@eco-vector.com
俄罗斯联邦, Moscow; Moscow

V. Saveliev

Moscow Institute of Pediatrics and Pediatric Surgery; Moscow Children's City Clinical Hospital No. G.N. Speransky

Email: info@eco-vector.com
俄罗斯联邦, Moscow; Moscow

G. Chogovadze

Moscow Institute of Pediatrics and Pediatric Surgery; Moscow Children's City Clinical Hospital No. G.N. Speransky

Email: info@eco-vector.com
俄罗斯联邦, Moscow; Moscow

E. Pligina

Moscow Institute of Pediatrics and Pediatric Surgery; Moscow Children's City Clinical Hospital No. G.N. Speransky

Email: info@eco-vector.com
俄罗斯联邦, Moscow; Moscow

参考

  1. Ахундов А.А., Мамедов У.А., Мамедов А.А. и др. //Остеосинтез в комплексном лечении травм и ортопедических заболеваний у детей. — Л., 1984. — С. 12-14.
  2. Баиров Г.А., Капитанаки А.Л., Горелый В.В. и др. //Там же. — С. 18-19.
  3. Бондаренко Н.С., Казицкий В.М., Довгань Б.Л. и др. //Вопросы детской травматологии: Межвуз. сб. науч. работ. — Ч. 1. — Алма-Ата, 1989. — С. 28-31.
  4. Волков М.В., Тер-Егиазаров Г.М., Стужина В.Т. Ошибки и осложнения при лечении переломов длинных трубчатых костей у детей. — М., 1978. — С. 41-42.
  5. Ормантаев К.С., Марков Р.Ф. Детская травматология. — Алма-Ата, 1978. — С. 139-161.
  6. Розинов В.М., Савельев С.Б., Кешишян Р.А. и др. //Науч. практ. конф. детских ортопедов-травматологов г. Москвы, 19-я: Тезисы докладов. — М., 1995. — С. 58-59.
  7. Свадковский Б.С. Возрастная перестройка костной ткани. — М, 1961. — С. 95-96.
  8. Сувалян А.Г. Закрытый интрамедуллярный остеосинтез свежих диафизарных переломов (клиникоэкспериментальное исследование): Автореф. дис.... д-ра мед. наук. — М., 1986.
  9. Kirby R.M., Winquist R.A., Hansen S.T. //J. Pediatr. Orthop. — 1981. — N 1. — P. 193-197.
  10. Lhowe D.W., Hansen S.T. //J. Bone Jt Surg. — 1988.— Vol. 70A, N 6. — P. 812-820.
  11. Parsch K.D. //J. Pediatr. Orthop. — 1997. — N 6. — P. 117-125.
  12. Prevot J., Lascombes P., Ligier J.N. //Chirurgie. — 1993. - Vol. 119, N 9. — P. 473.

补充文件

附件文件
动作
1. JATS XML
下载
2. Fig. 1. Polypositional scanning of the fracture zone: I — in the sagittal, II — in the horizontal, III — in the frontal plane (a — proximal, b — distal fragment).

下载 (92KB)
索引源数据
3. Fig. 2. Frontal cut of the proximal femur. a — epiphyseal, b — apophyseal growth zone.

下载 (20KB)
索引源数据
4. Fig. 3. Frontal cut of the proximal femur after simulation of closed intramedullary osteosynthesis.

下载 (27KB)
索引源数据
5. Fig. 4. Frontal cut of the femur preparation after modeling of closed intramedullary osteosynthesis.

下载 (15KB)
索引源数据
6. Fig. 5. Stages of closed intramedullary osteosynthesis. and — the directing spoke is entered; b — a canal was formed in the metaphyseal zone of the proximal fragment; c — the rod is inserted to the level of the fracture; d — the rod was inserted into the distal fragment.

下载 (43KB)
索引源数据
7. Fig. 6. A set of surgical instruments for performing closed intramedullary osteosynthesis.

下载 (30KB)
索引源数据
8. Fig. 7. Radiographs of the femur of a 6-year-old child (frontal projection). a — before surgery, b — after surgery, c — 6 months later.

下载 (54KB)
索引源数据
9. Fig. 8. Terms of verticalization of patients (I), partial (II) and full (III) load on the injured limb during surgical (own observations) and conservative (literature data) treatment.

下载 (17KB)
索引源数据

版权所有 © Eco-Vector, 1999



Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).