Email this article The use of an external transosseous fixation device for non-united fractures and false joints of long bones after intramedullary osteosynthesis with a pin
- Authors: Oganesyan O.V.1
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Affiliations:
- Central Institute of Traumatology and Orthopedics. N.N. Priorova
- Issue: Vol 9, No 4 (2002)
- Pages: 26-32
- Section: Articles
- URL: https://bakhtiniada.ru/0869-8678/article/view/99983
- DOI: https://doi.org/10.17816/vto99983
- ID: 99983
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Abstract
In 40 patients with 44 ununited intramedullar osteosynthesis diaphysial fractures of long bones (humerus, radius, ulna, femur, tibia) the external transosseous fixation device was applied to the bone fragments without removal of rods from bone marrow canal. In that case the rod excluded horizontal and angle mobility of fragments and the device eliminated rotation mobility and created mutual pressure offragments. Consolidation of the fracture and function restoration were achieved in 42 cases. Two patients required bone plasty.
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##article.viewOnOriginalSite##About the authors
O. V. Oganesyan
Central Institute of Traumatology and Orthopedics. N.N. Priorova
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow
References
Supplementary files
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1.
JATS XML
2.
Rice. 1. Example 1. Radiographs of patient T.a - false joint of the humerus 8 months after fixation of bone fragments with a pin. Two knitting needles are held, stretched in one bracket; b — 4 months later: the fracture healed, the apparatus was removed.
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3.
Scheme 1. Fixation of bone fragments using an intramedullary nail and two staples with wires.
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4.
Rice. 2. Example 2. Radiographs of the patient E.a — ununited comminuted fracture of the femur 6 months after osteosynthesis with an intramedullary nail and screws; b — 4.5 months after the application of the external fixation device: fracture consolidation; c — after dismantling the device.
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5.
Rice. Fig. 3. Example 3. Radiographs of the patient C.a - ununited fracture of the tibia 4 months after intramedullary osteosynthesis with a metal pin; b - after the application of an external fixation device; c - after 4.5 months: the fracture healed, the device was removed.
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6.
Rice. 4. Example 4. Radiographs of the patient B.a - ununited fracture of the humerus 5 months after osteosynthesis with a pin; b - after the application of an external fixation device; c - 4 months later: the fracture healed, the device was removed.
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7.
Rice. Fig. 5. Example 5. Radiographs of a patient E.a — false joint of the femur, contracture of the knee joint 8 months after intramedullary osteosynthesis with a nail; b — after the application of a hinge-distraction apparatus; c — 8 months later: the fracture was healed and the function of the knee joint was restored.
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8.
Rice. 6. Example 6. Patient K., a false joint of the humerus 11 months after intramedullary osteosynthesis with a nail, a nail fracture and displacement of bone fragments. a — upon admission to the CITO; b — repeated osteosynthesis with a pin, bone grafting, external fixation apparatus was applied; (c) 5 months later: the fracture healed, the function of the elbow joint was restored.
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9.
Rice. 7. Example 7. Radiographs of the patient P.a - double fractures of the radius and ulna; b - ununited fractures of both bones after intramedullary osteosynthesis. A transosseous fixation apparatus was applied; c — 3 months later: the fractures healed, the apparatus was removed.
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