Transosseous compression-distraction osteosynthesis with a rod apparatus for open fractures of both bones of the middle third of the leg with displacement of fragments

Various leg injuries are among the most common injuries in adults, accounting for up to 15 % of all trauma cases. Transosseous compression-distraction osteosynthesis has virtually no contraindications and with proper technique can lead to good restorative results.

The research purpose is to demonstrate the effectiveness of treating a bilateral tibia fracture in the middle third with displaced fragments using the Ilizarov transosseous compression-distraction apparatus and to justify the choice of this treatment method.

Materials and methods. The necessary information was searched in open electronic scientific databases PubMed and the Russian scientific electronic library eLibrary using the following keywords and phrases: tibia fracture, surgical treatment, transosseous compression-distraction osteosynthesis, Ilizarov apparatus.

Results. Transosseous osteosynthesis using the Ilizarov apparatus was performed for a fracture of both bones in the middle third of the right tibia with displaced fragments. Based on the surgical treatment results in this case report, it can be concluded that transosseous compression-distraction osteosynthesis using the Ilizarov apparatus is highly effective in treating open fractures of both bones in the middle third of the tibia with displaced fragments.

Conclusion. The presented method can be used for extensive soft tissue damage. Repositioning does not require an open surgical approach, and blood loss is minimal, significantly reducing surgical morbidity and enabling early patient mobilization, easing the postoperative period.