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SURGICAL TECHNIQUE OF BLOCKING INTRAMEDULLARY OSTEOSYNTHESIS OF FOREARM FRACTURES

https://doi.org/10.24884/0042-4625-2015-174-5-35-39

Abstract

An introduction of blocking osteosynthesis was recently included into practice of treatment of forearm fractures. The forearm has a very difficult biomechanics and extremely important functional value. There are really high requirements to accuracy of reposition and stability of forearm fracture fixation. The blocking osteosynthesis successfully combines fixation stability with functionality, although its performance technique isn’t so simple, that forces experts to use other methods of fixation. It is possible successfully use advantages of the method by studying and keeping variety of operation nuances of blocking osteosynthesis on forearm in order to restore anatomy, biomechanics and obtain the stable fixation. The period of rehabilitation could be combined with period of union of bones in this case without postoperative complications such as nonunion of bones, construction fractures and instability of osteosynthesis. The method would be optimal provided that a surgeon masters the technique of construction implantation. There are maximum advantages in treatment of complicated fractures (nonunion of bones, false joint and defects) due to functionality of the method.

About the Authors

V. A. Neverov
I. I. Mechnikov North-Western State Medical University; Municipal Mariinskiy hospital
Russian Federation


S. N. Chernyaev
I. I. Mechnikov North-Western State Medical University; Municipal Mariinskiy hospital
Russian Federation


References

1. АО-принципы лечения переломов // Частная травматология. 2013. Т. 2. 649 с.

2. Способ костной пластики при лечении псевдоартрозов и дефектов костей предплечья / В. А. Неверов, С. Н. Черняев. Заявка на изобретение № 2014105325 от 14.02.2014 г.

3. Способ лечения псевдоартрозов и дефектов костей предплечья / В. А. Неверов, С. Н. Черняев. Заявка на изобретение № 2006119595 от 05.06.2006. БИ. № 36 от 27.12.2007 г.

4. Челноков А. Н., Лазарев А. Ю. Закрытый интрамедуллярный остеосинтез в лечении диафизарных переломов костей предплечья // Гений ортопедии. 2012. № 3. С. 54-56.

5. Calder P. R., Achan P., Barry M. et al. Diaphyseal forearm fractures in children treated with intramedullary fixation: outcome of K-wire versus elastic stable intramedullary nail // Injury. 2003. Vol. 34. P. 278-282.

6. Crenshaw А. Н., Perez Е. А. Radius and ulna // Campbell’s Operative Orthopaedics. 11th ed.: ed. S. T. Canale, J. H. Beaty. Mosby Elsevier: Philadelphia, 2007. P. 3410-3463.

7. Fanuele J., Blazar P. Extensor pollicis longus tendon rupture in an adult after intramedullary nailing of a radius fracture case report // J. Hand Surg. 2009. Vol. 34, Is. 4. P. 627-629.

8. Wright R. R., Schmeling G. J. Schwab J. P. The necessity of acute bone graphing in diaphyseal forearm fractures // Orthop. Trauma. 1997. № 11 (4). P. 288-294.


Review

For citations:


Neverov V.A., Chernyaev S.N. SURGICAL TECHNIQUE OF BLOCKING INTRAMEDULLARY OSTEOSYNTHESIS OF FOREARM FRACTURES. Grekov's Bulletin of Surgery. 2015;174(5):35-39. (In Russ.) https://doi.org/10.24884/0042-4625-2015-174-5-35-39

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ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)