Analysis of the results of different types of diaphyseal tibial fractures with intraosseous and of plate osteosynthesis

Aim of this study - comparative assesment of treatment outcomes of different types of diaphyseal shin fractures in patients with bone and intraosteal lackable osteosynthesis. Material and methods. We examined 222 patients with fused diaphyseal shin fractures. In 122 patients close reduction and intr...

Full description

Bibliographic Details
Main Authors: V. V. Pisarev, A. V. Aleinikov, I. V. Vasin, Y. A. Oshurkov
Format: Article
Language:Russian
Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2013-09-01
Series:Travmatologiâ i Ortopediâ Rossii
Subjects:
Online Access:https://journal.rniito.org/jour/article/view/351
_version_ 1818642721509736448
author V. V. Pisarev
A. V. Aleinikov
I. V. Vasin
Y. A. Oshurkov
author_facet V. V. Pisarev
A. V. Aleinikov
I. V. Vasin
Y. A. Oshurkov
author_sort V. V. Pisarev
collection DOAJ
description Aim of this study - comparative assesment of treatment outcomes of different types of diaphyseal shin fractures in patients with bone and intraosteal lackable osteosynthesis. Material and methods. We examined 222 patients with fused diaphyseal shin fractures. In 122 patients close reduction and intraosteal lackable osteosynthesis of shin bones was performed, in 100 - open reduction and osteosynthesis of shin bones with plates LCDCP All patients were divided into subgroups according to АО/ASIF classification (fractures type А, В, С). The evaluation of the results was done in two years period after surgery with questionnaire SF36, outpatients clinic cards analysis, CITO cards study outcomes of fractures, rheovasography and X-ray examination. Results. We found that in patients with fractures types A and В these two types of osteosynthesis lead to similar results according to questionnaire SF36, comparable with control group. Bone osteosynthesis in treatment of fractures type С results in higher quality of life, comparable with control group, than intraosteal. Indicators of treatment outcomes in accordance with CITO card in bone osteosynthesis were higher than in intraosteal. In bone osteosynthesis of fractures type A the terms of temporary disability and fusion significantly lower than in intraosteal osteosynthesis of the similar fractures. Reduce of the tolerance to heavy physical stress in patients with fractures type С in intraosteal osteosynthesis determined by low blood flow in shin. Treatment of shin fractures with bone and intraosteal osteosynthesis follows by equal risks of complications.
first_indexed 2024-12-16T23:47:34Z
format Article
id doaj.art-44240ff6244d43e4a81a7a082b3c7fb8
institution Directory Open Access Journal
issn 2311-2905
2542-0933
language Russian
last_indexed 2024-12-16T23:47:34Z
publishDate 2013-09-01
publisher Vreden Russian Research Institute of Traumatology and Orthopedics
record_format Article
series Travmatologiâ i Ortopediâ Rossii
spelling doaj.art-44240ff6244d43e4a81a7a082b3c7fb82022-12-21T22:11:27ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332013-09-0103293610.21823/2311-2905-2013--3-29-36345Analysis of the results of different types of diaphyseal tibial fractures with intraosseous and of plate osteosynthesisV. V. Pisarev0A. V. Aleinikov1I. V. Vasin2Y. A. Oshurkov3Ivanovo state medical academy; Ivanovo regional hospital for war veteransNizhny Novgorod state medical academy; Ivanovo regional hospital for war veteransОБГУЗ «Ивановский областной госпиталь для ветеранов войн»Ivanovo regional hospital for war veteransAim of this study - comparative assesment of treatment outcomes of different types of diaphyseal shin fractures in patients with bone and intraosteal lackable osteosynthesis. Material and methods. We examined 222 patients with fused diaphyseal shin fractures. In 122 patients close reduction and intraosteal lackable osteosynthesis of shin bones was performed, in 100 - open reduction and osteosynthesis of shin bones with plates LCDCP All patients were divided into subgroups according to АО/ASIF classification (fractures type А, В, С). The evaluation of the results was done in two years period after surgery with questionnaire SF36, outpatients clinic cards analysis, CITO cards study outcomes of fractures, rheovasography and X-ray examination. Results. We found that in patients with fractures types A and В these two types of osteosynthesis lead to similar results according to questionnaire SF36, comparable with control group. Bone osteosynthesis in treatment of fractures type С results in higher quality of life, comparable with control group, than intraosteal. Indicators of treatment outcomes in accordance with CITO card in bone osteosynthesis were higher than in intraosteal. In bone osteosynthesis of fractures type A the terms of temporary disability and fusion significantly lower than in intraosteal osteosynthesis of the similar fractures. Reduce of the tolerance to heavy physical stress in patients with fractures type С in intraosteal osteosynthesis determined by low blood flow in shin. Treatment of shin fractures with bone and intraosteal osteosynthesis follows by equal risks of complications.https://journal.rniito.org/jour/article/view/351переломы костей голениостеосинтезshin fracturesostheosynthesis
spellingShingle V. V. Pisarev
A. V. Aleinikov
I. V. Vasin
Y. A. Oshurkov
Analysis of the results of different types of diaphyseal tibial fractures with intraosseous and of plate osteosynthesis
Travmatologiâ i Ortopediâ Rossii
переломы костей голени
остеосинтез
shin fractures
ostheosynthesis
title Analysis of the results of different types of diaphyseal tibial fractures with intraosseous and of plate osteosynthesis
title_full Analysis of the results of different types of diaphyseal tibial fractures with intraosseous and of plate osteosynthesis
title_fullStr Analysis of the results of different types of diaphyseal tibial fractures with intraosseous and of plate osteosynthesis
title_full_unstemmed Analysis of the results of different types of diaphyseal tibial fractures with intraosseous and of plate osteosynthesis
title_short Analysis of the results of different types of diaphyseal tibial fractures with intraosseous and of plate osteosynthesis
title_sort analysis of the results of different types of diaphyseal tibial fractures with intraosseous and of plate osteosynthesis
topic переломы костей голени
остеосинтез
shin fractures
ostheosynthesis
url https://journal.rniito.org/jour/article/view/351
work_keys_str_mv AT vvpisarev analysisoftheresultsofdifferenttypesofdiaphysealtibialfractureswithintraosseousandofplateosteosynthesis
AT avaleinikov analysisoftheresultsofdifferenttypesofdiaphysealtibialfractureswithintraosseousandofplateosteosynthesis
AT ivvasin analysisoftheresultsofdifferenttypesofdiaphysealtibialfractureswithintraosseousandofplateosteosynthesis
AT yaoshurkov analysisoftheresultsofdifferenttypesofdiaphysealtibialfractureswithintraosseousandofplateosteosynthesis