Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries
The article presents the experience of surgical treatment of a rare pathology of the upper limb – the pseudarthrosis of the middle third of the radial shaft with a bone defect in combination with the pseudarthrosis of the middle and lower third of the shaft of the ulna of the forearm. Determination...
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| Format: | Article |
| Language: | Russian |
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Scientific Сentre for Family Health and Human Reproduction Problems
2021-01-01
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| Series: | Acta Biomedica Scientifica |
| Subjects: | |
| Online Access: | https://www.actabiomedica.ru/jour/article/view/2518 |
| _version_ | 1826853277678960640 |
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| author | M. E. Puseva Ch. Z. Butaev A. N. Rudakov |
| author_facet | M. E. Puseva Ch. Z. Butaev A. N. Rudakov |
| author_sort | M. E. Puseva |
| collection | DOAJ |
| description | The article presents the experience of surgical treatment of a rare pathology of the upper limb – the pseudarthrosis of the middle third of the radial shaft with a bone defect in combination with the pseudarthrosis of the middle and lower third of the shaft of the ulna of the forearm. Determination of reasonable and well-considered treatment tactics is of great importance in the treatment of patients aimed at restoring the anatomy and function of the injured upper limb. A feature of this case is the formation of several false joints at different levels of the forearm bones, the presence of a bone defect of 2.5 cm, which required its replacement with an autograft, and a previously performed surgical intervention using transosseous osteosynthesis. The applied tactics of surgical treatment consisted of several stages: bone osteosynthesis of the ulna with opening of the medullary canals of the ulna; replacement of a bone defect in the area of the pseudarthrosis of the radius with an autograft from the iliac crest using combined stress osteosynthesis in combination with transosseous osteosynthesis. The results of surgical treatment of false joints and bone defects depend on the correct treatment tactics, according to the indications, and the correct implementation of the selected treatment tactics. The surgical tactics of treatment used in this clinical situation made it possible to create conditions for the fusion of fragments of the radius and ulna bones, as well as to replace the defect of the radius, as a result of which the anatomy and function of the damaged segment were successfully restored. |
| first_indexed | 2024-03-08T12:16:58Z |
| format | Article |
| id | doaj.art-68a25d7974fd4a60bc8887137d2e47ae |
| institution | Directory Open Access Journal |
| issn | 2541-9420 2587-9596 |
| language | Russian |
| last_indexed | 2025-02-16T17:22:52Z |
| publishDate | 2021-01-01 |
| publisher | Scientific Сentre for Family Health and Human Reproduction Problems |
| record_format | Article |
| series | Acta Biomedica Scientifica |
| spelling | doaj.art-68a25d7974fd4a60bc8887137d2e47ae2025-01-27T16:48:57ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962021-01-015622422910.29413/ABS.2020-5.6.282096Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm InjuriesM. E. Puseva0Ch. Z. Butaev1A. N. Rudakov2Irkutsk Scientific Centre of Surgery and TraumatologyIrkutsk Scientific Centre of Surgery and TraumatologyIrkutsk Scientific Centre of Surgery and TraumatologyThe article presents the experience of surgical treatment of a rare pathology of the upper limb – the pseudarthrosis of the middle third of the radial shaft with a bone defect in combination with the pseudarthrosis of the middle and lower third of the shaft of the ulna of the forearm. Determination of reasonable and well-considered treatment tactics is of great importance in the treatment of patients aimed at restoring the anatomy and function of the injured upper limb. A feature of this case is the formation of several false joints at different levels of the forearm bones, the presence of a bone defect of 2.5 cm, which required its replacement with an autograft, and a previously performed surgical intervention using transosseous osteosynthesis. The applied tactics of surgical treatment consisted of several stages: bone osteosynthesis of the ulna with opening of the medullary canals of the ulna; replacement of a bone defect in the area of the pseudarthrosis of the radius with an autograft from the iliac crest using combined stress osteosynthesis in combination with transosseous osteosynthesis. The results of surgical treatment of false joints and bone defects depend on the correct treatment tactics, according to the indications, and the correct implementation of the selected treatment tactics. The surgical tactics of treatment used in this clinical situation made it possible to create conditions for the fusion of fragments of the radius and ulna bones, as well as to replace the defect of the radius, as a result of which the anatomy and function of the damaged segment were successfully restored.https://www.actabiomedica.ru/jour/article/view/2518tension-band osteosynthesistransosseous osteosynthesispseudarthrosisdiastasisbone autoplastyradiusulna |
| spellingShingle | M. E. Puseva Ch. Z. Butaev A. N. Rudakov Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries Acta Biomedica Scientifica tension-band osteosynthesis transosseous osteosynthesis pseudarthrosis diastasis bone autoplasty radius ulna |
| title | Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries |
| title_full | Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries |
| title_fullStr | Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries |
| title_full_unstemmed | Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries |
| title_short | Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries |
| title_sort | using combined osteosynthesis in trauma practice in the treatment of diaphyseal forearm injuries |
| topic | tension-band osteosynthesis transosseous osteosynthesis pseudarthrosis diastasis bone autoplasty radius ulna |
| url | https://www.actabiomedica.ru/jour/article/view/2518 |
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