AUTO-DYNAMIC INTRAMEDULLARY OSTEOSYNTHESIS FOR FEMUR FRACTURES AND CONSEQUENCES OF INJURIES
Objective: The assessment of clinical testing results of the new intramedullary rod which design features neutralize the disadvantages of conventional blocking devices. Methods: The research involved 15 patients with ununited femoral shafts fractures underwent intramedullary revision osteosynthes...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Avicenna Tajik State Medical University
2021-03-01
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| Series: | Паёми Сино |
| Subjects: | |
| Online Access: | https://doi.org/10.25005/2074-0581-2021-23-1-60-66 |
| _version_ | 1827924953165463552 |
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| author | P.P. ZUEV YU.A. BARABASH I.A. NORKIN D.V. IVANOV O.A. KAUTS K.A. GRAZHDANOV A.P. BARABASH |
| author_facet | P.P. ZUEV YU.A. BARABASH I.A. NORKIN D.V. IVANOV O.A. KAUTS K.A. GRAZHDANOV A.P. BARABASH |
| author_sort | P.P. ZUEV |
| collection | DOAJ |
| description | Objective: The assessment of clinical testing results of the new intramedullary rod which design features neutralize the disadvantages of conventional blocking devices.
Methods: The research involved 15 patients with ununited femoral shafts fractures underwent intramedullary revision osteosynthesis with BNB rods. The analysis of surgical management was performed using the standardized system of bone fractures outcomes and their consequences (Standardized Outcome Assessment-1, SOA-1) as well as the modified Radiographic Union Score (mRUS).
Results: The examination reveals positive dynamics 2 months after the revision osteosynthesis with BNB rods. The mean rehabilitation rate by the SOA1 was 75.3±0.6 percent, it was 84.0±1.2 percent (p<0.001) in 6 months after the surgery and 90.8±2.7 percent (p>0.05) by the 12th month. Considering mRUS scores, the degree of consolidation of the femoral fracture in patients 2 months after surgery using the BNB rod corresponded to 5.0±0.2 points, to 13.3±0.8 points (p<0.001) in 6 months and to 14.8±1.0 points (p>0.05) by the 12th month. In 1 case (6.7%) out of 15, no union of the fractured fragments was observed.
Conclusion: The technical solutions implemented in the BNB intramedullary rod contribute to the autodynamization of the bone-implant system under the action of a controlled load and muscle power on the limb without additional surgical interventions, which makes it possible to shorten the rehabilitation period for patients, resulting in the reduction of treatment expenses for this cohort of patients. |
| first_indexed | 2024-03-13T05:19:12Z |
| format | Article |
| id | doaj.art-74d53388eee645d690b98c7676ba94e4 |
| institution | Directory Open Access Journal |
| issn | 2074-0581 2959-6327 |
| language | English |
| last_indexed | 2024-03-13T05:19:12Z |
| publishDate | 2021-03-01 |
| publisher | Avicenna Tajik State Medical University |
| record_format | Article |
| series | Паёми Сино |
| spelling | doaj.art-74d53388eee645d690b98c7676ba94e42023-06-15T17:14:00ZengAvicenna Tajik State Medical UniversityПаёми Сино2074-05812959-63272021-03-01231606610.25005/2074-0581-2021-23-1-60-66AUTO-DYNAMIC INTRAMEDULLARY OSTEOSYNTHESIS FOR FEMUR FRACTURES AND CONSEQUENCES OF INJURIESP.P. ZUEV0YU.A. BARABASH1I.A. NORKIN2D.V. IVANOV3O.A. KAUTS4K.A. GRAZHDANOV5A.P. BARABASH6Scientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University, Saratov, Russian FederationScientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University, Saratov, Russian FederationScientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University, Saratov, Russian FederationScientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University, Saratov, Russian FederationScientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University, Saratov, Russian FederationScientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University, Saratov, Russian FederationScientific Research Institute of Traumatology, Orthopedics and Neurosurgery, V.I. Razumovsky Saratov State Medical University, Saratov, Russian FederationObjective: The assessment of clinical testing results of the new intramedullary rod which design features neutralize the disadvantages of conventional blocking devices. Methods: The research involved 15 patients with ununited femoral shafts fractures underwent intramedullary revision osteosynthesis with BNB rods. The analysis of surgical management was performed using the standardized system of bone fractures outcomes and their consequences (Standardized Outcome Assessment-1, SOA-1) as well as the modified Radiographic Union Score (mRUS). Results: The examination reveals positive dynamics 2 months after the revision osteosynthesis with BNB rods. The mean rehabilitation rate by the SOA1 was 75.3±0.6 percent, it was 84.0±1.2 percent (p<0.001) in 6 months after the surgery and 90.8±2.7 percent (p>0.05) by the 12th month. Considering mRUS scores, the degree of consolidation of the femoral fracture in patients 2 months after surgery using the BNB rod corresponded to 5.0±0.2 points, to 13.3±0.8 points (p<0.001) in 6 months and to 14.8±1.0 points (p>0.05) by the 12th month. In 1 case (6.7%) out of 15, no union of the fractured fragments was observed. Conclusion: The technical solutions implemented in the BNB intramedullary rod contribute to the autodynamization of the bone-implant system under the action of a controlled load and muscle power on the limb without additional surgical interventions, which makes it possible to shorten the rehabilitation period for patients, resulting in the reduction of treatment expenses for this cohort of patients.https://doi.org/10.25005/2074-0581-2021-23-1-60-66ununited fructurefemoral boneintramedullary osteosynthesisfalse joint |
| spellingShingle | P.P. ZUEV YU.A. BARABASH I.A. NORKIN D.V. IVANOV O.A. KAUTS K.A. GRAZHDANOV A.P. BARABASH AUTO-DYNAMIC INTRAMEDULLARY OSTEOSYNTHESIS FOR FEMUR FRACTURES AND CONSEQUENCES OF INJURIES Паёми Сино ununited fructure femoral bone intramedullary osteosynthesis false joint |
| title | AUTO-DYNAMIC INTRAMEDULLARY OSTEOSYNTHESIS FOR FEMUR FRACTURES AND CONSEQUENCES OF INJURIES |
| title_full | AUTO-DYNAMIC INTRAMEDULLARY OSTEOSYNTHESIS FOR FEMUR FRACTURES AND CONSEQUENCES OF INJURIES |
| title_fullStr | AUTO-DYNAMIC INTRAMEDULLARY OSTEOSYNTHESIS FOR FEMUR FRACTURES AND CONSEQUENCES OF INJURIES |
| title_full_unstemmed | AUTO-DYNAMIC INTRAMEDULLARY OSTEOSYNTHESIS FOR FEMUR FRACTURES AND CONSEQUENCES OF INJURIES |
| title_short | AUTO-DYNAMIC INTRAMEDULLARY OSTEOSYNTHESIS FOR FEMUR FRACTURES AND CONSEQUENCES OF INJURIES |
| title_sort | auto dynamic intramedullary osteosynthesis for femur fractures and consequences of injuries |
| topic | ununited fructure femoral bone intramedullary osteosynthesis false joint |
| url | https://doi.org/10.25005/2074-0581-2021-23-1-60-66 |
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