Combined osteosynthesis for tibial shaft fracture treatment
Introduction Widespread use of intramedullary and extramedullary implants, as well as external fixation devices, has demonstrated that current surgical methods are not always successful. The study aimed to assess the efficiency of a combination of transosseous osteosynthesis with intramedullary re...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2023-12-01
|
| Series: | Гений oртопедии |
| Subjects: |
| Summary: | Introduction Widespread use of intramedullary and extramedullary implants, as well as external fixation devices, has demonstrated that current surgical
methods are not always successful. The study aimed to assess the efficiency of a combination of transosseous osteosynthesis with intramedullary
reinforcement using elastic titanium hydroxyapatite-coated rods (HA-rods) in long bone fracture treatment. Material and methods Medical records
of 40 patients aged from 18 to 55 years with closed diaphyseal tibia fractures of A1-A3 type (AO/ASIF) treated with the Ilizarov transosseous
osteosynthesis method combined with intramedullary elastic HA-coated wires were analysed. Result Ilizarov fixator removal was performed on average
45.3 ± 14.7 days after surgery. Radiological signs of bone union (immature callus, patterns of periosteal and endosteal stratifications overlapping
the fracture line) were visible by week 3 to 4. Discussion Соmbination of the external fixator and intramedullary elastic HA-coated wires overcomes
shortcomings of both external and internal means of fixation. External osteosynthesis provides advantages of the Ilizarov method: preservation of blood
supply, absence of soft tissue injury, joint function and early weightbearing. Elastic intramedullary wires do not injure a. nutricia and mechanically
stimulate endosteal and periosteal bone formation. Conclusion The advantages of combined osteosynthesis provide reduction of Ilizarov apparatus
fixation time, reduction in the number of wires and half-pins in the frame assembly, stimulation of bone callus formation and prevention of secondary
bone fragment displacement. |
|---|---|
| ISSN: | 1028-4427 2542-131X |