Previous Next

ARCHIVE

№2' 2019

ORTHOPEDICS

International Medical Journal, Vol. 25., Iss. 2, 2019, P. 45−48.

COMPARATIVE ESTIMATION OF APPLICATION EFFICIENCY OF MINIMALLY INVASIVE TECHNOLOGIES TO TREAT FOUR LOCALIZATIONS OF LESIONS OF LONG BONE DISTAL METAEPIPHYSES

SI "Sytenko Institute of Spine and Joint Pathology" of the National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine

The problem of treating the injuries of distal metaepiphysis of the long bones has remained relevant due to a large number of complications, both infectious−necrotic and associated with impaired regeneration. Analysis of the treatment results for such patients suggests that at the planning stage of the treatment process, it is necessary to take into account not only the classification features and individual characteristics of each specific damage, but also the degree of patient motivation, his/her readiness for productive cooperation. In order to substantiate the tactics of treatment of injuries to distal metaepiphysis of the long bones with a decrease in the share of plate osteosynthesis and, accordingly, an increase in the one of minimally invasive technologies, 210 patients were treated with damage to the humerus, forearm, hip, and tibia. In the case when it is possible to avoid a traumatic surgery with the guaranteed result, one should use minimally invasive, biologically justified, and therefore less dangerous techniques (extrafocal osteosynthesis, fixed method, skeletal traction). Comparative evaluation of the results of treatment of patients with injuries to the distal long−bone metaepiphysis entitles to speak about the effectiveness and expediency of applying the proposed treatment tactics.

Key words: damage of long bone distal metaepiphyses, minimally invasive technologies, skeletal osteosynthesis.