Saratov JOURNAL of Medical and Scientific Research

comminuted fractures

Surgical management of humeral shaft comminuted fractures

Year: 2019, volume 15 Issue: №3 Pages: 636-640
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Grazhdanov КА, Barabash АР, Barabash YuA, Chibrikov AG, Kauts OA, Ermolaev PE.
Organization: Saratov State Medical University

Objective: based on retrospective outcome review of surgical rehabilitation perform assessment of possible usage for intramedullary locking rod structures meant to treat comminuted fractures of humeral shafts. Material and Methods. The intramedullary cross-locking rods were used to fix the fragments. The structures were inserted into humeral shafts by antegrade or retrograde techniques. In most cases surgical interventions were conducted as fracture closed reductions, at that the length and the axis of the limbs were restored without any additional fixation of separate fragments. Results. The review of outcomes for 33 patients with complicated traumatic destructions of humeral shafts showed high efficiency of intramedullary locking rod structures at managing patients with this type of injuries. Conclusion. Small surgical trauma and solid fixation provide for early functional rehabilitation of injured extremities as well as patients» quick return to everyday routine and activity before the fracture heals completely.

2019_03_363-640.pdf635.55 KB

Transpedicular fixation in comminuted fractures of bodies of thoracic and lumbar vertebrae

Year: 2014, volume 10 Issue: №3 Pages: 441-446
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Zaretskov V.V. Arsenievich V.B, Likhachev S.V., Shulga A.E., Titova Ju.l..

Research Objective: improvement of transpedicular fixation technique in cases with spine injuries accompanied by vertebral body splintering. Material and Methods. Transpedicular spondylosynthesis was performed in 52 patients aged 18-49 years with comminuted fractures of thoracic and lumbar vertebral bodies. Individual peculiarities of the operation depended on the character of the injury ascertained during the preoperative examination. Standard roentgenography and computer tomography were used. Results. Lasting antalgic effect was observed in 94,2% of the operated patients. In cases with type A3 fractures according to F. Magerl the rate of the surgical correction of the pathologic posttraumatic kyphotic deformity averages 87%. Injuries classified as type A2, B2 or C2 were the indication for transpedicular os-teosynthesis by advanced techniques. Conclusion. Transpedicular spondylosynthesis is one of the effective methods of treatment of patients with comminuted fractures of thoracic and lumbar vertebral bodies, and the choice of carrying out of the procedure depends on the injury character. In cases with comminuted fractures of type A2, B2, C2 it is reasonable to perform transpedicular spondylosynthesis with introduction of the transpedicular screws into the injured vertebral body, and the technique of their use depends on the injury character.

2014_03_441-446.pdf850.47 KB