BONE-CEREBRAL CHANNEL REAMING IN THE TREATMENT OF LIMBS BONE FRACTURES

Keywords: diaphyseal fracture, closed intramedullary blocking osteosynthesis, bone marrow canal, technology, reaming, anatomical and functional results, terms of fusion, quality of life

Abstract

The object of the study: clinical effect of intramedullary blocking osteosynthesis of fractures of the bones of the extremities without reaming of the bone marrow canal.

The problem to be solved: determination of the influence of surgical technology of intramedullary blocking osteosynthesis of bone fractures without reaming of the bone marrow canal on the qualitative and anatomical and functional results of treatment.

Main scientific results. The term of fusion of bone fragments in complete groups (including all localizations) in the group of patients who underwent surgery with reaming of the bone marrow canal was 4.21±0.46 months, while in the group without reaming of the canal it was much shorter – 3.47±0.51 months

Faster functional recovery of the limbs was also observed in cases that precluded bone marrow reaming – 96 % of good and 4 % satisfactory scores were obtained (80 % good and 20 % satisfactory in bone marrow reaming).

The technology of closed intramedullary blocking osteosynthesis without reaming of the bone marrow can optimize the time of fusion of bone fragments and get 91 % good and 9 % satisfactory results. Its effectiveness is to reduce the number of satisfactory treatment results by 19 %, the absence of unsatisfactory and increase the share of good results by 23 %.

The area of practical use of research results: clinics of traumatological profile of different levels, in which surgical treatment of fractures of the bones of the extremities are done.

An innovative technological product: technology of closed intramedullary blocking osteosynthesis without reaming of the bone marrow canal.

The area of application of an innovative technological product: clinical practice of using the technology of closed intramedullary blocking osteosynthesis without reaming of the bone marrow canal.

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Author Biographies

Asif Baglar ogly Mansyrov, Kharkiv National Medical University

Department of Emergency and Urgent Health Care, Orthopedics and Traumatology

Viktor Lytovchenko, Kharkiv National Medical University

Department of Emergency and Urgent Health Care, Orthopedics and Traumatology

Yevgeniy Garyachiy, Kharkiv National Medical University

Department of Emergency and Urgent Health Care, Orthopedics and Traumatology

Andriy Lytovchenko, Kharkiv National Medical University

Department of Emergency and Urgent Health Care, Orthopedics and Traumatology

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Published
2020-12-30
How to Cite
Mansyrov, A. B. ogly, Lytovchenko, V., Garyachiy, Y., & Lytovchenko, A. (2020). BONE-CEREBRAL CHANNEL REAMING IN THE TREATMENT OF LIMBS BONE FRACTURES. ScienceRise, (6), 40-50. https://doi.org/10.21303/2313-8416.2020.001559
Section
Innovative technologies in healthcare