Reconstructive and reparative surgery in osteosynthesis for an old right proximal femur fracture


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Abstract

The paper describes a clinical case of treatment for an old right proximal femur fracture in a young female patient. In the patient, the immunomodulator thymalin, human immunoglobulin, and the antiseptic sodium hypochlorite were prescribed in the early postoperative period for prevention of infectious complications and for fast-track recovery. Due to the correct choice of an osteosynthe-sis procedure and to the optimization of the early postoperative period, the patient was on crutches on day 2 after surgery; primary intention wound healing occurred. The patient was discharged on day 7 to continue outpatient treatment.

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About the authors

A. A Antonov

N.N. Priorov National Medical Research Center for Traumatology and Orthopedics, Minis-try of Health of Russia

E. I Solod

N.N. Priorov National Medical Research Center for Traumatology and Orthopedics, Minis-try of Health of Russia

Professor

A. F Lazarev

N.N. Priorov National Medical Research Center for Traumatology and Orthopedics, Minis-try of Health of Russia

Professor

D. V Vychuzhanin

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

R. V Gorenkov

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia; M.F. Vladimirsky Moscow Regional Research Clinical Institute

A. V Simonova

M.F. Vladimirsky Moscow Regional Research Clinical Institute

A. K Antonov

N.N. Priorov National Medical Research Center for Traumatology and Orthopedics, Minis-try of Health of Russia

K. A Antonov

N.N. Priorov National Medical Research Center for Traumatology and Orthopedics, Minis-try of Health of Russia

N. M Sinyukova

N.N. Priorov National Medical Research Center for Traumatology and Orthopedics, Minis-try of Health of Russia

References

  1. Шестерня Н.А., Гамди Ю.Ф., Иванников С.В. Переломы шейки бедра. Современные методы лечения. М.: Бином, Лаборатория знаний, 2005; 104 с
  2. Seyfettionglu F., Ersan O., Kovalak E. et al. Fixation of femoral neck fractures with three screws: results and complications. Acta Orthop Traumatol Turc. 2011; 45 (1): 6-13. doi: 10.3944/AOTT.2011.2434
  3. Гульназарова С.В., Мамаев В. И., Зубарева Т.В. Осложнение при эндопротезировании плечевого сустава у пациентов с застарелыми переломами и переломо-вывихами проксимального отдела у плечевой кости. Гений ортопедии. 2016; 1: 48-51 doi: 10.18019/1028-4427-2016-1-48-51
  4. Войтович А.В. Шестилетний опыт экстренного эндопротезирования. Актовая речь. СПб: Изд-во Российского научно-исследовательского института травматологии и ортопедии им. Р.Р. Вредена, 1999; 28 с.
  5. Sendtner E., Renkawitz T., Kramny P. et al. Fractured neck of femur -internal fixation versus arthroplasty. Dtsch ArzteblInt. 2010; 107 (23): 401-7. doi: 10.3238/arztebl.2010.0401
  6. Ключевский В.В. Хирургия повреждений. Руководство для травматологов, хирургов районных больниц, врачей участковых больниц, фельдшеров ФАП и здравпунктов. М.: ГЭОТАР-Медиа, 2013; 878 с.
  7. Johansson T., Risto O., Knutsson A. et al. Heterotopic ossification following internal fixation or arthroplasty for displaced femoral neck fractures: a prospective randomized study. Int Orthop. 2001; 25 (4): 223-5. doi: 10.1007/s002640100263
  8. Клюшин Н.М., Ермаков А.Н., Науменко З.С. и др. Этиология острой перипротезной инфекции суставов и результаты ее хирургического лечения. Гений ортопедии. 2017; 23 (4): 417-22 doi: 10.18019/1028-4427-2017-23-4-417-422
  9. Lorczynski A., Kozdryk J. Long term results of femoral neck fractures in children. Chir Narzadow Ruchu Ortop Pol. 2007; 72 (4): 259-63.
  10. Wu C.C. Using biomechanics to improve the surgical technique for internal fixation of intracapsular femoral neck fractures. Chang Gung Med J. 2010; 33 (3): 241-51.
  11. Majernicek M., Dungl P., Kolman J. et al. Osteosynthesis of intracapsular femoral neck fractures by dynamic hip screw (DHS) fixation. Acta Chir Orthop Traumatol Cech. 2009; 76 (4): 319-25.
  12. Anglen J.O., Baumgaertner M.R., Smith W.R. et al. Technical tips in fracture care: fractures of the hip. Instr Course Lect. 2008; 57: 17-24.

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