Treatment of Patients with Clavicle Fractures and Their Sequelae on the Basis of Biomechanical Conception of Bone Fragments Fixation

Abstract


Basing on the results of theoretical analysis and experimental studies, biomechanical characteristics (resistance to displacement) of clavicle fragments of various length were determined. With regard for obtained data the requirements and indications to the application of various osteosynthesis techniques (transosseous, epiosseous, intramedullar) in different types of fractures were formulated. Treatment of clavicular fractures and their sequelae in accordance with biomecha-nical conception of fragments fixation was performed in 223 patients. Long term results were evaluated in 178 patients. Excellent results were achieved in 135 (75.9%) cases, good - in 26 (14.6%), satisfactory - in 10 (5.6%) and unsatisfactory - in 7 (3.9%) of cases. The results of the study showed that at observance of all biomechanical principles of bone fragments fixation it was possible to improve the outcomes of clavicular fractures treatment and to reduce the rate of complications considerably.

References

  1. Зинченко А.Т. Стабильно-функциональный остеосинтез при переломах и ложных суставах ключицы. - М., 1991. - С. 34-36.
  2. Пешехонов Э.В. Применение аппарата внешней фиксации в лечении оскольчатого перелома ключицы при сочетанной травме //Воен.-мед. журн. - 2005. - N 2. - С. 49-50.
  3. Пичхадзе И.М. Атлас переломов костей конечностей и таза. - Москва; Лондон, 2002. - С. 3-5.
  4. Пичхадзе И.М., Кузьменков К.А., Жадин А.В. и др. Лечение переломов и их последствий аппаратом Пичхадзе для монополярной и полиполярной фиксации костных отломков //Вестн. травматол. ортопед. - 2006. - N 1. - С. 18-24.
  5. Редько М.Р. Лечение ложных суставов и несросшихся переломов ключицы методом ЧКДО. - Хабаровск, 1995. - С. 23-25.
  6. Ромакина Н.А. Хирургическое лечение пациентов с переломами ключицы аппаратом внешней фиксации стержневого типа. - Самара, 2005. - С. 13-14.
  7. Самойлов М.А. Новое в лечении переломов ключицы стержнем //Вестн. РУДН. Серия "Медицина". - 2001. - N 3. - С. 56-57.
  8. Славко К.М. Лечение симптоматических несращений ключицы методом Илизарова //Гений ортопедии. - 2001. - N 3. - С. 34-36.
  9. Сысенко Ю.М. К вопросу о лечении переломов ключицы //Гений ортопедии. - 2000. - N 2. - С. 43-45.
  10. Bostman O., Manninen M., Pihlajamaki H. Complications of plate fixation in fresh displaced midclavicular fractures //J. Trauma. - 1997. - Vol. 43, N 5. - P. 778-783.
  11. Collinge C., Devinney S., Herscovici D. et al. Anterior-inferior plate fixation of middle-third fractures and nonunions of the clavicle //J. Orthop. Trauma. - 2006. - Vol. 20, N 10. - P. 680-686.
  12. Fuch M., Losch A., Sturmer K.M. Surgical treatment of the clavicle - indication, surgical technique and results //Zbl. Chir. - 2002. - Bd 127, N 6. - S. 479-484.
  13. Jubel A., Andermahr J., Weisshaar G. et al. Intramedullary nailing (ESIN) in clavicular pseudoarthroses. Results of a prospective clinical trial //Unfallchirurg. - 2005. - Vol. 108, N 7. - P. 544-550.
  14. Mullaji A.B., Jupiter J.B. Low-contact dynamic compression plating of the clavicle //Injury. - 1994. - Vol. 25, N 1. - P. 41-45.
  15. Schwars N., Hocker K. Osteosynthesis of irreducible fractures of clavicle with 2.7-mm ASIF plates //J. Trauma. - 1992. - Vol. 33, N 2. - P. 179-183.

Statistics

Views

Abstract - 33

Cited-By


Article Metrics

Metrics Loading ...

Refbacks

  • There are currently no refbacks.

Copyright (c) 2009 Pichkhadze I.M., Matsakyan A.M., Kuz'menkov K.A., Zhadin A.V., Tsiskarashvili A.V., Pichkhadze I.M., Matsakyan A.M., Kuzmenkov K.A., Zhadin A.V., Tsiskarashvili A.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies