Intramedullary blocking implants are new possibilities in the treatment of patients with fractures of tubular bones

Tazhimuratov, Makhanov, Zhanysov, Zhamashev, Khamidolla, Yusupov, Orazaliyev, Baikubesov
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Abstract

We have produced 49 shoulder, femur and tibia osteosynthesis by bloking internal fixation in 47 patients with multiple and combined trauma. Paraarticular and diaphyseal femur fractures were predominated and found in 18 patients (39%), humerus fractures were detected in 9 (20%) of victims of diaphyseal shin fractures were observed in 22 (47%) patients. Multiple injuries of two or three segments were identified in 6 (13%) patients. We have applied the primary dynamic blocking concerning the stabilization of the transverse and oblique diaphyseal fractures, and we have performed static blocking fragments with comminuted fractures. Postoperative complications were observed in 8 (17%) patients patients. Outcomes were followed up in 39 patients in terms of 8 to 18 months. Favorable anatomical and functional results were stated in 32 (68%) patients.
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髓内阻断植入物为治疗管状骨骨折提供了新的可能性
我们对47例多发和合并创伤患者进行了49例肩、股骨和胫骨阻断内固定术。关节旁骨折和股骨骨干骨折以18例(39%)为主,肱骨骨折9例(20%),胫骨骨干骨折22例(47%)。6例(13%)患者有2节段或3节段多发损伤。我们对横向和斜向骨干骨折的稳定应用了初步的动态阻断,并对粉碎性骨折进行了静态阻断碎片。术后出现并发症8例(17%)。39例患者随访8 ~ 18个月。32例(68%)患者解剖和功能结果良好。
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