[Results of the treatment of pseudarthrosis of the tibia by subsurface and extrafocal osteosynthesis]. / Rezul'taty lecheniia psevdoartrozov bol'shebertsovoi kosti pri pogruzhnom i vneochagovom osteosinteze.

The results of treatment of 417 patients with pseudoarthroses of the tibia (aged from 17 to 71 years) with the use of various methods: by internal fixation with auto- and allografts, metal plates as well as in the use of extranidal (extralocal) osteosynthesis were analysed. The number of consolidation failures was minimal after autoplasty by Khakhutov and bone autoplasty. The rate of healing after osteosynthesis was substantially lower in internal fixation, than in extranidal (extralocal) osteosynthesis. Inflammatory complications occur less frequently when osteoplasty by Khakhutov was used. The highest rate of complications was observed in tibialization and in bilocal osteosynthesis.

[The causes for the worsening of treatment results in patients with infected pseudarthroses of the tibia in recent years]. / Prichiny ukhudsheniia rezul'tatov lecheniia bol'nykh s infitsirovannymi psevdoartrozami bol'shebertsovoi kosti v poslednie gody.

Under analysis were results of treatment of 141 patients with infected pseudoarthroses of the tibia. Among them there were 10 women and 131 men aged from 18 to 62 years. The long-term results were followed-up during the period from 2 to 20 years. The analysis allowed a supposition that a combination of tibia segment resection and plasty with local tissues completed by suturing the wound, drainage and external fixation with the Ilizarov device leads to deterioration of the outcomes. A careful approach to treatment of such patients including the division of treatment into the stages of debridement and reconstruction seems to be more productive.