ABSTRACT
Over 3500 cases of long bone fracture in children and adolescents were analysed by objective methods including USG, CT, osteodensitometry, thermography, polarography, and radionuclide studies. A group of patients with delayed consolidation of bone fragments was distinguished based on the results of clinical and instrumental investigations. Diagnostic criteria and early signs of delayed consolidation were established. Methods for the treatment of such children were improved taking into account localization of the fracture, clinical signs of delayed consolidation and its underlying causes.
Subject(s)
Fracture Fixation/methods , Fractures, Bone/diagnosis , Fractures, Ununited/diagnosis , Hand Injuries/diagnosis , Leg Injuries/diagnosis , Adolescent , Child , Densitometry/methods , Diagnosis, Differential , Fractures, Bone/surgery , Fractures, Ununited/surgery , Hand Injuries/surgery , Humans , Leg Injuries/surgery , Polarography/methods , Thermography/methods , Tomography, X-Ray Computed/methods , Trauma Severity IndicesABSTRACT
Rehabilitation of disturbed motor functions and control of the restoration process were realized in a stepwise mode to compensate one or several elements of the affected limb function at a single stage. A total of 656 children aged from 5 to 18 years with bone injuries of traumatic and post-traumatic origin were treated by extrafocal transosseous osteosynthesis. Differential approach to rehabilitative therapy at all treatment stages (and sometimes in the preoperative period) made it possible to compensate or restore the affected limb function.
