ABSTRACT
In the process of clinical and expert examinations of 202 patients with crus bone open fractures, treated by conservative methods, it has been determined that good and satisfactory results have been obtained with 82 (40.6%) victims. At primary examination 92 (45.5%) patients were given the 11 group of invalidism and 28 (13.9%) patients were given the III group of invalidism. In order to decrease the number of expert mistakes, exclude the cases of unsubstantiated groups of invalidism determination and reduce the duration of the doctor's certificate term for victims of the given category, the authors propose to use 3 variants of prognostication of the expert--labour terminations of these damages. The number of the expert mistakes at primary examination of the patients, owing to the proposed method, has come to only 1.4%.
Subject(s)
Disability Evaluation , Expert Testimony , Fibula/injuries , Fractures, Open/therapy , Tibial Fractures/therapy , Adolescent , Adult , Humans , Middle Aged , PrognosisSubject(s)
Bone Nails , Fibula/injuries , Fracture Fixation, Internal/instrumentation , Fractures, Open/surgery , Models, Biological , Tibial Fractures/surgery , Biomechanical Phenomena , Equipment Design , Fibula/physiopathology , Fibula/surgery , Fracture Fixation, Internal/methods , Fractures, Open/physiopathology , Humans , Mathematics , Tibial Fractures/physiopathology , USSR , Wound Healing/physiologyABSTRACT
The authors analyse their experience in using screws and rods made of a biocompatible resolving high molecular polymer polyglycolid (produced in the USSR) in the surgical treatment of some kinds of fractures in 30 patients. The healing of the fractures took place within the normal terms in 27 patients, there was slow consolidation in 2 patients and a false joint in 1 patient. The resolution of conical rods takes place after 6 months, and that of the screws after 3 years, with complete restoration of the bone structure at the implantation site.
Subject(s)
Arm Injuries/surgery , Bone Screws , Fracture Fixation, Internal/instrumentation , Fractures, Bone/surgery , Leg Injuries/surgery , Polyglactin 910 , Polyglycolic Acid , Polymers , Adolescent , Adult , Aged , Biocompatible Materials , Female , Fracture Fixation, Internal/methods , Humans , Male , Middle Aged , Wound HealingSubject(s)
Arm Injuries/surgery , Fracture Fixation, Internal/instrumentation , Fractures, Bone/surgery , Leg Injuries/surgery , Nylons , Adolescent , Adult , Aged , Arm Injuries/diagnostic imaging , Bone Nails , Bone Screws , Evaluation Studies as Topic , Follow-Up Studies , Fractures, Bone/diagnostic imaging , Humans , Leg Injuries/diagnostic imaging , Middle Aged , RadiographySubject(s)
Prostheses and Implants , Radius Fractures/surgery , Radius/surgery , Adult , Aged , Female , Follow-Up Studies , Humans , Male , Methods , Middle Aged , Prosthesis DesignSubject(s)
Athletic Injuries/diagnosis , Tibial Meniscus Injuries , Adult , Athletic Injuries/surgery , Humans , Male , Menisci, Tibial/surgery , RuptureSubject(s)
Fractures, Bone/surgery , Orthopedic Fixation Devices , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Nylons , Postoperative CareABSTRACT
Results of the operative treatment of 15 patients with dislocation fractures of the anklebone and transastragalar dislocation of the foot were analyzed. Open reposition and fixation of fragments within the first hours after trauma are recommended as prophylactics of aseptic necrosis of block of the anklebone and deforming arthrosis. Subastragalar arthrodesis is indicated in not fresh dislocation fractures.
