ABSTRACT
The work gives an analysis of results of operative treatment of 63 patients with different injuries of the musculus quadriceps femoris. Problems of diagnostics, surgical strategy and operative technique are discussed depending on the character of injuries (open and closed), their localization and ways of rehabilitation of the patients in the postoperative period.
Subject(s)
Leg Injuries/diagnosis , Muscles/injuries , Wounds, Nonpenetrating/diagnosis , Casts, Surgical , Humans , Leg Injuries/surgery , Muscles/surgery , Postoperative Care/methods , Remission Induction , Rupture , Wounds, Nonpenetrating/surgeryABSTRACT
Problems of diagnosis, choice of the therapeutic tactics, and the results of operative treatment in 23 patients with various fractures of the tibial condyles are analysed. Computed tomography of the knee joint is recommended for precise diagnosis of injuries to the proximal metaepiphysis of the tibia. The authors recommend an operative intervention in any displacement of a condyle (condyles) in patients of mature age and in fractures of a condyle (condyles) without displacement but combined with other intraarticular injuries (to the ligaments, menisci) which are corrected in one-stage with osteosynthesis. The choice of the method for osteosynthesis is determined by the character and direction of the plane of the fracture, and the manipulation may be carried out with AO compression screws or an AO supporting plate on screws. Primary autospongiosoplasty is recommended in all cases of condylar fractures with depression of the articular cartilage. The performance of stable osteosynthesis makes it possible to decline immobilization of the knee joint in the postoperative period even after primary restoration of the collateral ligaments. Study of the late-term results of treatment confirm the expediency of wider introduction of these methods into trauma-tological practice.
Subject(s)
Fracture Fixation, Internal/methods , Knee Injuries/surgery , Tibial Fractures/surgery , Bone Nails , Fracture Fixation, Internal/instrumentation , Humans , Knee Injuries/diagnostic imaging , Knee Injuries/etiology , Tibial Fractures/complications , Tibial Fractures/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
The work analyses problems of the diagnosis, choice of therapeutic tactics, and the results of operative treatment in 119 patients with various fractures of the patella. Emergency operative treatment is recommended in patellar fractures with damage to the extension apparatus of the knee. The authors believe osteosynthesis with application of a "tightening" wire loop after Weber to be the method of choice in transverse and macrofragmental fractures of the patella (92 cases). Avulsion fractures of the lower patellar pole are an indication for removal of the freely lying bone fragments and subsequent application of a "blocking" wire loop. Study of the late-term results of treatment confirm the expediency of wider introduction of these methods into traumatological practice.
Subject(s)
Fracture Fixation, Internal/methods , Fractures, Closed/surgery , Fractures, Open/surgery , Patella/injuries , Postoperative Complications/prevention & control , Aged , Bone Nails , Fracture Fixation, Internal/instrumentation , Fractures, Closed/rehabilitation , Fractures, Open/rehabilitation , Humans , Middle Aged , Patella/surgery , Physical Therapy Modalities , Postoperative Care , Postoperative Complications/etiologyABSTRACT
In the article is presented the improved method of knee joint extension system restoration by means of blocking wire loop, passed through the formed canals: in tibia--one cross canal and in patella--two longitudinal canals. This method has been applied in 6 patients with injuries of proper ligament of patella and in 18--with patella avulsive fractures. Long-term results have been followed with 12 patients. 11 of them achieved complete restoration of knee joint mobility irrespective of the injury nature.
Subject(s)
Fracture Fixation, Internal/methods , Fractures, Bone/surgery , Ligaments, Articular/injuries , Ligaments, Articular/surgery , Patella/injuries , Patella/surgery , Bone Wires , Follow-Up Studies , Fracture Fixation, Internal/instrumentation , Humans , Rupture , Tibia/surgeryABSTRACT
Experience with the clinic in operative treatment of fresh damage of the ligaments of the knee joint (90 cases) is analysed. The authors dwell on the problems of diagnosis and the choice of the surgical tactics in isolated and multiple injuries to the ligaments. It is shown that operative restoration of the damaged ligaments in the earliest period after the trauma makes it possible to normalize the relationship of the injured elements. Good results were produced--complete stability and restoration of the function of the joint allows the suggested tactics to be recommended for wide introduction into traumatological practice.
Subject(s)
Knee Injuries/surgery , Ligaments, Articular/injuries , Multiple Trauma/diagnosis , Humans , Knee Injuries/complications , Knee Injuries/diagnosis , Ligaments, Articular/surgery , Multiple Trauma/surgery , Postoperative Care , Rupture , Suture Techniques , Time FactorsABSTRACT
The article analyses problems of the diagnosis, the choice of the therapeutic tactics, and the results of operative treatment in 478 patients. Operation undertaken as early as possible after the injury is indicated in fresh fractures of the patella with displacement of the fragments, ruptures of the tendon of the quadriceps femoris muscle and the patellar ligament. The authors prefer stable fixation of patellar fractures by means of a "tightening" wire loop and a "blocking" wire loop in injuries of the patellar ligament. Additional external immobilization is not employed. Study of the late-term results of treatment confirm the expediency of wider introduction of these methods into traumatological practice.
