ABSTRACT
Two hundred eighty-nine patients with multiple bone fractures who had combined impairment of bones and soft tissues were treated from 1960 to 1993 in the authors' institution. All patients were transferred from local hospitals of the Moscow district between several months and 3 years after trauma, and had neglected fractures complicated by dislocations, false joints, and imperfectly united bone fractures. The authors prefer an individual approach to patient treatment and used simultaneous surgical intervention on several bone segments using stable osteosynthesis with AO-POLDI plates and the Ilizarov apparatus. Two-stage operations were done in cases of > or = 3 injured segments. Positive results with restoration of the extremity and its supporting motor systems were obtained in 96% of patients.
Subject(s)
Contracture/surgery , Fractures, Ununited/surgery , Joint Deformities, Acquired/surgery , Multiple Trauma/complications , Multiple Trauma/therapy , Bone Plates , Humans , Ilizarov Technique , Pseudarthrosis/surgery , Soft Tissue Injuries/complicationsABSTRACT
The article analyses experience in the treatment of 125 patients with ununited fractures and pseudarthrosis of the humeral diaphysis by osteosynthesis with massive compressing metal plates. The possibility of creating the necessary reserve of mechanical stability at the expense of the massive plates and strained fixation allows immobilization in a plaster cast to be avoided in most cases and early motor rehabilitation of the patients to be undertaken. The results were positive in 96.8% of cases, which makes it possible to consider the method to be sufficiently effective in the management of fractures of the humeral diaphysis and their sequelae.
