RESUMO
The surgical tactics was analyzed in 102 patients operated on the comminuted thigh fractures. 95 patients were administered in a state of shock; 48 patients had multiple and combined injuries. All patients were operated on with the use of modern metal constructions. Bone fragments' fixation was performed with the use of splint (n=75) or adaptive ostheosynthesis (n=27), in aggreagation with the "KollapAn" fixation substance. Excellent results were acquired in 64 patients, good - in 25 patients and satisfactory - in 12 patients. The long-term results after the year were obtained in 82 patients. The results of the follow-up coincided with those, achieved in postoperative rehabilitation period.
Assuntos
Durapatita , Fraturas do Fêmur/cirurgia , Fixação Interna de Fraturas/métodos , Fraturas Cominutivas/cirurgia , Adulto , Placas Ósseas , Feminino , Humanos , Masculino , Coxa da PernaRESUMO
Treatment results of 32 patients with pathologic fractures of cervical vertebrae bodies were analyzed. Vertebral destruction was due to tumour metastases (18 patients), nonspecific spondylitis (12 patients) and fibrocystic displasia (2 patients). Myelopathy with local and radicular pain syndrome was registered in all cases before the operation. All patients underwent the destroyed vertebral body replacement by the carbonic implant with collapanoplasty. Pain was relieved in all cases, full and partial myelopathy regression was registered in 27 and 5 patients, respectively.
