Biomechanically validated transosseus fixation in patients with femur pseudarthrosis complicated by chronic osteomyelitis
| Autor: | A. V Tsiskarashvili, K A Kuz'menkov, K. M Bukhtin, R. E Melikova, A. V Zhadin |
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| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | N.N. Priorov Journal of Traumatology and Orthopedics. 25:71-78 |
| ISSN: | 2658-6738 0869-8678 |
| Popis: | The aim of the study is to evaluate results of follow-up in patients with femur pseudarthrosis complicated by chronic osteomyelitis who underwent biomechanically validated transosseus fixation. Materials and methods. A retrospective study of transosseus fixation in 72 patients with femur pseudarthrosis complicated by chronic osteomyelitis was conducted. Described fixation was completed according to the biomechanical fixation conception from 2011 to 2017. Hybrid external fixator was applied to 38 (52,8%) patients, rod-based external fixator - to 34 (47,2%). Results. Full bone consolidation and pyoinflammatory process remission in treated femur bone is achieved in all cases. Results classified as excellent were acquired in 21 patients (29,5%), good - in 41 (57,7%), satisfactory - in 7 (9,8%), unsatisfactory - in 2 (3%). patients results were classified as unsatisfactory because of lacking of weight-bearing ability of the leg because of other reasons not related to consolidation. Conclusion. In patients with infected femur pseudarthroses external fixation using biomechanical conception allows to provide up to 97% positive clinical outcomes of the treatment. |
| Databáze: | OpenAIRE |
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