TREATMENT OF PATIENTS WITH OPEN COMPLICATED FOREARM FRACTURES

• Main Authors: V. A. Neverov, S. N. Chernyaev
• Format: Article
• Language: Russian
• Published: Pavlov First Saint Petersburg State Medical University 2018-01-01
• Series: Вестник хирургии имени И.И. Грекова
• Subjects: кости предплечья; открытые переломы; несросшиеся переломы; этапное лечение; интрамедуллярный остеосинтез; блокирующий остеосинтез; forearm bones; open fractures; healing failure of fractures; stage treatment; intramedullary osteosyntesis; blocking osteosyntesis
• Online Access: https://www.vestnik-grekova.ru/jour/article/view/683

The blocking osteosynthesis is preferable in the case of open forearm fractures of the I degree. The treatment of patients with open comminuted complicated forearm fractures should be reasonable to perform in two stages: at the first stage, healing of soft tissues with fixation in the apparatus of external fixation should be obtained. At the second stage, the conversion of external fixator on interlocking nail with single-stage performance of osteoplasty as needed should be carried out. The presented experience of treatment of healing failure, pseudoarthroses and forearm bone defects by developed method allows the practical application of the method to be recommended.