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Long-term results of internal-and-transosseous osteosynthesis of intraarticular fractures of the proximal femur

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We analyze the condition of 28 patients who underwent internal-and-transosseous metal osteosynthesis of the femoral neck. We use clinical, radiological and functional research methods for the examination. In clinical research methods, the main attention was paid to the patient's gait, pain syndrome, which was evaluated both during physical exertion and at rest. The radiological methods of the study assessed the signs of consolidation of bone fragments, the presence of bone trabeculae, which, without interruption, pass from the neck to the femoral head. In case of pain in the hip joint, a computed tomography was performed with the measurement of the length of the hip neck, which was compared with the length of the hip neck of the healthy side. The congruence of the articular surfaces and the articular gap of the hip joint were studied. Functional studies were carried out using the systems for assessing the state of the hip joint of Luboshitz–Mattis–Schwarzberg and W.H. Harris. The follow-up period ranged from 1 to 7 years. The obtained studies allowed an objective assessment of the long-term results of metal osteosynthesis of femoral neck fractures with an original fixator. A positive assessment of the long-term results of osteosynthesis of the femoral neck allows us to recommend using this fixator in clinical practice.

Keywords

intraarticular hip fracture; internal-and-transosseous osteosynthesis

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DOI

10.20310/2658-7688-2021-3-3(11)-7-11

UDC

617.58

Pages

7-11

References

1. Shesternya N.A., Gamdi Yu., Ivannikov S.N. Perelomy sheyki bedra [Femoral Neck Fractures]. Moscow: BINOM. Laboratoriya znaniy Publ.; 2005. (In Russian). 2. Tikhilov R.M., Karelkin V.V., Kochish A.Yu., Kornilov B.M. Original'nyy sposob osteosinteza sheyki be-drennoy kosti s nesvobodnoy kostnoy autoplastikoy [An original method of femoral neck osteosynthesis with non-free autoplasty]. Travmatologiya i ortopediya Rossii – Traumatology and Orthopedics of Russia. 2011;(61):91-6. (In Russian). 3. Belinov N.V. Optimizatsiya khirurgicheskogo lecheniya i reabilitatsii bol'nykh s perelomami proksimal'no-go otdela bedrennoy kosti: dis. … d-ra med. nauk [Optimization of Surgical Treatment and Rehabilitation of Patients with Fractures of the Proxy Femur. Dr. med. sci. diss.]. Moscow: RUDN University Publ.; 2017. (In Russian). 4. Belinov N.V. Metalloosteosintez perelomov sheyki bedrennoy kosti nakostno-chreskostnym fiksatorom [Metalosteosynthesis of femoral neck fractures with an internal-and-transosseous fixator]. Geniy ortopedii – Orthopaedic Genius. 2015;(2):13-6. (In Russian). 5. Yamshchikov O.N., Emelyanov S.A. Sovremennyy vzglyad na lechenie chrezvertel'nykh perelomov [A contemporary view on the treatment of trochanteric fractures]. Sovremennye problemy nauki i obrazovaniya – Modern Problems of Science and Education. 2020;(4):162. (In Russian). 6. Yamshchikov O.N., Emelyanov S.A., Mordovin S.A., Petrukhin A.N., Kolobova E.A., Greznev E.A., Ma-nyakhin R.S. Anatomicheskie osobennosti krovosnabzheniya sheyki bedrennoy kosti (obzor literatury) [Anatomical features of the blood supply to the femoral neck (literature review)]. Vestnik meditsinskogo in-stituta «REAVIZ»: reabilitatsiya, vrach i zdorov'e – Bulletin of the Medical Institute "REAVIZ": Rehabilitation, Doctor and Health. 2021;(50):11-7. (In Russian). 7. Belinov N.V., Bogomolov N.I., Ermakov V.S.; Chitinskaya gos. med. akad., applicant and patent holder. Apparat Belinova dlya zakrytogo kompressionnogo osteosinteza sheyki bedrennoy kosti [Belinov Appa-ratus for Closed Compression Osteosynthesis of Femoral Neck], pat. 2265413 RU, MPK7 A61V 17/74, 17/88, no. 2004104053/14; zayavl. 11.02.04; publ. 10.12.05, bul. no. 34, 11 p. (In Russian). 8. Belinov N.V.; Belinov N.V., applicant and patent holder. Ustroystvo dlya osteosinteza perelomov sheyki bedrennoy kosti [Device for Osteosynthesis of Femoral Neck Fractures], pat. 2508065 RU, MPK A61V 17/74 (2006.01), no. 2012125397/14; application 19.06.2012; publ. 27.02.2014, bul. no. 6, 12 p. (In Rus-sian).

Received

2021-06-30

Section of issue

Traumatology and orthopedics

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