УСТРОЙСТВО ДЛЯ ЗАКРЫТОЙ РЕПОЗИЦИИ, ФИКСАЦИИ КОСТНЫХ ФРАГМЕНТОВ И ПОСЛЕДУЮЩЕГО ВЫПОЛНЕНИЯ ПОГРУЖНОГО ОСТЕОСИНТЕЗА У БОЛЬНЫХ С ПЕРЕЛОМАМИ МЫЩЕЛКА ПЛЕЧЕВОЙ КОСТИ

Abstract

Background. Intra-articular fractures of the distal humerus are complex injuries that can subsequently significantly limit the function of the elbow joint. Transosseous osteosynthesis has a number of undeniable advantages: low trauma, accurate reposition of bone fragments using closed methods, stable fixation of bones, early movements in the injured joint both with and without hinges. However, this method of surgical treatment is not without a number of complications. Objective. Develop and test a device for closed reposition, fixation of bone fragments in patients with fractures of the distal humerus and subsequent ORIF. A device has been develop for closed reposition, temporary fixation of bone fragments in patients with fractures of the humerus condyle and subsequent ORIF. In 24 patients with intra-articular fractures of the distal humerus (according to the AO classification: 13 - C2 - C3), internal fixation was performed. In patients of the first group (comparison group, 14 cases), one-stage open osteosynthesis with submersible fixators was performed within 4–14 days after injury. In patients of the second group (main group, 10 cases), a two-stage treatment of fractures of the condyle of the humerus was carried out using the developed device. Results. All patients of the main group achieved good results of treatment: no complications were detected; the timing of fracture consolidation did not differ from the average.