Method for Osteosynthesis of Long Tubular Bones Using a Distraction-Reposition Apparatus of External Fixation

Abstract

Over the past decades, the problem of treating multiple fractures of the limb bones has been the focus of attention of most orthopedic traumatologists in our country and abroad. The urgency of the problem is also determined by the fact that the nature of injuries and their consequences changes with a tendency to increase. Qualitative changes in the structure of injuries are due to an increase in the level of multiple and associated injuries. The use of sequential osteosynthesis in patients with fractures of the long tubular bones of the extremities implies primary stabilization of bone fragments with an externalfixation device and repeated immersion osteosynthesis, when it is possible to achieve stabilization of the patient's condition. There are various rod and pin devices for fixation, some of them are for fixing (which are necessary to remove before the operation), some for preliminary reposition of the fracture during the operation (necessary to remove the skeletal traction or plaster cast and apply the apparatus, which only adds steps to the procedure). The proposed technique is notable for its simple assembly and application, as well as its ease of construction, which ensures patient mobility and allows the patient to stabilize without imperfections and perform final immersion osteosynthesis.