Treatment of patients with tibia fractures using a universal device, capable of adapting the shape of supports to the anatomical configuration of a segment

Abstract

A comparative analysis of the clinical results of treatment of 60 patients with tibia fractures was carried out by the method of transosseous osteosynthesis using external fixation devices (EFD) of the type, combining various designs. Depending on the suggested methods of treatment, these patients were divided into two clinical groups. The first group consisted of 30 patients, who were performed osteosynthesis using EFD, constructed from H.A. Ilizarov’s kit of parts, the second (main) group was formed of 30 patients, who were performed osteosynthesis using the developed universal device, capable of adapting the shape of supports to the anatomical configuration of a segment. According to the results obtained, the average period of EFD fixation was 146,2 days for the patients from main (II) group, which is less by 27,6 % (202,1 days) in comparison with the first group. The maximum specific weight (86,7 %) of patients with a normal (up to 1, 5 of medium term) term of consolidation was observed in the second group under study, which is by 23,4 % more, than in the first group (63,3 %). Correspondingly, the second group had 13,3 % of medical cases with delayed consolidation, which is by 23,4 % less, than in the first group (36,7 %). Сoncerning the clinical results of treatment according to the evaluation system of Lyuboshitz-Mathis-Schwarzberg, the main (II) group showed good results in 86,7 % of patients, which is more by 20 %, if compared to the first one (66,7 %). The main group had 13,3 % of satisfactory results, which is less by 13,4%, than in the first group (26,7 %). The number of unsatisfactory results in group I was 6,6 %, whereas there was none in group II. Owing to its capability of adapting the shape of supports to the anatomical configuration of a segment, the universal device enables to load an injured extremity at a very early stage, thus making it possible to optimize the term of consolidation and improve anatomic-functional results of treatment in patients with tibia fractures.