OPTIMIZING DISTRACTION OSTEOSYNTHESIS IN PATIENT WITH THE TIBIAL SEGMENT TISSUE LOSS AFTER FRACTURES

Wiad Lek. 2022;75(11 pt 2):2738-2743. doi: 10.36740/WLek202211205.

Abstract

Objective: The aim: Improving treatment outcomes in patients with segment tibial bone tissue loss after fractures by improving the ring fixators technology.

Patients and methods: Materials and methods: The study includes the data of 77 patients. The patients were distributed between two groups: the main and control one, using random numbers table. The inclusion criteria were: patients' consent, their age over 18 years, tissue inflammation episodes, fibular defects 4-5cm in size and disseminated scar lesions. RF was applied with the proposed improvements. Finally, a semi-rigid external fusion system Softcast / Scotchcast was used to prevent deformation of the regenerate and create optimal conditions for fusion of fragments.

Results: Results: The following results were obtained for the Modified Functional Evaluation System by Karlstrom-Olerud: positive treatment outcomes in the main group made up 97.1%, and 92.9% in the control one. Though, the specific gravity of good and excellent outcomes in the main group was 82.8%, while in the comparison group - just 45.2.

Conclusion: Conclusions: Along with considerable positive advantages of the "Ilizarov's" apparatus, some disadvantages have been noted. Elimination of the drawbacks is stipulated for the practical needs, which requires further scientific study.

Keywords: bone defects; fractures; tissue loss.

MeSH terms

  • Adolescent
  • Fibula
  • Fracture Fixation, Internal
  • Humans
  • Tibia / surgery
  • Tibial Fractures* / surgery
  • Treatment Outcome