PubMed Health⌕ Search

Biomedical subjects

N L Ankin

Publications and source records attributed to N L Ankin.

7 recordsLinked to original sources

[The surgical choice strategies in the treatment of femoral bone fractures in injured persons with combined trauma].

In 1990-1999 years osteosynthesis of the hip bone was performed in 500 injured persons with combined trauma. In 63.1% patients the plates were used, in 19.6%--pivots, in 17.3%--apparatuses of external fixation. The choice of the method and optimal terms of performance of the surgical stabilization procedure of fracture were determined by the trauma severity in accordance with anatomo-functional model. In 12-18 months after the operation 198 patients were examined. Good result was noted in 79.6% of patients, satisfactory--in 17.3%, bad--in 3.1%.

Femoral Fractures↗

[Osteosynthesis in injury to the pelvic girdle].

The pelvic bones osteosynthesis was conducted in 94 patients. While planning the treatment the author have used the pelvic injuries classification of AO. The plates, screws, the external fixation apparatus, the method of 8-figure wire circlage were used for osteosynthesis. In 6 patients osteosynthesis was conducted for stable pelvic fracture (of the iliac bone in young patients), in 48 the operation on the anterior half--ring was conducted for the rotationally nonstable injury, in 38--for the vertical--nonstable fracture. Osteosynthesis of the ventral and dorsal parts of pelvis was conducted in 12 patients. The introduction of the stable-functional osteosynthesis methods have permitted to exclude the necessity of the additional immobilization application, to achieve good results in the majority of patients with pelvic injuries.

Follow-Up Studies↗

[The use of osteosynthesis in fractures of acetabular fossa].

The experience of operative treatment of 56 injured persons with the acetabular fossa fracture was summarized. The intraarticulational fracture with the fragments shift in more than 3 mm is an indication for the operation conduction. An optimal terms are the fourth-seventh days. Osteosynthesis was conducted using inguinal-iliacal, direct lateral iliacal-femoral approaches or Kocher-Langenbeck's incision. Cortical and spongy screws, narrow and reconstructive plates were used for fixation. Good result was noted in 84.5% of patients, fair-in 12.5%, poor-in 3%.

Acetabulum↗

[Surgical treatment of fractures of long bones in a patient with multiple injuries].

The authors recommend application of the intramedullary and extracortical osteosynthesis methods while the trauma severity constituting less than 25 marks according to the ISS scale, the extracortical one--in 25-40 marks, and the external one--in more than 40 marks. Three patients died after the early conduction of osteosynthesis and 15--after the postponed one of the whole 315 operated injured persons with polytrauma. The miniinvasive extracortical osteosynthesis using the minimal contact plates, the intramedullary osteosynthesis using the rods with the hightened rotational stability and the external osteosynthesis using pivotal apparatuses were applied for the long bones fractures treatment.

Fracture Fixation, Internal↗

[Osteosynthesis in patients with associated cranio-cerebral trauma].

In the article are presented the results of surgical treatment of 176 patients with associated craniocerebral injury. To the primary osteosynthesis in the first post-hospital day have been subjected 75 patients and to the postponed osteosynthesis--101 patient. For osteosynthesis there have been applied the methods of stable-functional osteosynthesis by plates (57.3%), by means of the external fixation apparatus (19.8%), by rods (10.8%) and by other means. The experience of the primary osteosynthesis, including the experience of simultaneous operation on 2-3 segments with application of the atraumatic technique, indicates that the operation doesn't aggravate the severity of injury but ensures more quick rehabilitation of the patients with craniocerebral injury, guarantees the complete restoration of function during 1-2 post-operative months.

Arm Injuries↗