[Therapeutic tactics in trans-condylar fractures of the humerus in children after unsuccessful manual reposition of the fragments].
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Biomedical subjects
Publications and source records attributed to R R Khodzhaev.
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An experience with the treatment of 76 patients with multiple fractures of lower extremity bones (152 fractures) is presented. Traffic accidents were most frequent causes of the injuries. Late results were studied in 66 patients.
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An analysis of results of treatment of 87 children enabled the authors to recommend using a compression-distraction-derotation apparatus. Good results were noted in 63 patients, satisfactory ones in 23 patients. Unsatisfactory result was noted in 1 patient.
A metal plate with pegs for osteosynthesis was designed and introduced into practice for the treatment of diaphyseal fractures of the leg bones. Studies for appraising the tension-deformity condition proved that installation of 20 cone-shaped pegs on the inner surface of the plate increases the stability of fixation 3.6-fold. Besides, the cone-shaped pegs facilitate maintenance of intactness of the vessels of the periosteum and soft tissues as a result of which the conditions for healing of the fractures improve. Operations were carried out on 43 patients, in 41 with good outcomes. External immobilization was not applied in the postoperative period, early restorative treatment was conducted.