[A method of perosseous fixation of crural bone fractures].
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Biomedical subjects
Publications and source records attributed to V M Gaĭdukov.
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An experience with treatment of 176 patients having false joints with low osteogenic activity is presented. An investigation of peripheral blood supply by the method of angiography and rheovasography has shown considerable alterations of the arterial blood flow. The internal osteosynthesis with retained ++inter-fragment tissues was used, as well as the interosseous fixation with repeated alternations of distraction and compression. Union was diagnosed in 162 patients (92%).
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The article analyzes causes of the development of false joints of the bones. In most of the patients (98.6%) there were local causes. One of the general causes is multiple endocrinopathy.
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UNLABELLED: In the paper is presented the experience of operative treatment of 149 patients with false joints of bones, which were subjected to internal osteosynthesis with preservation of inter-fracture tissues. The operation was carried out in the absence of real danger of suppuration. The most frequently operated were the patients with tibia pseudarthrosis (72.5%), fixed by means of a plate. Adhesion has been achieved with 96.7% of patients. COMPLICATIONS: osteomyelitis (1), skin necrosis (2), fractured fragment dislocation under the action of contractor compression application (2). In the process of treatment of 439 patients by means of internal osteosynthesis with dissection of inter-fracture tissues, separation of bone fractured fragments and medullar cavity opening, adhesion has been achieved with 87.2% of patients.
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Treatment of 706 patients with 708 false joints is described. 756 operations were fulfilled. Consolidation was achieved in 632 patients (89,9%). Principles of the treatment are described.
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