ORIGINAL METHOD OF FEMORAL NECK OSTEOSYNTHESIS WITH NON-FREE AUTOPLASTY

Travmatologiâ i Ortopediâ Rossii

R. M. Tikhilov¹  A. Yu. Kochish¹  V. V. Karelkin¹  B. M. Kornilov¹ 

[1] ФГБУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р. Р. Вредена» Минздравсоцразвития России;

关键词: femoral neck facture;    osteosynthesis;    bone autoplasty;   

DOI  :  10.21823/2311-2905-2011-0-3-91-96

来源: DOAJ

【 摘 要 】

Applied topographic-anatomical studies were carried out on 12 fixed lower extremities and revealed that in the anterior portion of the middle gluteus muscle 4 cm in width the upper branches of the gluteal vessels are always held supplying the area of the iliac crest. Taking into account the received data the authors proposed a new method of femoral neck osteosynthesis with non-free autoplasty by the autograft from the iliac crest, which is moved at constant muscle-vascular supply pin and fixed with screw in the fracture. Osteosynthesis using the proposed method was performed in 24 patients and provided the union of fractures in all cases in a period of 5 to 8 months. Analysis of long-term results of treatment of 22 patients performed 3 years after the operations showed good function of injured joints and no evidence of avascular necrosis of the femoral head in 18 (83.3%) cases.

【 授权许可】

Unknown