Saratov JOURNAL of Medical and Scientific Research

femur

Comparative analysis of external osteosyn-thesis in the treatment of patients with extraarticular fractures of proximal femur

Year: 2018, volume 14 Issue: №3 Pages: 552-557
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Kauts О.А., Barabash Yu.A., Barabash А.Р., Grazhdanov К.А., Shpinyak S.P.
Organization:
Summary:

Aim: to perform comparative analysis of surgical outcomes of patients with extraarticular fractures of proximal femur with the use of various types of external osteosynthesis. Material and Methods. 169 patients with extaarticular fractures of proximal femur who underwent surgical interventions with various kinds of external osteosynthesis were the subject of the study. Results. Extra-cortical osteosynthesis with DHS-construction provided the restoration of anatomic and functional characteristics by 90.3±0.6% of normal values in the short-term and by 95.2±0.4% in the long-term postoperative period. The implantation of intramedullary constructs resulted in high percentage of positive short-term (92.1±0.6%) and long-term (96.7±0.75%) treatment outcomes. Conclusion. The use of intramedullary osteosynthesis

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Application of external fixation devices for fractures of the femur in modern practice

Year: 2014, volume 10 Issue: №4 Pages: 645-648
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Ямщиков О.Н., Марков Д.А., Емельянов С.А.
Organization: Saratov State Medical University, Tambov State University n. a. G.R. Derzhavin
Summary:

Diaphyseal fractures of the femur are rather common. In the treatment of fractures of the femur various methods of osteosynthesis can be used: intramedullary, of plate, transosseus. In our country external fixation using external fixation devices has traditionally been popular. Objective. The analysis of the frequency of use of transosseous osteosynthesis in the treatment of fractures of the femur and the identification of the most common indications for the use of the method in the present practice. Materials and Methods. The analysis of the structure of external fixation in fractures of the femur, on the experience of treatment of 126 patients with diaphyseal fractures of the femur. Results. The results of the study revealed that the structure of the osteosynthesis of fractures of the femur transosseous osteosynthesis with the use of external fixation devices is not considered to be common and is used as an alternative method of treatment. Conclusion. The treatment of fractures of the femur using transosseous osteosynthesis is currently used mostly for open, comminuted fractures and revision osteosynthesis, as well as a high risk of infectious complications in the zone of fracture, due to complexity of the method, the lowest strength of fixation and a relatively high percentage of non-specific complications.

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Morphology of bone structures of acetabulum and femoral component of hip joint

Year: 2014, volume 10 Issue: №1 Pages: 32-38
Heading: Macro- and Micromorphology Article type: Original article
Authors: Anisimova Е.А., Yusupov K.S., Anisimov D.l., Bondareva E.V.
Organization: Saratov State Medical University
Summary:

Purpose: to reveal features of bone structures correlation of acetabulum and femoral components of a hip joint. Material and methods. The sizes of acetabulum, pelvis and proximal metaepiphysis of femur have been determined on 98 sets of pelvis and femurs and 120 KT-grams of adults. Results. Sexual and bilateral distinctions, correlation of bone structures of acetabulum, proximal metaepiphysis and femur have been revealed. Conclusion. The received values of the main morphometric parameters of bone structures of hip joint and pelvis and their correlation develop the database of clinical anatomy of hip joint.

Keywords: acetabulum, femur, pelvis
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Using of computer simulation in surgical treatment of patients with fractures of proximal femur

Year: 2010, volume 6 Issue: №2 Pages: 419-421
Heading: Traumatology and Orthopedics Article type: Original article
Authors: I.A. Norkin, A.A. Svistunov, D.A. Markov, O.A. Kautz, S.P. Shpinyak A.G. Khachatryan, V.N. Belonogov
Organization: Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics, First Moscow State Medical University n.a. I.M. Sechenov
Summary:

In this article questions of femur computer models base making for future it using in free patients medicine are discussed. Last allows possibility for educate doctors using computer models, increase their professional level and makes complications decrease. Comparing of fixation properties of DHS and PFN-A was performed

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