| About the author: |
Ye.E. Chip, A.V. Kalashnikov, O.V. Kalashnikov |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
The purpose of the study performed was: to develop an algorithm for tactics for surgical treatment of patients with fractures of the proximal tibia. The algorithm was based on the analysis of domestic and foreign literature sources, the results of own clinical studies on the treatment efficacy in 125 patients with proximal tibia fractures, who were treated at the clinic of the SI “ITO NAMS of Ukraine” and the Traumatology Department of KNMP “Globyne Central District Hospital” in 2008-2017, and biomechanical studies to determine the strength of fixation using different methods of osteosynthesis in proximal tibia fractures. Based on our own clinical and biomechanical studies, analysis of literature sources, an algorithm for surgical treatment tactics in patients with proximal tibia fractures has been developed, which will permit effective treatment of this severe orthopedic pathology at all stages of surgery. The developed algorithm permits a differentiated selection of surgical accesses, repositions and methods of bone fragments fixation, improves the efficacy of surgical treatment in patients with proximal tibia fractures and can be recommended for implementation in our country. |
| Tags |
proximal tibia fractures, surgical treatment, algorithm |
| Bibliography |
- Boymuradov GA, Dursunov AM, Shodiev BU. Spitse-sterzhnevoe ustroystvo dlya osteosinteza pri vnutri- i okolosustavnykh perelomakh kolennogo sustava. Geniy ortopedii. 2010; (2): 79-80. [in Russian]
- Gilev MV, Volokitina EA, Antoniadi Yu.V, Chernitsyn DN. Novyie podkhody k lecheniyu vnutrisustavnykh perelomov proksimalnogo otdela bolshebertsovoy kosti. Uralskiy meditsinskiy zhurnal. 2012; (6): 121-127. [in Russian]
- Kalashnikov AV, ChIp EE, Kalashnikov OV, Chalaydyuk TP. Viznachennya efektivnosti riznykh metodiv likuvannya perelomiv proksymalnoho viddilu velykogomilkovoyi kIstki. Visnyk travmatolohiyi ta ortopediyi. 2019; (4): .28-34. [in Ukrainian]
- Lazarev IA, ChIp EE, KalashnIkov AV, Skiban MV. Biomehanichnyi analiz nadiynosti fIksatsiyi kistkovykh vidlamkiv pry osteosintezi perelomiv proksymalnoho viddilu velykohomilkovoyi kIstky LCP-plastynoyu ta intramedulyarnym blokovanym stryzhnem. Travma. 2020; (3): .3-12. [in Ukrainian]
- Chelnokov AN, Bekreev DA. Intramedullyarnyi osteosyntez pri perelomakh verkhney treti bolshebertsovoy kosti – tekhnika na osnove chreskostnogo osteosinteza. Geniy ortopedii. 2011; (2): 102-6. [in Russian]
- Shapovalov VM, Hominets VV. Vozmozhnosti posledovatelnogo osteosinteza pri lechenii ranenykh s ognestrelnymi perelomami dlinnykh kostey konechnostey. Geniy ortopedii. 2010. (3): 5-12. [in Russian]
- Brunner A, Horisberger M, Ulmar B, Hoffmann A. Classification systems for tibial plateau fractures; does computed tomography scanning improve their reliability? Injury. 2010; (2): 173–78.
- Garnavos C. Intramedullary nailing with a suprapatellar approach and condylar bolts for the treatment of bicondylar fractures of the tibial plateau. JBJS Open Access. 2017; (2): 14-17.
- Hak DJ. Intramedullary nailing of proximal third tibial fractures: techniques to improve reduction. Orthopedics. 2011; (34): 532-35.
- Liporace FA, Stadler CM, Yoon RS. Problems, tricks, and pearls in intramedullary nailing of proximal third tibial fractures J. Orthop. Trauma. 2013; (1): 56-62.
- Masrouha KZ, Anderson DD, Thomas TP. Acute articular fracture severity and chronic cartilage stress challenge as quantitative risk factors for post-traumatic osteoarthritis: illustrative cases. Iowa Orthop. J. 2010; (30): 47-54.
- Mankar SH, Golhar AV, Shukla M, Badwaik PS, Faizan M, Kalkotwar S. Outcome of complex tibial plateau fractures treated with external fixator. Indian J. Orthop. 2012; (5): 570-74.
- Melvin JS. Open tibial shaft fractures: I. Evaluation and initial wound management .J. Am. Acad. Orthop. Surg. 2010; (1): 10-19.
- Jain D, Selhi HS, Mahindra P, Kohli S, et al Results of proximal tibial fractures managed with periarticular locking plates: A series of 34 cases. Original Research Paper. IJRRMS. 2012; (4): 1-5.
- Seong-Man Lee, Chang-Wug Oh, Jong-Keon Oh, Joon-Woo Kim. Biomechanical Analysis of Operative Methods in the Treatment of Extra-Articular Fracture of the Proximal Tibia. Clinics in Orthopedic Surgery. 2014; (6): 312-17.
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| Publication of the article |
«World of Medicine and Biology» №4(74), 2020 year, 153-159 pages, index UDK 616.718.51-001.515-089 |
| DOI |
10.26724/2079-8334-2020-4-74-153-159 |
