Intramedullary fixation in the treatment multi-level<br /> and comminuted tibia fractures
Journal Title: Postępy Nauk Medycznych - Year 2010, Vol 23, Issue 2
Abstract
Fractures within crus may happen among patients of all ages and they are one of the most common fractures. Taking into consideration the structure of tibia, one of the strongest bones in human body, fractures are a result of direct trauma and are related to developments in road transportation. The forces necessary for fracturing of tibia are very high and usually this type of trauma is connected with massive soft tissue damage, which presents even more difficult clinical problem. In our clinic we treat around 380 patients/year with fractures within a crus. Almost 1/3 of them are treated with closed reduction followed by fixation with intramedullary nail. Fixation of fractures with external stabilizer or plate dominates in fractures of proximal or distal end of tibia.In this paper we show the application of intramedullary nailing in the treatment of multi-level and comminuted fractures of tibia. We also present data on implementation of intramedullary nails in multistage fixation of fractures and re-fixations of complicated fractures. We demonstrate, that intramedullary fixation of tibial fracture is safe method. It allow for quick recovery and fast introduction of physical therapy. It also gives low number of complications, usually connected to device failure.
Authors and Affiliations
Bogumił Leszczyński, Rafał Kamiński, Cezary Walczyński, Andrzej Suwara, Marcin Wąsowski, Waldemar Rylski, Stanisław Pomianowski
Keywords
Related Articles
- EP ID EP53826
- DOI -
- Views 161
- Downloads 0
Bile duct injury complicating laparoscopic cholecystectomy: risk factors and prevention
Laparoscopic cholecystectomy is a most common performed operation in abdominal surgery. Steady progress in technical equipment used in this procedure not protects against the risk of bile duct injury yet. Problems concer...
Przeszłość i przyszłość chirurgii minimalnie inwazyjnej
Przełom XX i XXI wieku przyniósł milowe zmiany związane z wprowadzeniem wideotechnologii do sal operacyjnych. Po początkowych kłopotach z uznaniem nowatorskiej techniki, w ciągu kilku lat chirurgia laparoskopowa została...
Depression in old age – archetype of affective disorders?
Late-life depressions are heterogenous. The relationship between cardiovascular risk factors and depression is well-known,but during last years is analyzed carefully. There is presumption,that knowledge about pathomechan...
Nowe leki i ich działania niepożądane w terapii przewlekłych zapaleń wątroby typu C
Na początku lat 90. interferon rekombinowany stosowany w terapii chorych przewlekle zakażonych HCV był skuteczny u około 15% pacjentów. Skojarzenie tej terapii z rybawiryną, a następnie zastąpienie interferonu rekombinow...
Standarization of the method to determine the expression of P-selectin on platelets by means of the flow cytometer and comparison with impedance aggregometry method in acute myeloid leukemia patients
Introduction. Damage to vascular endothelium, inflammation or thrombotic disorders result in platelet activation. P-selectin is expressed on the surface of the activated platelets. Examination of P-selectin expression on...