Study of secondary changes in patients tissues after posttraumatic extraarticular femur and tibia deformities [Дослідження вторинних змін у тканинах хворих із післятравматичними позасуглобовими деформаціями стегнової кістки та кісток гомілки]
Journal Title: Orthopaedics, Traumatology and Prosthetics - Year 2018, Vol 611, Issue 2
Abstract
One of complications after shaft fractures is formation of angular deformities. Clinical significance of axial infringement can influence on the leg function. Objective: to study the changes which occur in the tissues of injured segments, they have influence on the method of treatment in patients with posttraumatic extraarticular deformities of femur and tibia. Methods: we analyzed the results of treatment of 38 patients with posttraumatic extraarticular deformities of femur and tibia. All patients were examined with complex clinical, radiologic methods according to suggested plan. It included the analysis of general patient state and injured leg; X-rays with comparative evaluation of joints, localization and severity of deformity, state of regeneration process and bone state; ultrasound examination of soft tissues (ligaments, muscles); biomechanical studies. Results: all methods of examination are described. The most significant secondary changes of injured leg are pointed out: the magnitude, type and localization of deformity; regeneration process and bone state; arthritis changes in the joints; infringement of soft tissues; changes in podogramme. Conclusions: usage of suggested plan of examination of patients with extraarticular deformities of the tibia and femur allowed us to determine parameters of anamnesis, general and local status, secondary changes in soft tissues which have influence on the choice of method of treatment.
Authors and Affiliations
Kostiantyn Romanenko, Yaroslav Doluda, Ruslan Zlatnyk, Svetlana Yakovenko, Olena Karpinska, Dmytro Prozorovsky, Karolina Poplavska
Multimodal analgesia with anapiron, nonsteriod anti-inflammatory drugs, local infiltrative anesthesia, and pregabalin in case of primary total hip arthroplasty [Мультимодальна анальгезія з використанням Анапірону, нестероїдних протизапальних препаратів, локальної інфільтраційної анестезії та прегабаліну в разі первинного ендопротезування кульшового суглоба]
Objective: to evaluate the effectiveness of anesthesia, side effects and time to activation from the bed patients with hip joint arthritis of the IV stage after total hip arthroplasty using multimodal analgesia with Anap...
Application of polypropylene mesh in patient with recurrent femoral head dislocation after total hip arthroplasty (case from practice) [Применение полипропиленовой сетки у пациента с рецидивирующим вывихом бедренного компонента эндопротеза тазобедренного сустава (случай из практики)]
One of complications after total hip arthroplasty is femoral head dislocation. It occurrence in case of primary replacement can happen from 0,2 till 2 %. In such cases after primary dislocation and close reduction recurr...
Study of secondary changes in patients tissues after posttraumatic extraarticular femur and tibia deformities [Дослідження вторинних змін у тканинах хворих із післятравматичними позасуглобовими деформаціями стегнової кістки та кісток гомілки]
One of complications after shaft fractures is formation of angular deformities. Clinical significance of axial infringement can influence on the leg function. Objective: to study the changes which occur in the tissues o...
Investigation of stress-strain state in spinal model for various methods of surgical treatment of thoracolumbar burst fractures (part one)
There are different views on the treatment of burst fractures of the lower thoracic and lumbar spine. Some specialists prefer conservative methods of treatment, others use a spinal fusion of 360° (anterior and posterio...
Anatomical large femoral heads: early complications and mid term results
Purpose: mechanical complications such as malrestoration of hip anatomy still impede surgical results and patient satisfaction after THA. Anatomical femoral «mega-heads» are a novel approach which enables a surgeon to us...