FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to traumatology and orthopedics and is intended for treatment of oblique and oblique-spiral fractures of long tubular bones. Transosteal introduction of, at least, one central screw through proximal and distal fragments simultaneously is performed, after that introduced are several submersible screw elements at different bone levels through proximal and distal fragments respectively and fixed in external support. Then, loosening compression in zone of fragments contact periodic tightening of central screw by means of additionally installed rod element is performed. Loosening of rod element end in region of contact with external support is carried out and after screw tightening rod end is re-fixed in external support. After formation of early callus, rod element is disconnected from screw and external support and removed from soft tissues. In addition loosening and after that additional tightening of submergible screw elements are performed. After tightening they are fixed in external support.
EFFECT: method ensures recovery of extremity support ability, strong fixation of fragments, reduction of trauma.
2 cl, 1 ex, 1 dwg
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Authors
Dates
2011-11-20—Published
2010-03-15—Filed