METHOD OF TREATING TRANSCONDYLAR EXTENSOR FRACTURES OF HUMERUS WITH DISPLACEMENT NOT ELIMINATED AFTER REPOSITION, PRESENCE OF SIGNIFICANT OEDEMA AND EPIDERMAL BLISTERS Russian patent published in 2024 - IPC A61B17/56 A61B17/60 A61B17/72 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to traumatology and orthopaedics, and can be used for treating transcondylar extensor fractures of humerus with displacement not eliminated after reposition, presence of oedema and epidermal blisters. Method involves anaesthesia, insertion of a K-wire through an olecranon and its fixation in a semi-ring support, installation of a system of blocks for performing longitudinal and lateral traction with elimination of displacement. Skeletal traction is performed under general anaesthesia; epidermal blisters are opened with application of aseptic dressings. Rotational displacement is eliminated by placing the shoulder in the abduction position with elbow flexion at angle of 90°, and the forearm is placed between pronation and supination so that the first finger of the hand of the injured segment is located opposite the bridge of the nose, for 4-5 days. X-ray inspection is used to determine elimination of rotational displacement, displacement in length and width. Without removing the limb from the skeletal traction, performing the transosseous cruciform fixation of the fracture with two K-wires, which pass through the lower portions of the internal and external epicondyles of the humerus at angle of 45° to the longitudinal axis of the shoulder, intact to the ulnar fossa. X-ray control is performed. Extremity is removed from the traction; the wire delivered through the olecranon is removed. Plaster splint is applied from the heads of the metacarpals to the upper one-third of the shoulder.

EFFECT: method provides reduction of traumatism of treatment, improvement of patient’s quality of life during fracture consolidation with reduction of length of stay in hospital, with better functional outcome and possibility of early rehabilitation due to transosseous cruciform fixation of fracture intact in ulnar fossa without removal of extremity from skeletal traction.

1 cl, 5 dwg, 1 ex