Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries

The article presents the experience of surgical treatment of a rare pathology of the upper limb – the pseudarthrosis of the middle third of the radial shaft with a bone defect in combination with the pseudarthrosis of the middle and lower third of the shaft of the ulna of the forearm. Determination...

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Autores principales:	M. E. Puseva, Ch. Z. Butaev, A. N. Rudakov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2021
Materias:	tension-band osteosynthesis transosseous osteosynthesis pseudarthrosis diastasis bone autoplasty radius ulna Science Q
Acceso en línea:	https://doaj.org/article/68a25d7974fd4a60bc8887137d2e47ae
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spelling	oai:doaj.org-article:68a25d7974fd4a60bc8887137d2e47ae2021-11-23T06:14:45ZUsing Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries2541-94202587-959610.29413/ABS.2020-5.6.28https://doaj.org/article/68a25d7974fd4a60bc8887137d2e47ae2021-01-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2518https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article presents the experience of surgical treatment of a rare pathology of the upper limb – the pseudarthrosis of the middle third of the radial shaft with a bone defect in combination with the pseudarthrosis of the middle and lower third of the shaft of the ulna of the forearm. Determination of reasonable and well-considered treatment tactics is of great importance in the treatment of patients aimed at restoring the anatomy and function of the injured upper limb. A feature of this case is the formation of several false joints at different levels of the forearm bones, the presence of a bone defect of 2.5 cm, which required its replacement with an autograft, and a previously performed surgical intervention using transosseous osteosynthesis. The applied tactics of surgical treatment consisted of several stages: bone osteosynthesis of the ulna with opening of the medullary canals of the ulna; replacement of a bone defect in the area of the pseudarthrosis of the radius with an autograft from the iliac crest using combined stress osteosynthesis in combination with transosseous osteosynthesis. The results of surgical treatment of false joints and bone defects depend on the correct treatment tactics, according to the indications, and the correct implementation of the selected treatment tactics. The surgical tactics of treatment used in this clinical situation made it possible to create conditions for the fusion of fragments of the radius and ulna bones, as well as to replace the defect of the radius, as a result of which the anatomy and function of the damaged segment were successfully restored.M. E. PusevaCh. Z. ButaevA. N. RudakovScientific Сentre for Family Health and Human Reproduction Problemsarticletension-band osteosynthesistransosseous osteosynthesispseudarthrosisdiastasisbone autoplastyradiusulnaScienceQRUActa Biomedica Scientifica, Vol 5, Iss 6, Pp 224-229 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	tension-band osteosynthesis transosseous osteosynthesis pseudarthrosis diastasis bone autoplasty radius ulna Science Q
spellingShingle	tension-band osteosynthesis transosseous osteosynthesis pseudarthrosis diastasis bone autoplasty radius ulna Science Q M. E. Puseva Ch. Z. Butaev A. N. Rudakov Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries
description	The article presents the experience of surgical treatment of a rare pathology of the upper limb – the pseudarthrosis of the middle third of the radial shaft with a bone defect in combination with the pseudarthrosis of the middle and lower third of the shaft of the ulna of the forearm. Determination of reasonable and well-considered treatment tactics is of great importance in the treatment of patients aimed at restoring the anatomy and function of the injured upper limb. A feature of this case is the formation of several false joints at different levels of the forearm bones, the presence of a bone defect of 2.5 cm, which required its replacement with an autograft, and a previously performed surgical intervention using transosseous osteosynthesis. The applied tactics of surgical treatment consisted of several stages: bone osteosynthesis of the ulna with opening of the medullary canals of the ulna; replacement of a bone defect in the area of the pseudarthrosis of the radius with an autograft from the iliac crest using combined stress osteosynthesis in combination with transosseous osteosynthesis. The results of surgical treatment of false joints and bone defects depend on the correct treatment tactics, according to the indications, and the correct implementation of the selected treatment tactics. The surgical tactics of treatment used in this clinical situation made it possible to create conditions for the fusion of fragments of the radius and ulna bones, as well as to replace the defect of the radius, as a result of which the anatomy and function of the damaged segment were successfully restored.
format	article
author	M. E. Puseva Ch. Z. Butaev A. N. Rudakov
author_facet	M. E. Puseva Ch. Z. Butaev A. N. Rudakov
author_sort	M. E. Puseva
title	Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries
title_short	Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries
title_full	Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries
title_fullStr	Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries
title_full_unstemmed	Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries
title_sort	using combined osteosynthesis in trauma practice in the treatment of diaphyseal forearm injuries
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2021
url	https://doaj.org/article/68a25d7974fd4a60bc8887137d2e47ae
work_keys_str_mv	AT mepuseva usingcombinedosteosynthesisintraumapracticeinthetreatmentofdiaphysealforearminjuries AT chzbutaev usingcombinedosteosynthesisintraumapracticeinthetreatmentofdiaphysealforearminjuries AT anrudakov usingcombinedosteosynthesisintraumapracticeinthetreatmentofdiaphysealforearminjuries
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Using Combined Osteosynthesis in Trauma Practice in the Treatment of Diaphyseal Forearm Injuries

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