The effectiveness of new technologies implementation in the surgical treatment of cereberal fractures of femur

Authors

  • A. V. Kalashikov Institute of traumatology and orthopedics of NAMS of Ukraine,
  • V. D. Malik Poltava regional clinical hospital named. M. V. Sklifosovsky,
  • О.V. Kalashnikov Institute of traumatology and orthopedics of NAMS of Ukraine,

DOI:

https://doi.org/10.14739/2409-2932.2016.2.70900

Keywords:

Biomedical Technology, Femoral Fractures, Treatment Outcome

Abstract

Aim. Fractures of the proximal femur and their consequences every year cause enormous damage to the economy of any state. Despite the latest achievements of modern traumatology, quite high percentage (10 %) of unsatisfactory results of surgical treatment of cereberal fractures of the femur in patients remains present. Obtained postoperative complications usually lead to the re-operative intervention (total hip replacement). The authors developed a distal locking method of the intramedullary rod with cereberal fractures of the femur, depending on its type according to the classification of AO. This method applies for a patent of Ukraine for useful model. For fractures of type A1 according to the developed method of vertical stability provides intramedullary rod itself and needs no distal locking; only proximal blocking is done. For fractures of type A3 blocking is made with the help of one distal locking screw, which is introduced into the oval hole. Implementation of the proposed method allows to create micromotion in the system "bone - rod," contributs to optimization of reparative osteosynthesis and reduces the trauma of surgical intervention. The aim of the study was to determine the effectiveness of the implementation of new technologies in the surgical treatment of cereberal fractures of femur.

Materials and methods. A comprehensive clinical study of 100 patients with ceresville femoral neck fractures who underwent operative intervention – locked intramedullary nailing (LIN) have been done. All patients were divided into two groups, first (control) group consisted of 50 patients with ceresville fractures of the femur who underwent the LIN by conventional methods. The second (experimental) group consisted of 50 patients with ceresville fractures of the femur who underwent the LIN using the new technologies developed by the authors. The effectiveness of treatment in both groups of observation has been researched. The observation period was 1 year. There was statistically significant (p≤ 0.01) decrease in the number of early (2 times) and late (3 times) postoperative complications in patients group where the blocking intramedullary rod were performed biomechanically justified, according to the recommendations developed by the authors, in comparison with patients groups that used conventional methods of LIN.

Results. The use of new technologies allows to increase the efficiency in 10 % of surgical treatment of patients with ceresville fractures of the femur.

Conclusion. The implementation of proposed new technologies will allow to perform effective differentiated (depending on the type of fracture according to the AO classification), surgical treatment of patients, also to improve the efficiency of medical care to patients with ceresville fractures of the femur, which distinguishes the proposed method from the conventional methods of LIN.

References

Haiko, H. V., Korzh, M. O., Kalashnikov, A. V., Herasymenko, S. I., & Polishko, V. P (2008) Analiz stanu travmatolohichno-ortopedychnoi dopomohy naselenniu Ukrainy v 2006–2007 rr. [Analysis of the state of traumatologic and orthopaedic care to population of Ukraine in 2006–2007]. Kyiv: Volia. [in Ukrainian].

Akhtyamov, I. F., & Tikhilov, R. M. (2009) E′ndoprotezirovanie v Rossii [Endoprosthesis replacement in Russia]. Moscow: Medicinskaya kniga. [in Russian].

Hirshin, S. G. (2004) Klinicheskie lekcii po neotlozhnoj travmatologii [Clinical lectures on emergency traumatology]. Moscow: Azbuka. [in Russian].

Duplenko, Yu. K. (1985) Starenie. Ocherki razvitiya problemy [Aging. Essays on development issues]. Leningrad: Nauka. [in Russian].

Kalashnikov, A. V., Malyk, V. D., & Kalashnikov, O. V. (patetee) Patent Ukrainy na korysnu model Sposib osteosyntezu cherezvertliuhovykh perelomiv stehnovoi kistky [Patent of Ukraine for model Method chartverfolgung osteosynthesis of fractures of the femur].

Lazarev, A. F. (2004) Novye podkhody k lecheniyu perelomov proksimal′noho otdela bedrennoj kosti [New approaches to the treatment of fractures of the proximal femur]. Vestnik travmatologii i ortopedii, 1, 27–31. [in Russian].

Lapach, S. N., Chubenko, A. V., & Babych, P. N. (2000) Statisticheskie metody v biologicheskikh issledovaniyakh s ispol′zovaniem Excel [Statistical methods in biological research using Excel]. Kyiv: Morion. [in Ukrainian].

Mintser, O. P., Voronenko, Yu. V., & Vlasov, V. V. (2003) Informatsiini tekhnolohii v okhoroni zdorovia i praktychnii medytsyni [Information technology in health care and medical practice], Vol. 5. Kyiv: Vyshcha shkolal. [in Ukrainian].

Korzh, N. A., Gerasimenko, S. I., Klimovickij, V. H., Loskutov, A. E., Romanenko, K. K., Gerasimenko, A. S., & Kolomiec, E. N. (2010) Rasprostranennost′ perelomov kostej v rezul′tate ikh lecheniya v Ukraine (kliniko-e′pidemiolohicheskoe issledovanie) [The prevalence of bone fractures and results of their treatment in Ukraine (clinical-epidemiological study)]. Ortopediya, travmatologiya i protezirovanie, 3(580), 5–14. [in Ukrainian].

Myuller, M. E., All′gover, M., Shnajder, R., Villenher, Kh. M. (1996) Rukovodstvo po vnutrennemu osteosintezu [Manual internal osteosynthesis]. Moscow. [in Russian].

Yurijchuk, L.M. (2009) Endoprotezuvannia kulshovoho suhloba u khvorykh pokhyloho ta starechoho viku z cherez- ta mizhvertliuhovymy perelomamy stehnovoi kistky (Avtoref. dis…kand. med. nauk). [Hip replacement in patients of elderly and senile age with through - and intertrochanteric fractures of the femur]. (Extended abstract of candidate’s thesis).Kyiv. [in Ukrainian].

How to Cite

1.
Kalashikov AV, Malik VD, Kalashnikov О. The effectiveness of new technologies implementation in the surgical treatment of cereberal fractures of femur. Current issues in pharmacy and medicine: science and practice [Internet]. 2016Jun.10 [cited 2024Jun.16];(2). Available from: http://pharmed.zsmu.edu.ua/article/view/70900

Issue

Section

Original research