Osteosynthesis of small fragments in multicomminuted fractures of the distal humerus metaepiphysis

Krivenko S.N., Medvedev D.I.

Abstract


The purpose of this study was to improve the treatment results of multicomminued fractures of the distal humerus metaepiphysis through the development of a compression device that provides stable osteosynthesis of small fragments.
Materials and methods
Clinical testing of the device developed for osteosynthesis of small fragments in multicomminuted fractures of the distal humerus metaepiphysis (patent of Ukraine for useful model #12560) was conducted. Treatment sample included 104 persons with multicomminued fractures of the distal humerus metaepiphysis admitted to the Donetsk national medical university and national trauma center of Donetsk.
Results
Osteosynthesis of small fragments in multicomminuted metaepiphyseal fractures of the distal humerus with the help of the developed by us compression device enabled to reduce and stabilize small bone fragments, provided the possibility of early movements in the joint and resulted in good outcomes.
Conclusions
Osteosynthesis of small fragments with application of the developed by us compression device in patients with multicomminued fractures of the distal humerus metaepiphysis showed high efficiency. The mean score was 82.67 ± 5.59 points, which corresponds to good results of treatment.

Keywords


osteosynthesis, small fragments, fracture, distal humerus

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DOI: http://dx.doi.org/10.18019/1028-4427-2018-24-4-436-443

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