Use of transosseous osteosynthesis method in a city: the present and prospects

Соломин Л.Н., Воронцова Т.Н., Тюляев Н.В., Лебедков И.В.

Abstract


A study performed in all the St. Petersburg traumatologic-and-orthopedic departments simultaneously has demonstrated that the proportion of patients with indications for transosseous osteosynthesis performance amounts to 0.6-1.6%. Among them 43% are socially unprotected. The necessity for staying 45% of patients in a hospital for a long time (above 3 weeks) is connected not only with transosseous osteosynthesis technology, but with inadequate work of out-patient departments as well. It has been found that 86% of traumatologists questioned have no adequate specialized training in the field of external fixation. The current state of external fixation presupposes two levels of its organization: "traumatologic (urgent)" and "orthopedic" which differ significantly in the required level of specialist training, equipping and treatment process organization. There is a need for foundation of the specialized centre for treatment of difficult orthopedic-and-traumatologic pathology with the use of transosseous osteosynthesis technologies, the adoption of progressive techniques and the perfection of the known ones, as well as for methodical and educational support organizing.

Keywords


transosseous osteosynthesis (external fixation), organization, epidemiology, fractures, deformities

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