TREATMENT APPARATUS FOR EXTERNAL FIXATION OF FRACTURES OF

TREATMENT APPARATUS FOR EXTERNAL FIXATION OF FRACTURES OF THE FEMORAL NECK PAPER ID: 22609 Karimov M. Y. , Salokhiddinov F. B. Treatment of fractures of the proximal femur remains one of the main problems in traumatology and orthopedics. After injury, patients lose the ability to self-care and need constant care, and concomitant diseases make it difficult to carry out surgical treatment. Correction of concomitant diseases requires adherence to prolonged bed rest, which in turn leads to the development of formidable complications, such as hypostatic pneumonia, thromboembolism, the development of bedsores, etc. Osteosynthesis of fractures of the femoral neck and wire was carried out under spinal anesthesia with the use of EOC. On 2 -3 days after the operation, patients started active movements in adjacent joints and walked with crutches with a dosed load and full load after 2 months. Control and dynamic radiography was carried out in 3 and 7 months. The average fixation period was 150± 6 days. Fracture fusion was observed in 14 patients, including: good results - in 13 (87. 6%) patients, satisfactorily — in 1 (6. 7 %), unsatisfactory — in 1 (6. 7 %) patient. Clinical case Patient Т – 1962 type of fracture: 31 В 2. 1 After osteosynthesis 3 day post-op Admission After 5 months We have developed a rod external fixation device (patent FAP 01180). The advantages of the operative technique with the use of the rod apparatus proposed by us are minimization of the surgical trauma, creation of optimal conditions for reparative regeneration, the need for special tools and the possibility of early activation of patients. Under our supervision there were 15 patients with fractures of the proximal end of the femur from July 2016 to may 2018. Of these, 4 women and 11 men. The age of patients ranged from 22 to 92 years, the average was 56. 1± 1. 2 years. Among them 6 (40%) patients had metabolic syndrome(cardiovascular disease, arthritis, overweight, etc. ). After 1 year Thus, the rod apparatus has the following advantages: early activation and verticalization of patients, development of movements in adjacent joints and prevention of secondary complications. Although, this lock of domestic production, at a reasonable price and has all the advantages, like other analogues. Indications: А 1. (2, 3); А 2 (2, 3); А 3 (1, 2, 3); В 1 (1, 2, 3); В 2 (1, 2, 3); В 3. (Journal of orthopaedic end trauma-2018. V. 32. № 1)