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Khirurgii

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Year 2011 Vol. 19 No 3

TRAUMATOLOGY AND ORTHOPEDICS

TALYSHINSKY R.R., GADZHIEV SH.SH.

OSTEOSYNTHESIS OF FEMUR PERTROCHANTERIC AND INTERTROCHANTERIC FRACTURES IN ELDERLY PATIENTS TREATED BY EXTERNAL FIXATION PIN APPARATUS

Objectives. To estimate effectiveness of pin apparatus use at osteosynthesis of the pertrochanteric and intertrochanteric fractures of the femur in elderly patients.
Methods. 116 patients with AO/ASIF type 31A1, 31A2 and 31A3 fractures who had been treated at the acute trauma department of Scientific Research Traumatology and Orthopaedics Institute of Ministry of Health of Azerbaijan Republic from 2006 to 2011 were included into the research.
Results. It has been established, that pin apparatus use at osteosynthesis of pertrochanteric and intertrochanteric fractures of the femur in elderly patients has a number of advantages in comparison with other methods such as mini invasive and short-term of surgery procedure, a little blood loss during surgery, possibility to obtain and maintain stable fixation of fragments during all treatment period up to fracture jointing, as well as early activation of patients along with functional treatment.
Conclusion. The use of pin apparatus at osteosynthesis of pertrochanteric and intertrochanteric fractures of the femur in elderly patients is an effective and mini invasive method of functional treatment. The method is simple and especially useful to treat elderly patients with aggravated general condition.

Keywords: osteosynthesis, pin apparatus, pertrochanteric and intertrochanteric fractures
p. 82 – 85 of the original issue
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