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Recent medical research and clinical practice have given
enough ground to conclude that the use of metallic intramedullary
nails have become one of the most effective methods of treating
complicated fractures and their consequences (cases of fracture
nonunion, false joints formation, etc.). However, in Ukraine and
other post soviet countries wide implementation of this method
has been slowered down primarily by purely economic reasons
(poor hospitals' budgets do not allow purchasing expensive
equipment of radiographic control).
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Realizing these difficulties in early 1980-s, professor Ivan.M.Rublenik,
who is a scientific advisor of Chernovtsy Orthopaedics and Traumatology
Centre (Chernivtsi, Ukraine), designed and succesfully implemented his
own method of long bones osteosynthesis with the help of INTERLOCKING
INTRAMEDULLARY METALLIC-POLYMERIC NAILING.
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Comparison with existing analogues and over 20 years' clinical experience
clearly show that using our intramedullary metallic-polymeric nails for
treating long bones fractures has significant advantages, such as:
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- considerable reduction of osteosynthesis costs
(operations can be successfully performed without using expnsive equipment
of radiographic control)
- application versatility
(osteosynthesis can be recommended all patients with complicated femoral and tibial fractures
- better stability characteristics
(wider possibilities of both axis and side compression)
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SCHEMES OF OSTEOSYNTHESIS
WITH
THE HELP OF METALLIC-POLYMERIC
NAILING
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-optimal hardness
properties (usage of polymeric materials with mechanical
characteristics similar to those of the bone tissue)
- wider possibilities for the usage in reconstruction
surgery (correction
of femoral and tibial bones defects). |
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A CASE OF OSTEOSYNTHESIS WITH THE HELP OF METALLIC-POLYMERIC
NAILING
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Roentgenograms of the Right Femoral
Bone of Patient M.
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Brief Illness History
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à - before the
operation
b - next day
after the
operation
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Mr. M. was transported
to the clinic from a district hospital on April 14, 1994 and was hospitalized
with the diagnose old splintered fracture in the middle third of the right
femoral bone with considerable fragments displacement. On April 17, the
patient underwent an operation (detensive variant of open osteosynthesis). Postoperational
period passed without complications. Two months after the operation the patient
got dosage loading and after 3.5 months started walking without crutches. Subsequent
examination showed complete restoration of the joint motion amplitude and weight-bearing
functions in the operated leg. After 4,5 months the patient resumed his regualr
activities and started to work.
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c - in 3,5
months after
the operation
d - in 18
months
after removal
of the nail
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