Surgical Treatment of Open Comminuted Intra-Articular Transcondylar Fracture of Humerus With Displaced Fracture Fragments (Clinical Case)

Abstract

Complex intra-articular fractures require active patient management tactics and almost always the use of surgical treatment. For intra-articular fractures, it is extremely important to restore the normal anatomical structure, precise reposition and fixation of the fracture, without which it is impossible to restore the full function of the joint and limb. Surgical treatment should be carried out as early as possible in order to prevent the development of contractures. The purpose of this publication is to demonstrate the successful experience of treating a patient with an open comminuted intra-articular transcondylar fracture of humerus with displaced fracture fragments and the validity of the choice of an operative method of treatment of this pathology. Materials and methods : description of a clinical case and a brief analysis of the literature on this issue. Presented case of open reposition of a comminuted intra-articular transcondylar fracture of the shoulder and extra-cortical osteosynthesis with two reconstructive plates is successful. The effectiveness of treatment was evaluated based on the data of X-ray examination methods, as well as assessing the function of the limb and the amplitude of movement in the elbow joint. Results : performed open reposition of a comminuted intra-articular transcondylar fracture of shoulder and extra-cortical osteosynthesis with two reconstructive plates. Complete restoration of limb function and anatomical integrity of the distal metaepiphysis of the humerus has been achieved, the patient’s ability to work has been restored.

Hemiartoplasty of the Hip Joint with a Bipolar Endoprosthesis for Fail Osteosynthesis of the Femoral Neck

“…Предоперационное планирование позволяет выбирать наиболее рациональную конструкцию для остеосинтеза в зависимости от клинической ситуации, но наиболее распространенной конструкцией в настоящее время являются канюлированные винты. Однако при переломах шейки бедренной кости до 30 % проведенных хирургических репозиций методом остеосинтеза заканчиваются неудовлетворительным исходом в виде отсутствия консолидации, укорочения конечности, формирования контрактур и анкилозов, требующих повторной операции [1][2][3]. При низкой вероятности сращения перелома или отсутствия консолидации в условиях остеосинтеза рационально проводить артропластику.…”