Open AccessPoly-tension-band osteosynthesis of femur neck fractures in elderly and senile patients
Author(s) -
A. F. Lazarev,
А. P. Nikolaev,
Е. I. Solod
Publication year - 1999
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto98414
Subject(s) - osteosynthesis , medicine , femur , ambulatory , senile osteoporosis , fixation (population genetics) , osteoporosis , surgery , bone healing , external fixation , dentistry , external fixator , population , environmental health
Most of femur neck fractures in elderly and senile patients result from osteoporosis so it is necessary to apply sparing bone mass osteosynthesis. Authors elaborated poly-tension-band osteosynthesis with V-shape tense pins for fragment fixation. The method gives minimum traumatic effect. 64 patients were treated with those fixation. No lethal outcomes and hypostatic complications were observed. 14-20 days after operation the patients were discharged for ambulatory treatment. All patients could walk with crutches or wheeled cart. In 70% of cases clinical and X-ray signs of fracture healing were noted. According obtained elastic characteristics of V-shaped pins system of bone-fixator are considered to be dynamically tense and total value of elastic effect on the bone is equal to 64 H.