Treatment of ununited fractures and pseudarthroses of long tubular bones complicated by suppurative infection

The work is based on the analysis of examination and treatment (external +transosseous osteosynthesis) of 172 patients with ununited fractures and false joints of the long tubular bones complicated by purulent infection and posttraumatic osteomyelitis. All patients were divided into 4 clinical groups according to the activity of the purulent wound infection and choice of the surgical tactics. Some risk factors were taken into consideration in choosing the tactics of treatment and predicting the outcomes. The clinical course of the wound process in the groups of the patients studied and the errors and complications of operative treatment are analysed. The necessity for active postoperative management of patients and endolymphatic and +intra-arterial administration of antibiotics is substantiated. Good and satisfactory results of treatment were produced in 85.6% of patients.     

Status of peripheral circulation in children with ununited fractures of the forearm bones

Malunions of bone fractures is one of the causes of changes in the circulation of the injured extremity. Reography is the most effective method to diagnose vascular disorders in children.     

Surgical treatment of ununited fractures and pseudarthroses of the femoral diaphysis

The article analyses experience in the treatment of 125 patients with ununited fractures and pseudarthrosis of the humeral diaphysis by osteosynthesis with massive compressing metal plates. The possibility of creating the necessary reserve of mechanical stability at the expense of the massive plates and strained fixation allows immobilization in a plaster cast to be avoided in most cases and early motor rehabilitation of the patients to be undertaken. The results were positive in 96.8% of cases, which makes it possible to consider the method to be sufficiently effective in the management of fractures of the humeral diaphysis and their sequelae.