D.I. YUNUSOV, P.I. MIRONOV

Bashkir State Medical University, 3 Lenin St., Ufa, Russian Federation, 450000 

Yunusov D.I. — postgraduate student of the Department of pediatric surgery with a course of Institute of Postgraduate Education, tel. +7-917-428-93-99, e-mail:[email protected]

Mironov P.I. — D. Med. Sc., Professor of the Department of pediatric surgery with a course of Institute of Postgraduate Education, tel. +7-917-773-58-11, e-mail: [email protected]

A comparative assessment of the clinical efficacy of treatment strategy of diaphyseal fractures in children with severe concomitant injury on the basis of open osteosynthesis with plates LC DCP and minimally invasive methods of titanium elastic rods (ESIN) and «bridge» osteosynthesis with plates LCP was carried out. It was revealed that the usage of minimally invasive methods of osteosynthesis for diaphyseal and metaphyseal fractures in children with polytrauma leads to reduction of duration of treatment, more early function recovery of the damaged limb, and reduction of frequency of postoperative complications.

Key words: polytrauma, children, minimally invasive osteosynthesis.

REFERENCES

1. Lascombes P. Flexible intramedullary nailingin children. 2010, Springer. 317 p.

2. Schmittenbecher P.P., Dietz H.G., Linhart W.E., Slongo Th. Complications and problems in intramedullary nailing of children`s fractures. European Journal of Trauma, 2000, vol. 6, pp. 287-293.

3. Maysenok P.V., Pakh A.V., Mironov A.N. Treatment of long bone fractures in children technology ESIN. Margo Anterior., 2009, no. 3, pp. 13-15 (in Russ.).

4. Wright J.G. The treatment of femoral shaft fractures in children: asystematic overview and critical appraisal of the literature. Can J Surg., 2000, vol. 43, pp. 180-189.

5. Wilmore D., Frank Sawyer F., Kehlet H. Management of patients in fast track surgery. BMJ, 2001, vol. 322, pp. 473-476.

6. Carli F., Zavorsky G.S. Optimizing functional exercise capacity in the elderly surgical population. Curr Opin Clin Nutr Metab Care., 2005, vol. 8, pp. 23-32.

7. Raphael M., Jaeger M., van Vlymen J. Easilyadoptable total joint arthroplasty program allows disharge home in two days. Can. J. Anesth., 2011, vol. 58, pp. 902-910.

8. Agadzhanyan V.V., Sinitsa N.S., Dovgal’ D.A., Obukhov S.Yu. Treatment of injuries of the musculoskeletal system in children with polytrauma. Politravma, 2013. 1, pp. 5-11 (in Russ.).

9. Flynn J.M., Hresko T., Reynolds R.A. et al. Titanium elastic nalls for pediatric femur fractures: a multicenter study of early results with analysis of complications. J. Pediatr. Orthoped., 2001, vol. 21, no. 1, pp. 4-8.