SUCCESSFUL OPEN REDUCTION OF COMMINUTED INTRA-ARTICULAR TIBIAL FRACTURE WITH SUBSEQUENT OSTEOSYNTHESIS WITH TITANIUM PLATE AND SCREWS
https://doi.org/10.35266/2949-3447-2024-1-9
Abstract
Pilon fractures are intra-articular fractures of the distal tibial metaepiphysis account for about 1 % of all lower extremity fractures. A typical sign of a pilon fracture is a large number of fragments of bone structures in the injured area as a result of the impact of the talus on the tibia. The study aims to assess antiinflammatory and antibacterial therapy, timely pain relief for an injured patient, prevention of thromboembolic complications, aseptic dressings, and the patient’s movement as soon as feasible before the suture material is removed. The assessment was based on the data from the medical documentation of the trauma hospital, instrumental research, and the results of dynamic observation of surgery on open reduction of a comminuted intra-articular fracture of the tibia of the left leg, osteosynthesis with a titanium plate and screws performed under regional spinal anesthesia. In the early postoperative period, an integrated approach to rehabilitation therapy was used. Intra-articular injuries of the distal metaepiphysis of the tibia are one of the most burning issues in traumatology. This type of injury requires the active implementation of modern diagnostic methods and surgical treatment through the use of metal osteosynthesis techniques in various variations.
About the Authors
Oleg N. Yamshchikov
Kotovsk Municipal Clinical Hospital, Kotovsk;
Derzhavin Tambov State University, Tambov
Russian Federation
Russian Federation
Doctor of Sciences (Medicine), Professor, Chief Medical Officer
Sergey A. Emelyanov
Kotovsk Municipal Clinical Hospital, Kotovsk;
Derzhavin Tambov State University, Tambov
Russian Federation
Russian Federation
Candidate of Sciences (Medicine), Docent, Deputy Chief Medical Officer
Roman V. Chumakov
Derzhavin Tambov State University, Tambov
Russian Federation
Russian Federation
Assistant Professor, Medical Resident
Kseniya A. Pavlova
Derzhavin Tambov State University, Tambov
Russian Federation
Russian Federation
Assistant Professor, Medical Resident
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Review
For citations:
Yamshchikov O.N., Emelyanov S.A., Chumakov R.V., Pavlova K.A. SUCCESSFUL OPEN REDUCTION OF COMMINUTED INTRA-ARTICULAR TIBIAL FRACTURE WITH SUBSEQUENT OSTEOSYNTHESIS WITH TITANIUM PLATE AND SCREWS. Vestnik SurGU. Meditsina. 2024;17(1):62-66. (In Russ.) https://doi.org/10.35266/2949-3447-2024-1-9
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