Surgical treatment of comminuted fractures of femur shaft with the application of hydroxyapatite containing material
It was analyzed the tactics of surgical treatment of 102 patients with comminuted fractures of femur shaft treated in the City Clinical Hospital №7 from 2007 to 2011. Mechanism of injuries - in all cases is direct trauma in car accidents. In a state of shock arrived 95 patients, including 48 patients with multiple and associated injuries. High risk violations of fractures were present in all cases. All patients were operated with modern implants. The tactics did not provide an exact repositioning of bone fragments. Stimulation of bone formation was performed by introducing into the zone of fracture HAP-containing material «CollapAn». Fixation of bone fragments of limb segments was performed either by splinting method (n = 75), or adaptation method (n = 27) of fixation with «CollapAn». Evaluation of the results: excellent - in 64 patients; good - in 25 patients; satisfactory - in 12 patients; bad - in 1 patient. Long-term results one year after surgery were followed up in 72 patients