Temporary osteosynthesis of the tibial bones in repair of multiple and combined injuries
Background The incidence of injury worldwide remains high, with a global estimate of 6763 cases per 100,000 population (95 % confidence interval 6412–7147). Trauma to the limbs is a common injury to an individual anatomical area during multiple or combined trauma that accounts for 40 % to 85.2 % o...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2024-10-01
|
| Series: | Гений oртопедии |
| Subjects: | |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Background The incidence of injury worldwide remains high, with a global estimate of 6763 cases
per 100,000 population (95 % confidence interval 6412–7147). Trauma to the limbs is a common injury
to an individual anatomical area during multiple or combined trauma that accounts for 40 % to 85.2 % of cases.
Assessment of the effectiveness of different fixation options and development of treatment algorithms are
essential for patients with tibial fractures and multiple (combined) injuries.
The objective was to determine how often temporary tibia fixation is applied for patients with multiple
and combined injuries.
Material and methods The original literature search was conducted on key resources including Scientific
Electronic Library (www.elibrary.ru), the National Library of Medicine (www.pubmed.org), CyberLeninka
between 2008 and 2023 using search words and phrases: tibial injuries, osteosynthesis of lower limbs, multiple
injuries, combined injuries, temporary osteosynthesis of the tibial bones.
Results and discussion A differentiated approach to the repair of bone fractures resulting from multiple
and combined injuries is mostly common with the choice of fixation technique depending on the severity
of injury and the severity of the patient’s condition. The definitive internal bone fixation is normally used
for stable patients, “damage control” strategy is secured for borderline and severe cases using primary
temporary external fixation followed by staged surgical intervention. There is no generally accepted strategy
for the use of early mobilization of long bone fractures as a component of anti-shock measures in a polytrauma
patient.
Conclusion Certain issues remain unresolved, including the use of osteosynthesis for tibial fractures in some
cohorts of patients, the optimal time of transition to definitive internal fixation, the possibility of using
extrafocal osteosynthesis as a definitive treatment, the optimal configuration and assemblies to be employed.
The lack of high-quality randomized controlled trials in this field is an important limitation. |
|---|---|
| ISSN: | 1028-4427 2542-131X |