Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Humerus
Abstract number: 25711
REVISIONAL OSTEOSYNTHESIS OF LONG TUBULAR BONES WITH LOCKING
IMPLANTS
Victor VOLOSHIN, Gennadiy ONOPRIENKO, Vladimir ZUBIKOV, Konstantin
SHEVYREV, Saravanan ARUMUGAM
M.F. Vladimirskiy Moscow regional clinical research institute, Moscow (RUSSIA)
Aim: Using locking implants during revisional osteosynthesis of long tubular
bones.Materials and methods: The data of 87 patients who underwent revisional
ostesynthesis of long tubular bones were analyzed. The age ranged from 20 to 71
years. Locking plates were used in 56 patients, and in 31 we used intramedullary
locking nails. The segments we divided were following: Clavicle 8, Humerus 26,
Forearm bones 10, Femur ? 23, Leg bones 20. The bone defects were filled with
several materials in 70% of patients.Results: The post operative follow-up time was
vaeied up to 3 years. 72 patients achieved full consolidation after revisional
ostesynthesis. In one patient we observed postoperative infection of the wound which
was successfully treated conservatively. The others are now in under observation
with good signs for fracture union radiologically.Summary: In our point of view, the
existing opinion of changing conventional type to the same new metal construction
(eg. Intramedullary nail to intramedullary nail) is debatable. On the basis of our short
term results, we can make a decision that using the locking implants is better than
the conventional one for revisional osteosynthesis. And it allows us to mobilize the
patients with osteoporosis, especially in intra-and juxta-articular fractures.
574