Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Tibia/Fibula
Abstract number: 25695
OSTEOSYNTHESIS OF LONG TUBULAR BONES FOR FRACTURE
CONSEQUENCES WITH HYDRAULICALLY EXPANDABLE NAIL (HEN)
Victor VOLOSHIN, Gennadiy ONOPRIENKO, Vladimir ZUBIKOV, Konstantin
SHEVYREV, Saravanan ARUMUGAM
M.F. Vladimirskiy Moscow regional clinical research institute, Moscow (RUSSIA)
Aim: To analyze the effectiveness of using HEN during fracture
consequences.Material and methods: 37 patients underwent surgery with HEN from
the age of 19 to 51 years. The following are the segments where we used HEN:
Humerus 2, Femur 16, Tibia 19. HEN was used in 30 patients with old and nonunion
fractures, in 5 patients after correcting osteotomy and in 3 patients with
infected, non-union fractures. In 30% of patients osteosynthesis with HEN was
performed at the ishtmal/osteotomy/fracture nonunion regions and the other 70% of
osteosynthesis was performed at supra or sub-isthmal region of the long bones. Auto
bone grafting was performed with HEN in 12 patients with hypotropic
pseudoarthrosis.Results:Post operative follow up time was vaeried up to 2 yrs. In 23
patients, the complete clinical and radiological consolidation was achieved. The other
patients are now under follow-up with good radiological prognosis.Summary: The
following advantages are we observed: It reduces operation time, intra-/post
operative blood loss, radiation to the patient and the medical personals. We noticed
that stability of fixation with HEN is identical or more than the fixation stability of
conventional blocking nails during osteoporosis, supra and sub-isthmal fractures and
non-union. The stable fixation allowed us to activate the patient in the early post
operative period which is especially important to the patients with juxta-articular
fractures.
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