Osteosynthesis according to ilizarov as a self-sufficient method for treatment of shin bones fractures [ОСТЕОСИНТЕЗ ПО ИЛИЗАРОВУ КАК САМОДОСТАТОЧНЫЙ МЕТОД ЛЕЧЕНИЯ ПЕРЕЛОМОВ КОСТЕЙ ГОЛЕНИ]

Shin fractures are the most common skeletal injuries. Practically all known types of osteosynthesis are used for treatment. The use of the Ilizarov method is associated with certain difficulties relating to the peculiarities of postoperative observation. Objective − to generalize the long-term experience of using the Ilizarov method in the treatment of diaphyseal fractures of the shin bones, to optimize the technique, analyze problems and assess the prospects for the development of the method. Materials and methods. The experience with treating 57 patients with diaphyseal fractures of the shin bones is presented. All patients underwent Ilizarov osteosynthesis using rod and spoke-rod devices. The dynamics of load recovery, the timing of dismantling the apparatus, the number and severity of complications were assessed. Results. The recovery times for the loads were as follows: 25 % − 5.4 + 1.4 days; 50 % − 34.7 + 11.2 days; 100 % − 76.2 + 17.6 days. The time for dismantling the apparatus is 155 + 37.3 days. The minimum period from osteosynthesis to the dismantling of the apparatus was 95 days, the maximum – 278 days. During the treatment of the group of patients under consideration, two types of complications were encountered: inflammation of the soft tissues at the points of exit of the wires in 24 (42.1 %) and delayed fusion in 1 (1.8 %) patient. Conclusion. The use of spoke-rod structures is optimal. The osteosynthesis operation involves performing a preliminary reduction. A feature of the postoperative period is constant monitoring and interaction between the doctor and the patient. Osteosynthesis according to Ilizarov in the treatment of patients with fractures of the shin bones is a self-sufficient method that provides accurate reposition, stable fixation and good anatomical and functional results. © 2021 The Charity Fund of Clinical Center of Miners' Health Protection. All rights reserved.