PERINATAL TRAUMATOLOGY: OUR FIRST EXPERIENCE OF SURGICAL TREATMENT OF FRACTURES OF LONG TUBULAR BONES IN NEWORNS

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Abstract


The problem of treatment of fractures of long tubular bones in newborns is relevant due to the lack of unifed standards of rendering medical aid and lack of common criteria for the estimation of the treatment outcomes. The purpose of the study was to improve the treatment outcomes of fractures of long tubular skeletal bones in newborns obtained during the intranatal and postnatal periods using intramedullary osteosynthesis. Of 45,623 children born alive in 2016 and 2017, 4 (0.087%) newborns got fractures of humeral and femoral bones during the perinatal period. To establish the clinical diagnosis of traumatic bone lesions, methods of examination typical of emergency traumatology were used such as collection of complaints and anamnesis, clinical examination, radiography of the affected segment and paraclinical methods. Out of 4 children, one child underwent a conservative treatment whereas three newborns had surgeries. In all three clinical observations, unsuccessful closed manual fracture reposition with plaster immobilization and high probability of soft tissue trauma in a recurrent reposition were indications to surgeries. The scope of surgical treatment consisted in minimally invasive osteosynthesis of long tubular bone fracture under radiologic control. No complications were found in neither clinical observation following a surgery. Study of follow-up enabled to register satisfactory treatment results of humeral and femoral fractures in newborns.


About the authors

E. G. Skryabin

Tyumen State Medical University

Author for correspondence.
Email: skryabineg@mail.ru
ORCID iD: 0000-0002-4128-6127

Russian Federation

Evgeny G. Skryabin Dr. Sci. (Med.), Professor of the Department of Traumatology and Orthopedics with a course of pediatric traumatology, Federal State Budgetary Educational Institution of Higher Education

625023, Tyumen, Odesskaya St., 52).+7(919)958–09–78 

A. N. Bukseev

Tyumen Regional clinical hospital № 2

Email: bukseev1971@mail.ru
ORCID iD: 0000-0002-3267-745X

Russian Federation

Alexander N. Bukseev Head of the traumatologic‑orthopedic department of the children’s hospital of the state budgetary health care

625039, Tyumen, Melnikite St., 75, tel.: +7(912)994–91–89.


M. A. Akselrov

Tyumen State Medical University; Tyumen Regional clinical hospital № 2

Email: akselerov@mail.ru
ORCID iD: 0000-0001-6814-8894

Russian Federation

Mikhail A. Akselrov Dr. Sci. (Med.), Head of the Department of Pediatric Surgery

625023, Tyumen, Odesskaya St., 52

Head of the Children’s Surgical Department No. 1 

625039, Tyumen, Melnikite St., 75, tel: +7(929)269‑.49–33.

I. I. Kukarskaya

Tyumen State Medical University; Perinatal Center

Email: kukarskay@mail.ru
ORCID iD: 0000-0002-8275-3553

Russian Federation

Irina I. Kukarskaya Dr. Sci. (Med.), Professor of the Department of Obstetrics, Gynecology and Resuscitation with a course of clinical and laboratory diagnosis 

625023, Tyumen, Odesskaya str., 52;

chief doctor of the state budgetary institution of public health

625002, Tyumen, Daudelnaya str., 1, tel: +7(908)873–02–56

S. V. Naumov

Tyumen Regional clinical hospital № 2

Email: doc7615@gmail.com
ORCID iD: 0000-0001-8729-4504

Russian Federation

Sergey V. Naumov Resident at the Trauma and Orthopedic Department

625039, Tyumen, Melnikite St., 75, tel: +7(905)721–56–92

 

S. N. Suprunets

Tyumen State Medical University; Tyumen Regional clinical hospital № 2

Email: suprunets.s@gmail.ru
ORCID iD: 0000-0001-8578-1857

Russian Federation

Svetlana N. Suprunets Cand. Sci. (Med.), Head of the Department of Anesthesiology and Neonatal Resuscitation 

Melnikaite 75, 625039, Tyumen

Associate Professor of the Pediatrics Department

625023, Tyumen, Odesskaya st., 52, tel .: +7(922)470–06–23 

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