MEDICAL TECHNOLOGIES OF TREATING CHILDREN WITH DIAPHYSEAL FRACTURES OF THE TIBIA

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Abstract

The article stresses the evolution of views on the problem of treatment of children and adolescents with diaphyseal fractures of the shin bones and a set of actual medical technologies implemented in these patients. The views of authoritative followers of conservative therapy and supporters of medical schools adhering to the ideology of stable and functional osteosynthesis are reviewed. The basic tendencies of development of surgery of injuries in pediatrics are found and effective and safe methods of surgery of patients with instable diaphyseal fractures of the tibia on the basis of using the closed intramedullary osteosynthesis with the original blocking rod are substantiated.

About the authors

V. M. Rosinov

State Budgetary Educational Institution of Higher Professional Education N.I. Pirogov Russian National Research Medical University of the Ministry of Health of Russia

Author for correspondence.
Email: rozinov@inbox.ru
Россия

S. I. Yandiev

State Budgetary Educational Institution of Higher Professional Education N.I. Pirogov Russian National Research Medical University of the Ministry of Health of Russia; G.N. Speransky Children’s State Clinical Hospital No. 9, Health Department of Moscow

Email: yandis@mail.ru
Россия

D. V. Kolyagin

State Budgetary Educational Institution of Higher Professional Education N.I. Pirogov Russian National Research Medical University of the Ministry of Health of Russia

Email: koldv@mail.ru
Россия

References

  1. Боровик И.Н., Попсуйшапка А.К., Довгань С.Б. Лечение диафизарных переломов костей нижней конечности у детей и подростков аппаратами внешней фиксации // Травма. Т. 11. № 5. 2010.
  2. Губин А.В. Внеочаговый остеосинтез в педиатрической практике // Всероссийская научно-практическая конференция «Современные принципы и технологии остеосинтеза костей конечностей, таза и позвоночника». Санкт-Петербург. 2015.
  3. Дмитриев М.Л., Баиров Г.А., Терновой К.С., Прокопова Л.В. Костно-пластические операции у детей // Киев: Здоровье, 1974.
  4. Илизаров Г.А. Чрескостный компрессионный и дистракционный остеосинтез в травматологии и ортопедии / Сборник научных работ. Выпуск 1. Курган: Советское Зауралье, 1972.
  5. Каплан А.В. Повреждения костей и суставов // М.: Медицина, 1979.
  6. Киричек С.И. Травматология и ортопедия. Минск, 2007.
  7. Корж А.А., Бондаренко Н.С. Повреждения костей и суставов у детей. Xарьков: Прапор, 1994.
  8. Корнилов Н.В., Грязнухин Э.Г., Осташко В.И., Редько К.Г. Травматология: Краткое руководство для практических врачей. СПб.: Гиппократ, 1999.
  9. Меркулов В.Н., Дорохин А.И., Стужина В.Т., Ельцин А.Г. и др. Осложнения при остеосинтезе в детской травматологии // Всероссийская научно-практическая конференция «Современные принципы и технологии остеосинтеза костей конечностей, таза и позвоночника». Санкт-Петербург, 2015.
  10. Ормантаев К.С., Марков Р.Ф. Детская травматология. Алма-Ата, 1978.
  11. Попова Л.А. и др. Чрескостный компрессионный и дистракционный остеосинтез в травматологии и ортопедии // Сб. научных трудов. Вып. 6. Курган, 1980. С. 5-12.
  12. Пужицкий Л.Б., Ратин Д.А., Никишов С.О., Афанасьев А.С., Басаргин Д.Ю., Сидоров С.В. Margo Anterior № 3. Москва, 2009.
  13. Разанков А.Г. Внутрикостный остеосинтез переломов большеберцовой кости // Автореф. дис. … канд. мед. наук: 14.00.22 // Ярослав. Гос. Мед. Академия. Москва, 2009.
  14. Рассовский С.В., Киселев В.П., Чекериди Ю.Э., Урасов В.М., Турчинский И.Ф., Шахин А.В. Закрытый интрамедуллярный остеосинтез переломов костей голени у детей // Сборник тезисов XXV научно-практической конференции детских травматологов-ортопедов Москвы и Московской области. Москва, 2002.
  15. Розинов В.М., Буркин И.А., Плигина Е.Г., Яндиев С.И., Савельев С.Б., Чоговадзе Г.А. Профилактика послеоперационных гнойно-септических осложнений у детей с множественными и сочетанными травмами опорно-двигательного аппарата // Сборник тезисов XXIII научно-практической конференции травматологов-ортопедов г. Москвы. Москва, 2000.
  16. Тарасов Н.И. Остеосинтез металлическими пластинами при переломах костей у детей // Автореф. дис. … канд. мед. наук // Москва, РГМУ, 2004.
  17. Шеламов И.В. Внеочаговый чрескостный остеосинтез в комплексном лечении детей с множественной и сочетанной травмой // Автореф. дис.… канд. мед. наук // Воронеж. Гос. Мед. Академия им. Н. Н. Бурденко. Москва, 2005.
  18. Ali Ahmad., Pervaiz Anjum M. Syed Mujahid Humail, Mushtaq A. Qureshi. Results of interlocking nail in tibial diaphyseal fractures// The Journal of Pakistan Orthopaedic Association. 2009. T. 21. No. 2. С. 36-44.
  19. Antich-Adrover P., Marti-Garin D., Murias-Alvarez J., Puente-Alonso C. External fixation and secondary intramedullary nailing of open tibial fractures. A randomised, prospective trial // J. Bone Joint Surg. Br. 1997. Т. 79. No. 3. C. 433-437.
  20. Arslan H., Subasy M., Kesemenli C., Ersuz H. Occurrence and treatment of nonunion in long bone fractures in children // Arch. Orthop. Trauma Surg. 2002. Т. 122. No. 9-10. C. 494-498.
  21. Barry M., Paterson J.M. A flexible intramedullary nails for fractures in children // J. Bone Joint Surg. Br. 2004. Т. 86. No. 7. C. 947-953.
  22. Behrens F., Searls K. External fixation of the tibia. Basic concepts and prospective evaluation // J. Bone Joint Surg. Br. 1986. Т. 68. No. 2. C. 246-254.
  23. Blachut P.A., Meek R.N., O’Brien P.J. External fixation and delayed intramedullary nailing of open fractures of the tibial shaft. A sequential protocol // J. Bone Joint Surg. Am. 1990. Т. 72. No. 5. C. 729-735.
  24. Blick S.S., Brumback R.J., Poka A., Burgess A.R., Ebraheim N.A. Compartment syndrome in open tibial fractures // J. Bone Joint Surg. Am. 1986. Т. 68. No. 9. C. 1348-1353.
  25. Bonatus T.J., Alexander A.H. Posttraumatic Aeromonas hydrophila osteomyelitis // Orthopedics. 1990. Т. 13. No. 10. C. 1158-1163.
  26. Brumback R.J. Open tibial fractures: current orthopaedic management // Instr. Course Lect. 1992. Т. 41. C. 101-117.
  27. Buckley S.L., Gotschall C., Robertson W.Jr., Sturm P., Tosi L., Thomas M., Eichelberger M. The relationships of skeletal injuries with trauma score, injury severity score, length of hospital stay, hospital charges, and mortality in children admitted to a regional pediatric trauma center // J. Pediatr. Orthop. 1994. Т. 14. No. 4. C. 449-453.
  28. Buckley S.L., Smith G., Sponseller P.D., Thompson J.D., Griffin P.P. Open fractures of the tibia in children // J. Bone Joint Surg. Am. 1990. Т. 72. No. 10. C. 1462-1469.
  29. Burgess A.R., Poka A., Brumback R.J., Bosse M.J. Management of open grade III tibial fractures // Orthop. Clin. North. Am. 1987. Т. 18. No. 1. C. 85-93.
  30. Byron E. Chalidis et al. Reamed interlocking intermedullary nailing for the treatment of tibial diaphyseal fracture and aseptic nonunions. Can we expect an optimum results // Strategies Trauma Limb. Reconstr. 2009. Т. 4. No. 2. С. 89-94.
  31. Chapman M.W. The role of intramedullary fixation in open fractures // Clin. Orthop. Relat. Res. 1986. No. 212. C. 26-34.
  32. Chapman M.W., Olson S.A. Open fractures // In Rockwood and Green’s Fractures in Adults, edited by C. A. Rockwood, Jr., D. P. // Green R. W. Bucholz, and J. D. Heckman. Ed. 4. Philadelphia, Lippincott-Raven, 1996. Т. 1. С. 305-352.
  33. Cole J.D., Ansel L.J., Schwartzberg R.A sequential protocol for management of severe open tibial fractures // Clin. Orthop. Relat. Res. 1995. No. 315. C. 84-103.
  34. Court-Brown C.M., Rimmer S., Prakash U., McQueen M.M. The epidemiology of open long bone fractures // Injury. 1998. Т. 29. No. 7. C. 529-534.
  35. Cramer K.E., Limbird T.J., Green N.E. Open fractures of the diaphysis of the lower extremity in children. Treatment, results, and complications // J. Bone Joint Surg. Am. 1992. Т. 74. No. 2. C. 218-232.
  36. DeLee J.C., Stiehl J.B. Open tibial fracture with compartment syndrome // Clin. Orthop. Relat. Res. 1981. No. 160. C. 175-184.
  37. Edwards C.C., Simmons S.C., Browner B.D., Weigel M.C. Severe open tibial fractures. Results treating 202 injuries with external fixation // Clin. Orthop. Relat. Res. 1988. No. 230. C. 98-115.
  38. Finkemeier C.G., Schmidt A.H., Kyle R.F., Templeman D.C., Varecka T.F. A prospective, randomized study of intramedullary nails inserted with and without reaming for the treatment of open and closed fractures of the tibial shaft // J. Orthop. Trauma. 2000. Т. 14. No. 3. C. 187-193.
  39. Gadegone W.M., Salphale Y.S. Dynamic osteosynthesis by modified Kuntscher nail for the treatment of tibial diaphyseal fractures // Indian J. Orthop. 2009. Т. 43. No. 2. C. 182-188.
  40. Gopal S., Majumder S., Batchelor A.G., Knight S.L., De Boer P., Smith R.M. Fix and flap: the radical orthopaedic and plastic treatment of severe open fractures of the tibia // J. Bone Joint Surg. Br. 2000. Т. 82. No. 7. C. 959-966.
  41. Gordon J.E., Gregush R.V., Schoenecker P.L., Dobbs M.B., Luhmann S.J. Complications after titanium elastic nailing of pediatric tibial fractures // J. Pediatr. Orthop. 2007. Т. 27. No. 4. C. 442-446.
  42. Grimard G., Naudie D., Laberge L.C., Hamdy R.C. Open fractures of the tibia in children // Clin. Orthop. Relat. Res. 1996. No. 332. C. 62-70.
  43. Gustilo R.B., Gruninger R.P., Davis T. Classification of type III (severe) open fractures relative to treatment and results // Orthopedics. 1987. Т. 10. No. 12. C. 1781-1788.
  44. He B., Wang J. Plate fixation of paediatric fractures of the distal tibia and fibula // Acta. Orthop. Belg. 2012. Т. 78. No. 5. C. 660-662.
  45. Hope P.G., Cole W.G. Open fractures of the tibia in children // J. Bone Joint Surg. Br. 1992. Т. 74. No. 4. C. 546-553.
  46. King J., Diefendorf D., Apthorp J., Negrete V.F., Carlson M. Analysis of 429 fractures in 189 battered children // J. Pediatr. Orthop. 1988. Т. 8. No. 5. C. 585-589.
  47. Kreder H.J., Armstrong P. A review of open tibia fractures in children // J. Pediatr. Orthop. 1995. Т. 15. No. 4. C. 482-488.
  48. Kubiak E.N., Egol K.A., Scher D., Wasserman B., Feldman D., Koval K.J. Operative treatment of tibial fractures in children: are elastic stable intramedullary nails an improvement over external fixation? // J. Bone Joint Surg. Am. 2005. Т. 87. No. 8. C. 1761-1768.
  49. Larsson K., van der Linden W. Open tibial shaft fractures // Clin. Orthop7 Relat7 Res. 1983. No. 180. C. 63-67.
  50. Leunig M., Hertel R. Thermal necrosis after tibial reaming for intramedullary nail fixation. A report of three cases // J. Bone Joint Surg. Br. 1996. Т. 78. No. 4. C. 584-587.
  51. Ligier J.N., Metaizeau J.P., Prevot J. Closed flexible medullary nailing in pediatric traumatology // Chir. Pediatr. 1983. Т. 24. No. 6. C. 383-385.
  52. Liow R.Y., Montgomery R.J. Treatment of established and anticipated nonunion of the tibia in childhood // J. Pediatr. Orthop. 2002. Т. 22. No. 6. C. 754-760.
  53. Mashru R.P., Herman M.J., Pizzutillo P.D. Tibial shaft fractures in children and adolescents // J. Am. Acad. Orthop. Surg. 2005. Т. 13. No. 5. C. 345-352.
  54. Matthews L.S., Green C.A., Goldstein S.A. The thermal effects of skeletal fixation-pin insertion in bone // J. Bone Joint Surg. Am. 1984. Т. 66. No. 7. C. 1077-1083.
  55. Maurer D.J., Merkow R.L., Gustilo R.B. Infection after intramedullary nailing of severe open tibial fractures initially treated with external fixation // J. Bone Joint Surg. Am. 1989. Т. 71. No. 6. C. 835-838.
  56. McGraw J.M., Lim E.V. Treatment of open tibial-shaft fractures. External fixation and secondary intramedullary nailing // J. Bone Joint Surg. Am. 1988. Т. 70. No. 6. C. 900-911.
  57. Muller M.E., Nazarian S., Koch P. Classification AO des fractures. 1 Les os longs. Berlin, Heidelberg, New York: Springer-Verlag, 1987.
  58. Muller M.E., Perren S.M., Allgower M. Manual of internal fixation: techniques recommended by the AO group // 3rd ed. Berlin: Springer-Verlag, 1990.
  59. Navascues J.A., Gonzalez-Lopez J.L., Lopez-Valverde S., Soleto J., Rodriguez-Durantez J.A., Garcia-Trevijano J.L. Premature physeal closure after tibial diaphyseal fractures in adolescents // J. Pediatr. Orthop. 2000. Т. 20. No. 2. C. 193-196.
  60. Norman D., Peskin B., Ehrenraich A., Rosenberg N., Bar-Joseph G., Bialik V. The use of external fixators in the immobilization of pediatric fractures // Arch. Orthop. Trauma Surg. 2002. Т. 122. No. 7. C. 379-382.
  61. O’Brien P., Meek R., Blachet P. and Broekhuyse H. Interlocking intramedullary nailing of open fractures of the tibia: a prospective randomized comparison of reamed and unreamed nails // Read at the Annual Meeting of the Orthopaedic Trauma Association. New Orleans, Louisiana, 1993.
  62. Pandey S., Jha K.N., Pandey A.K., Prasad V. Further experiences of Kuntscher’s nailing for tibial shaft fractures // Arch. Orthop. Trauma Surg. 1991. Т. 110. No. 5. C. 227-229.
  63. Pankovich A.M., Tarabishy I.E., Yelda S. Flexible intramedullary nailing of tibial-shaft fractures // Clin. Orthop. Relat. Res. 1981. No. 160. C. 185-195.
  64. Qidwai S.A. Intramedullary Kirschner wiring for tibia fractures in children // J. Pediatr. Orthop. 2001. Т. 21. No. 3. C. 294-297.
  65. Sanders R., Jersinovich I., Anglen J., DiPasquale T., Herscovici D.Jr. The treatment of open tibial shaft fractures using an interlocked intramedullary nail without reaming // J. Orthop. Trauma. 1994. Т. 8. No. 6. C. 504-510.
  66. Shannak A.O. Tibial fractures in children: follow-up study // J. Pediatr. Orthop. 1988. Т. 8. No. 3. C. 306-310.
  67. Stegemann P., Lorio M., Soriano R., Bone L. Management protocol for unreamed interlocking tibial nails for open tibial fractures // J. Orthop. Trauma. 1995. Т. 9. No. 2. C. 117-120.
  68. Thompson G.H., Wilber J.H., Marcus R.E. Internal fixation of fractures in children and adolescents. A comparative analysis // Clin. Orthop. Relat. Res. 1984. No. 188. C. 10-20.
  69. Tolo V.T. External skeletal fixation in children’s fractures // J. Pediatr. Orthop. 1983. Т. 3. No. 4. C. 435-442.
  70. Tornetta P., 3rd, Bergman M., Watnik N., Berkowitz G., Steuer J. Treatment of grade-IIIb open tibial fractures. A prospective randomised comparison of external fixation and non-reamed locked nailing // J. Bone Joint Surg. Br. 1994. Т. 76. No. 1. C. 13-19.
  71. Vallamshetla V.R., De Silva U., Bache C.E., Gibbons P.J. Flexible intramedullary nails for unstable fractures of the tibia in children. An eight-year experience // J. Bone Joint Surg. Br. 2006. Т. 88. No. 4. C. 536-540.
  72. Vinett J., Ayush A., Mehtani A. et al. Primary unraemed intramedullary locked nailing in open fractures of tibia // Indian Journal of Orthopaedics, 2005. Т. 39. No. 1. С. 30-32.
  73. Vrsansky P., Bourdelat D., Al Faour A. Flexible stable intramedullary pinning technique in the treatment of pediatric fractures // J. Pediatr. Orthop. 2000. Т. 20. No. 1. C. 23-27.
  74. Weissman S.L., Herold H.Z., Engelberg M. Fractures of the middle two-thirds of the tibial shaft // J. Bone Joint Surg. Am. 1966. Т. 48. № 2. C. 257-267.
  75. Wessel L., Seyfriedt C.S., Hock S., Waag K.L. Pediatric tibial fractures: is conservative therapy still currently appropriate? // Unfallchirurg. 1997. Т. 100. No. 1. C. 8-12.
  76. Wood D., Hoffer M.M. Tibial fractures in head-injured children // J. Trauma. 1987. Т. 27. No. 1. C. 65-68.
  77. Yang J.P., Letts R.M. Isolated fractures of the tibia with intact fibula in children: a review of 95 patients // J. Pediatr. Orthop. 1997. Т. 17. No. 3. C. 347-351.
  78. Yusof N.M., Oh C.W., Oh J.K., Kim J.W., Min W.K., Park I.H., Kim H.J. Percutaneous plating in paediatric tibial fractures // Injury. 2009. Т. 40. No. 12. C. 1286-1291.
  79. Traumatology and mythology: a few tips for beginning doctors, Augusto Sormiento // Ортопедия, травматология и восстановительная хирургия детского возраста. Том II. Выпуск 1. 2014.
  80. Slongo T.Z. Unfallchir Versicherungsmed. 1990. Vol. 83. No. 2. P. 74-80. German
  81. The small AO external fixator in pediatric orthopaedics and trauma // SlongoT., Jacob R. P. Injury. 1994.
  82. Ключевский В.В. Хирургия повреждений. Ярославль-Рыбинск, 2004.

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