Significance of the Pathogenetic Approach and Volume of Reosteosynthesis in the Treatment for Disorders of Tibial Shaft Fractures Healing

M.L. Ankin, V.L. Shmahoi


Objective of the Study. Through a comparative analysis to determine the degree of influence of the volume and methods of reosteosynthesis on rehabilitation time and effectiveness of surgical treatment for disorders of tibial fracture healing.
Materials and Methods. During the period of 2008–2013, 143 patients with disorders of shinbone healing underwent surgical treatment in orthopedic and trauma center of Kyiv regional clinical hospital № 1. Systemic factors of non-union were determined, a comprehensive pathogenetic surgery was carried out. Treatment outcomes were evaluated qualitatively and in terms of rehabilitation time. We compared groups of patients that differ in the volume of reosteosynthesis.
Results. At follow-up examination of patients in a period of 12 months after reosteosynthesis, 131 patients had positive result of fracture union. 5 patients had complications, aggravation of posttraumatic osteomyelitis. 7 patients were reoperated. When assessing treatment outcomes by modified Neer-Grantham-Shelton scale, we revealed no statistically significant differences in the groups that differ in the volume and methods of reosteosynthesis (p = 0.997). When evaluating the period of treatment, we noted statistically non-significant difference (p = 0.631) in the reduction of rehabilitation time, when using a combination of methods for reosteosynthesis with bone grafting and methods for osteogenesis and angiogenesis stimulation.


fracture healing disorders; delayed fracture union; pseudarthrosis of the tibia; reosteosynthesis


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