Reconstructive and reparative surgery in osteosynthesis for an old right proximal femur fracture

DOI: https://doi.org/10.29296/25877305-2021-07-13
Download full text PDF
Issue: 
7
Year: 
2021

A.A. Antonov(1); Professor E. Solod(1), MD; Professor A. Lazarev(1), MD; D. Vychuzhanin(2),
Candidate of Medical Sciences; R. Gorenkov(2, 3), MD; Professor A. Simonova(3), MD; A.K. Antonov(1),
Candidate of Medical Sciences; K. Antonov(1); N. Sinyukova(2) (1)N.N. Priorov National Medical Research
Center for Traumatology and Orthopedics, Minis-try of Health of Russia; Moscow (2)I.M. Sechenov First Moscow
State Medical University (Sechenov University), Ministry of Health of Russia (3)M.F. Vladimirsky Moscow
Regional Research Clinical Institute, Moscow

The paper describes a clinical case of treatment for an old right proximal femur fracture in a young female patient. In the patient, the immunomodulator thymalin, human immunoglobulin, and the antiseptic sodium hypochlorite were prescribed in the early postoperative period for prevention of infectious complications and for fast-track recovery. Due to the correct choice of an osteosynthe-sis procedure and to the optimization of the early postoperative period, the patient was on crutches on day 2 after surgery; primary intention wound healing occurred. The patient was discharged on day 7 to continue outpatient treatment.

Keywords: 
surgery
osteosynthesis
old proximal femur fracture
thymalin
human immunoglobulin
sodium hypochlorite



It appears your Web browser is not configured to display PDF files. Download adobe Acrobat или click here to download the PDF file.

References: 
  1. Shesternja N.A., Gamdi Ju.F., Ivannikov S.V. Perelomy shejki bedra. Sovremennye metody lechenija. M.: Binom, Laboratorija znanij, 2005; 104 s. [Shesternya N.A., Gamdi Yu.F., Ivannikov S.V. Perelomy sheiki bedra. Sovremennye metody lecheniya. M.: Binom, Laboratoriya znanii, 2005; 104 r. (in Russ.)].
  2. Seyfettionğlu F., Ersan O., Kovalak E. et al. Fixation of femoral neck fractures with three screws: results and complications. Acta Orthop Traumatol Turc. 2011; 45 (1): 6–13. DOI: 10.3944/AOTT.2011.2434
  3. Gul'nazarova S.V., Mamaev V. I., Zubareva T.V. Oslozhnenie pri endoprotezirovanii plechevogo sustava u patsientov s zastarelymi perelomami i perelomo-vyvihami proksimal'nogo otdela u plechevoj kosti. Genij ortopedii. 2016; 1: 48–51 [Giul’nazarova S.V., Mamaev V.I., Zubareva T.V. Complications of the shoulder arthroplasty in patients with inveterate fractures and fracture- dislocations of the proximal humerus. Genii ortopedii. 2016; 1: 48–51 (in Russ.)]. DOI: 10.18019/1028-4427-2016-1-48-51
  4. Vojtovich A.V. Shestiletnij opyt ekstrennogo endoprotezirovanija. Aktovaja rech'. SPb: Izd-vo Rossijskogo nauchno-issledovatel'skogo instituta travmatologii i ortopedii im. R.R. Vredena, 1999; 28 s. [Voitovich A.V. Shestiletnii opyt ekstrennogo endoprotezirovaniya. Aktovaya rech’. SPb: Izd-vo Rossiiskogo nauchno-issledovatel’skogo instituta travmatologii i ortopedii im. R.R. Vredena, 1999; 28 r. (in Russ.)].
  5. Sendtner E., Renkawitz T., Kramny P. et al. Fractured neck of femur – internal fixation versus arthroplasty. Dtsch Arztebl Int. 2010; 107 (23): 401–7. DOI: 10.3238/arztebl.2010.0401
  6. Kljuchevskij V.V. Hirurgija povrezhdenij. Rukovodstvo dlja travmatologov, hirurgov rajonnyh bol'nits, vrachej uchastkovyh bol'nits, fel'dsherov FAP i zdravpunktov. M.: GEOTAR-Media, 2013; 878 s. [Klyuchevskii V.V. Khirurgiya povrezhdenii. Rukovodstvo dlya travmatologov, khirurgov raionnykh bol’nits, vrachei uchastkovykh bol’nits, fel’dsherov FAP i zdravpunktov. M.: GEOTAR-Media, 2013; 878 r. (in Russ.)].
  7. Johansson T., Risto O., Knutsson A. et al. Heterotopic ossification following internal fixation or arthroplasty for displaced femoral neck fractures: a prospective randomized study. Int Orthop. 2001; 25 (4): 223–5. DOI: 10.1007/s002640100263
  8. Kljushin N.M., Ermakov A.N., Naumenko Z.S. i dr. Etiologija ostroj periproteznoj infektsii sustavov i rezul'taty ee hirurgicheskogo lechenija. Genij ortopedii. 2017; 23 (4): 417–22 [Kliushin N.M., Ermakov A.M., Naumenko Z.S. et al. Etiology of acute periprosthetic joint infection and the results of its surgical treatment. Genii ortopedii. 2017; 23 (4): 417–22 (in Russ.)]. DOI: 10.18019/1028-4427-2017-23-4-417-422
  9. Lorczyński A., Kozdryk J. Long term results of femoral neck fractures in children. Chir Narzadow Ruchu Ortop Pol. 2007; 72 (4): 259–63.
  10. Wu C.C. Using biomechanics to improve the surgical technique for internal fixation of intracapsular femoral neck fractures. Chang Gung Med J. 2010; 33 (3): 241–51.
  11. Majernicek M., Dungl P., Kolman J. et al. Osteosynthesis of intracapsular femoral neck fractures by dynamic hip screw (DHS) fixation. Acta Chir Orthop Traumatol Cech. 2009; 76 (4): 319–25.
  12. Anglen J.O., Baumgaertner M.R., Smith W.R. et al. Technical tips in fracture care: fractures of the hip. Instr Course Lect. 2008; 57: 17–24.