Closed reposition radius fractures on the method N.P. Svinuhova

Authors

  • O. A. Sergienko Municipal institution «Zhytomyr Regional Children’s Clinical Hospital» of Zhytomyr Regional Council, Ukraine, Ukraine
  • O. M. Gudimenko Municipal institution «Zhytomyr Regional Children’s Clinical Hospital» of Zhytomyr Regional Council, Ukraine, Ukraine
  • M. S. Fedurko Municipal institution «Zhytomyr Regional Children’s Clinical Hospital» of Zhytomyr Regional Council, Ukraine, Ukraine
  • Yu. S. Mozharovsky Municipal institution «Zhytomyr Regional Children’s Clinical Hospital» of Zhytomyr Regional Council, Ukraine, Ukraine

DOI:

https://doi.org/10.15574/PS.2019.63.64

Keywords:

fracture of cervical beam, closed reposition, children

Abstract

Intra-articular fractures of the neck of the bone marrow with displacement is not uncommon in childhood. There are many methods of surgical treatment of this fracture. But an open repositioning with an ideal comparison of fragments often results in a restriction of function due to an additional trauma of soft tissues and periosteum. Therefore, the restoration of this function of the forearm bones is especially important in the treatment of this fracture. With closed reposition, the function of the elbow is restored much faster.

Objective: o demonstrate the benefits of using conservative treatment of surgical methods for fractures of the neck of the radial bone in children on the example of the use of methods by N.P. Svinuhov.

Materials and methods. For the period from 2004 to 2018, 104 children were treated in the traumatology department of the Zhytomyr Regional Children’s Clinical Hospital in connection with the fracture of the cervix. Treatment of this fracture in a plaster band (without repositioning) was performed in 3 (2.8%) children, closed reposition according to the method of NP. Svinukhova – in 90 (86.5%) children, surgical treatment – in 11 (10.5%) children.

Results and Conclusions. The analysis of the data showed that after the closed reposition, the function of the elbow is restored much better than after surgery. This technique is recommended as a primary means of eliminating the displacement of the fracture of the cervix even at significant angular displacements.

References

Kurinnyi IM, Strafun OS. (2014). Osoblyvosti reabilitatsii khvorykh iz perelomamy holovky promenevoi kistky pislia rekonstruktyvnykh operatyvnykh vtruchan Trauma.15;1.

Kurinnyi IM, Strafun OS. (2014). Khirurhichne likuvannia khvorykh z perelomamy holovky promenevoi kistky ta yikh naslidkamy. Visnyk ortopedii, travmatolohii ta protezuvannia.1: 29–33.

Svinuhov NP. (1966). Vestnik hirurgii. 4: 129–135.

Hammacher ER, van der Werken C. (1996). Radial head fractures: operative or conservative treatment? The Greek temple model. Acta Orthop Belg. 62;1: 112–5.

Van Glabbeek F, Van Riet R, Verstreken J. (2001, Dec). Current concepts in the treatment of radial head fractures in the adult. A clinical and biomechanical approach. Acta Orthop Belg. 67(5): 430–41.

Issue

Section

Original articles. Orthopedics