DC Field | Value | Language |
dc.contributor.author | Tolmaci, Valeriu | |
dc.contributor.author | Ghitu, Vasile | |
dc.date.accessioned | 2020-11-02T18:26:13Z | |
dc.date.available | 2020-11-02T18:26:13Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | TOLMACI, Valeriu, GHITU, Vasile. Surgical treatment of fractures in regional hospital. In: Arta Medica. 2016, nr. 4(61), p. 24. ISSN 1810-1852. | en_US |
dc.identifier.issn | 1810-1852 | |
dc.identifier.uri | https://artamedica.md/old_issues/ArtaMedica_61.pdf | |
dc.identifier.uri | http://repository.usmf.md/handle/20.500.12710/12472 | |
dc.description | Regional Hospital of Briceni, Republic of Moldova, Al VIII-lea Congres Naţional de Ortopedie și Traumatologie cu participare internaţională 12-14 octombrie 2016 | en_US |
dc.description.abstract | Study objectives: The analysis of the results of fractures surgical treatment in the Orthopedics and Traumatology Department
of the Regional Hospital.
Methods and Materials: 1689 patients were treated in the Orthopaedics and Traumatology Department of the Regional
Hospital during years 2011-2015. The surgical treatment ratio during the period covered by the study increased from 9.7%
to 19.2%, as per Hospital provisioning with implants, with an average ratio of 16.3%. The methods of osteosynthesis applied
in closed diaphyseal fractures: clavicula with intramedullary nail – 25 (9.5%), arm with plate – 11 (4.2%), forearm – 12
(4.6%) centromedular fixation and 22 (8.4%) plate fixation, femur – centromedular 10 (4%) and plate fixation 2 (0.5%); leg
with plate fixation – 7 (2.7%), Ilizarov device – 12 (4.6%); malleolus with plate fixation – 44 (16.7%) nail fixation – 21 (7.9%);
leg and hand nail fixation – 81 (30.7%). In open fractures we preferred osteosynthesis with Ilizarov device – 15 (5.8%).
Surgical interventions were applied in 2-7 days after trauma.
Results: Slow consolidation in diaphyseal fractures at 6 patients (2.2%), pseudarthrosis at 2 patients (0.7%). Septic
complications were observed in closed fractures in 2 cases (0.7%) (soft tissues inflammation). Leg open fractures had
complications in 6 patients – soft tissues necrosis. These fractures were treated with a tegumentary plasty. Osteitis in 2
patients.
Conclusion: A stable osteosynthesis of diaphyseal fractures was obtained by fixation with plates and extrafocal fixation with
Ilizarov device. Short term and long term results obtained were classified as good. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Asociaţia chirurgilor “Nicolae Anestiadi” din Republica Moldova | en_US |
dc.subject | Osteosynthesis | en_US |
dc.subject | Diaphyseal fractures | en_US |
dc.title | Surgical treatment of fractures in regional hospital | en_US |
dc.type | Other | en_US |
Appears in Collections: | Arta Medica Vol. 61, No 4, 2016 ediție specială
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