Alfacalcidols effect to shoulder fracture consolidation period at the patient with osteoporosis

Bone ◽  
2012 ◽  
Vol 50 ◽  
pp. S112
Author(s):  
E. Solod⁎ ◽  
A. Lazarev ◽  
S. Rodionova
Keyword(s):  
Shoulder Fracture ◽  
Fracture Consolidation

Achievements of the Clinic of Traumatology and Orthopedics of Moscow State Medical and Dentistry University named after A. I. Evdokimov in treatment of complications and consequences of fractures of long bones of extremities

2021 ◽  
Vol 19 (3) ◽  
pp. 144-151
Author(s):  
P. E. ELDZAROV ◽  
Keyword(s):  
Surgical Treatment ◽  
Treatment Process ◽  
Treatment Effectiveness ◽  
Chronic Osteomyelitis ◽  
Surgical Techniques ◽  
Long Bones ◽  
Delayed Fracture ◽  
Reconstructive Operations ◽  
Fracture Consolidation ◽  
Rapid Restoration

The work is devoted to improving the effectiveness of treatment of patients with complications and consequences of fractures of the long bones of the extremities by improving and developing new surgical techniques aimed at early individual social and household rehabilitation due to the maximally complete and rapid restoration of the integrity and functions of the damaged segment. Reconstructive operations were performed in 285 patients with delayed fracture consolidation, incorrectly fused fractures, false joints, and false joints with chronic osteomyelitis. The analysis of the applied treatment methods effectiveness from the viewpoint of optimizing the treatment process allowed us to develop an algorithm for the surgical treatment of patients with complications and consequences of fractures of the long bones of the extremities. The use of the proposed algorithm in surgical treatment maximally eliminates possible errors and increases the treatment effectiveness.

(deleted)

2021 ◽  
Author(s):  
MV Osikov ◽  
EV Davydova ◽  
KS Abramov
Keyword(s):  
Bone Healing ◽  
Standard Therapy ◽  
Type I Collagen ◽  
Femoral Shaft ◽  
Control Group ◽  
Blood Levels ◽  
Type I ◽  
Mineral Density ◽  
Fracture Consolidation ◽  
To Receive

Efferent physical therapy holds promise as an adjunct to the combination treatment of femoral fractures in young, working-age individuals. The aim of the study was to investigate the dynamics of bone turnover markers at different stages of femoral fracture consolidation in patients undergoing ozone therapy. The study enrolled 20 men (group 2, 47.8 ± 3.5 years) with a femoral shaft fracture (AO/ASIF 32А, 32В). The control group (group 1, 46.8 ± 3.7 years) comprised 10 healthy males. Subgroup 2a (n = 10) was assigned to receive standard therapy; subgroup 2b (n = 10) was assigned to receive standard therapy complemented by minor autohemotherapy (MAHT) at 20 mg/L ozone concentrations. On days 7, 30 and 90, fracture consolidation was assessed on the RUST scale and blood levels of С-terminal telopeptides of type I collagen (bCTx, pg/ml) and procollagen type I carboxy-terminal propeptide (PICP, ng/ml) were measured. On day 7, the total RUST score in subgroups 2a and 2b was 4 points; on day 30, it was 6.5 and 8.7 points, respectively, and on day 90, it reached 10 and 11.5 points, respectively. Bone mineral density was as high as 90% in the MAHT subgroup vs. 78% in subgroup 2а, indicating faster bone healing. On day 30, bCTx levels in subgroup 2b were higher than in subgroup 2a (2289.4 [2145.3; 2365.4] vs. 1894.6 [1745.3; 2098.2], respectively. On day 7, PICP was significantly elevated in subgroup 2b in comparison with subgroup 2a; its levels peaked on days 30 and 90 (day 30: 268.3 [231.2; 286.3] vs. 183.2 [174.6; 195.6]; day 90: 584.6 [512.3; 589.3] vs. 351.2 [312.3; 369.4]. Thus, MAHT produces a positive effect on the quality and intensity of bone healing in men with isolated closed femoral shaft fractures.

scholarly journals METHOD OF FORENSIC ASSESSMENT OF RISK FACTORS OF TREATMENT FAILURE OUTCOMES AS AN ELEMENT OF QUALITY MANAGEMENT OF MEDICAL CARE

2020 ◽  
Vol 73 (5) ◽  
pp. 1041-1047
Author(s):  
Vyacheslav K. Sokol ◽  
Vira A. Kolesnichenko ◽  
Kostyantin M. Sokol ◽  
Vladyslav A. Smiianov
Keyword(s):  
Forensic Assessment ◽  
Adverse Outcomes ◽  
Expert Assessment ◽  
Delayed Fracture ◽  
Fracture Consolidation ◽  
Secondary Displacement ◽  
Bone Fragments ◽  
Diaphyseal Fractures ◽  
Post Traumatic ◽  
The Stability

The aim: The aim of this research was to study causes of the development of adverse outcomes in isolated femоral diaphyseal fractures. Materials and methods: A retrospective analysis of the protocols of clinical and radiological examination of 21 patients was performed. Based on the initial expert assessment, these patients have not been established the severity of injuries due to the development of complications in the postoperative period. Conclusions: Patient-dependent, implant-dependent, and surgery-dependent causes that caused a violation of the stability of osteosynthesis (95.2%) were identified. This led to a secondary displacement of bone fragments (71.4%), delayed fracture consolidation (61.9%), the formation of pseudarthrosis (38.1%), the development of post-traumatic osteomyelitis (14,3), migration of screws from the osseous plate (47.6%), and the development of post-traumatic contracture of the knee joint (81.0%).

Causes of tibial fracture consolidation disorders in extrafocal compression-distraction osteosynthesis and ways to prevent them

2021 ◽  
Vol 11 (3) ◽  
pp. 2119-2122
Author(s):  
Sadulla Yusupovich Ibragimov ◽  
Nurali Fayzievich Eranov ◽  
Ilhom Gulomovich Juraev ◽  
Asliddin Amiriddinovich Umarov ◽  
Gayrat Tursunovich Amonov
Keyword(s):  
Tibial Fracture ◽  
Distraction Osteosynthesis ◽  
Fracture Consolidation

scholarly journals Posterior shoulder fracture-dislocation: A systematic review of the literature and current aspects of management

2020 ◽  
Author(s):  
Georgios Paparoidamis ◽  
Efthymios Iliopoulos ◽  
A.Ali Narvani ◽  
Ofer Levy ◽  
Eleftherios Tsiridis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Fracture Dislocation ◽  
Review Of The Literature ◽  
Shoulder Fracture ◽  
Posterior Shoulder

scholarly journals Treatment of Avulsion Fractures of the Base of the Fifth Metatarsal with Walking Boot and Hard-Soled Shoes: A Comparative Study

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0032
Author(s):  
Danilo Ryuko Cândido Nishikawa ◽  
Fernando Aires Duarte ◽  
Guilherme Honda Saito ◽  
Augusto César Monteiro ◽  
Cesar de Cesar Netto ◽  
...  
Keyword(s):  
Comparative Study ◽  
Fracture Healing ◽  
Joint Disease ◽  
Function Evaluation ◽  
Avulsion Fractures ◽  
Non Union ◽  
Fracture Consolidation ◽  
And Gender ◽  
American Orthopaedic ◽  
And Function

Category: Midfoot/Forefoot, Trauma Introduction/Purpose: Acute avulsion fractures of the base of the fifth metatarsal are common and usually treated non- surgically with satisfactory outcomes. Forms of conservative treatments are described such as elasticated bandaging, immobilization in a cast, walking boot and hard-soled-shoes. The aim of this study was to compare the clinical and functional outcomes, time to return to the previous activities, time and rate of fracture healing of the patients with avulsion fracture of the base of the fifth metatarsal treated in a hard-soled-shoes (HSS) or in a walking boot (WB). Our null hypothesis is that a less rigid immobilization without restriction of the ankle yields the same final results. Methods: A retrospective and comparative study of 72 patients with acute avulsion fractures of the base of the fifth metatarsal treated with the WB or the HSS, from March 2014 to November 2018. The average age of the patients was 41,25 (range, 11-88) and there were 56 female and 16, male. 39 were treated with the WB and 33, with the HSS. Patients with comorbities that could interfere in the rate and time of bony healing (diabetes and inflammatory joint disease), associated ankle ligament lesions and loss of follow-up were excluded. Patients were followed regularly until they were clinically asymptomatic and able to return to their previous activities (work, daily activities, sports). We retrospectively reviewed medical records containing the visual analogue scale (VAS) for pain and the american orthopaedic foot and ankle society (AOFAS) score of each visit as well as radiographic exams to evaluate time and rate of fracture healing. Results: Patients of both groups had similar VAS and AOFAS scores in 8 (p=0,34 and p=0,83) and 12 (p=0,25 and p=0,79) weeks. Age and gender distribution in the two groups were equal (p=0,23 and p=0,34, respectively). Time taken to return to the previous activities were not significant different between both groups, with the HSS group taking 8,33 weeks and the WB taking 9,73 weeks (p=0,10). The mean time for bone consolidation was significant higher in the HSS group, taking 8,64 weeks while in the WB took 7,18 weeks (p<0,001). Only 1 case of non-union was observed in the WB group and none in the HSS group. Conclusion: Our study concluded that avulsion fractures of the base of the fifth metatarsal can be treated equally with the HSS or the WB. Both types of immobilization showed to be equivalent in terms of clinical and function evaluation, return to the previous activities without difference in the rate of the fracture consolidation.

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