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[Therapy of diaphyseal fractures of the leg in a district hospital].

Authors
Type
Published Article
Journal
Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
Publication Date
Volume
72
Issue
2
Pages
55–57
Identifiers
PMID: 8211388
Source
Medline
License
Unknown

Abstract

During the period between 1987 and 1991 at the surgical department of the Trebíc hospital 136 casualties with closed diaphyseal fractures were treated. All patients were older than 18 years and monotraumas were involved. The patients were treated by immobilization by a classical high plaster bandage, functional plaster as recommended by Sarmient, extension treatment, miniosteosynthesis, osteosynthesis using a splint, intramedullary fixation as described by Küntscher and Simon-Enders-Weidner, or possibly by a combination of the mentioned methods. The author divides fractures of the leg into stable and unstable fractures and fracture with so-called urgently indicated osteosynthesis. The mean period of treatment with high plaster bandage was 31.7 weeks, functional plaster according to Sarmient 20.2 weeks, miniosteosynthesis with plaster fixation 25.5 weeks. When splints were used, the mean period of treatment was 30.5 weeks, in osteosynthesis according to Enders 20.6 weeks. The best results in stable fractures were achieved by functional plaster according to Sarmient, in unstable fractures and those with indicated osteosynthesis by using intramedullary fixation as described by Enders.

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