Komparativna analiza rezultata operativnog lečenja preloma dijafize butne kosti metodom zaključavajućeg intramedularnog klina i samodinamizirajućeg unutrašnjeg fiksatora po Mitkoviću

Abstract

Introduction: The incidence of fracture of the femur bone ranges from 1.5 to 9.9: 100 000 persons during the year, and most commonly isolated injuries. Material and methods: The study was conducted on a sample of 100 subjects with 104 fractures, divided into two groups based on the treatment method. The average monitoring time is 12-23 months. In the first group, with selfdynamizable internal fixator (SIF) was used in 55 patients with 57 fractures. In the second group, in 45 subjects with 47 fractures treated with interlocking femoral nails. Both surgical methods are based on the concept of relative stability. For AO / ASIF classification (type A 39, tips B 51, type C 14), Winquist Hansen (type I 28, type II 39, type III 23, type IV 14) and Gustillo Anderson classification (Type I 7 and Type II 2). The analized complications are: infection, nonunion, deformity of the extremities (malposition of the axis, rotation and length), malunion et break and displacement of osteosynthetic material, deep vein thrombosis, pulmonary embolism, neurovascular injury, compartment syndrome, and amputation. Objective: Comparative analysis of the process of scaling, functional recovery and complications between these two methods of treatment of femoral shaft fracture. Discussion: Protocols and trauma scores provide guidelines for a diagnostic pathway for adequate orthopedic care, contributing to reducing morbidity, mortality and more successful treatment. In politraumatized special effects in improving treatment, it has been shown through guidelines based on two principles: early total care ETC and damage control orthopaedic DCO. Conclusion: Both methods equally enable the achievement of good results of treatment, which is displayed through the values of the analyzed parameters.