Analysis of the results of treating patients with shaft fractures of leg bones using combined osteosynthesis

Purpose. To perfect the biomechanical conditions of treating oblique and obliquely spiral leg fractures which allow improving the effectiveness of treatment in such patients. Materials and Methods. A technique of tibial combined osteosynthesis proposed using cortical screws and an external fixator which optimizes the biomechanical conditions of fracture healing thereby allowing active functional treatment in the early periods. The technique used in 64 patients. Results. The performed biomechanical studies demonstrated sufficient reliability of this kind of fixation. Good functional results achieved in 94 % of cases. The periods of restorative treatment 1.5-1.8-fold reduced in comparison with average rates. Conclusion. The technique of combined osteosynthesis for leg shaft fractures most fully meets the main principles of reposition biomechanical optimality, fixation, and functional treatment for the injuries of the kind. The use of external fixator modulus as additional immobilization allows recovering limb motor and weight-bearing function immediately after surgery.