Use of transosseous osteosynthesis method in a city: the present and prospects

A study performed in all the St. Petersburg traumatologic-and-orthopedic departments simultaneously has demonstrated that the proportion of patients with indications for transosseous osteosynthesis performance amounts to 0.6-1.6 %. Among them 43 % are socially unprotected. The necessity for staying 45% of patients in a hospital for a long time (above 3 weeks) is connected not only with transosseous osteosynthesis technology, but with inadequate work of out-patient departments as well. It has been found that 86 % of traumatologists questioned have no adequate specialized training in the field of external fixation. The current state of external fixation presupposes two levels of its organization: "traumatologic (urgent)" and "orthopedic" which differ significantly in the required level of specialist training, equipping and treatment process organization. There is a need for foundation of the specialized centre for treatment of difficult orthopedic-and-traumatologic pathology with the use of transosseous osteosynthesis technologies, the adoption of progressive techniques and the perfection of the known ones, as well as for methodical and educational support organizing.