[Use of bone plates in external osteosynthesis].
The author applied the bone plate for external osteosynthesis in 6 patients. Three of them had open fractures of 2nd grade in the area of shin, one patient in the area of forearm. In 2 patients there occurred unstable pseudoarthrosis of shin with significantly trophically changed soft tissue covering. On the shin he always two broad bone plates on the anteromedial aspect of the shin, and namely in the V-configuration. For the increase of the stability of the assemblage he used the interconnection of two broad plates by one or two narrow moulded plates the subsequent modification of which allowed to apply the rubber traction for the training of the sole. He had not met with any reaction to the inserted screws. In unstable pseudoarthrosis he used the combination of the clamp telescopic fixator and a broad bone plate and namely on the anteromedial aspect of the shin. He considers the combination of these methods perspective for the application of clamp fixators in unstable fractures and pseudoarthrosis of tibia. By means of the application of bone plates for external fixation we can achieve adequate fixation also in case of short fragments in both the proximal and distal parts of tibia and thus avoid the application of a fixator over the adjacent joint. In 3 patients he has succeeded in ensuring full healing with full range of mation in the adjacent joints, in 2 patients the bone consolidation is proceeding successfully and in a short time it will be possible to remove the fixators. The application of this method on the forearm had not ensured the healing. It was necessary to remove the fixator due to the intermittent inflammatory reaction around the screws. The bone consolidation was then achieved by spongioplasty. The method presented does not allow secondary correction of fragments, its application is limited.
Král
J
J
D000328:Adult; D001860:Bone Plates; D005260:Female; D005592:Fracture Fixation / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged
Pouzití kostní dlahy k zevní osteosyntéze.