Methods of Treatment of Diaphyseal Forearm Fractures

Abstract

The analysis of modern domestic and foreign literature on the issues of surgical treatment of patients with diaphyseal forearm fractures is presented in the article, the main problems at these injuries are noted. The analysis has been carried out on the basis of databases of medical publications of CyberLeninka, eLibrary, PubMed and biliary databases. It has been established that the operative method of treatment is given preference at treatment of diaphyseal forearm fractures. Patients treated with a conservative method have satisfactory results only in 29-59%. According to the literature data, in the application of intramedullary fixation fusion is achieved in 91% of cases on average, and satisfactory functional results are observed in 84%. In the case of plate fixation 95.8% and 87.9% respectively. At the same time, the frequency of infectious complications in plate osteosynthesis ranges from 0.8 to 5.5%. Such a high frequency of unsatisfactory results in the most common submersible osteosynthesis types provides a basis for analyzing the causes of failures to eliminate them. Blocking intramedullary osteosynthesis, according to few literature data, leads to an average fusion of 98.8%, while excellent and good functional results are observed in 88.5%. Currently, the methods of treatment of patients with diaphyseal forearm fractures are being developed; the design of structures is being improved taking into account the peculiarities of these fractures. However, the problem of choosing the optimal tactics and methods of surgical fixation of these lesions remains a subject for discussion, which is the basis for scientific research on optimization of tactics and methods of surgical treatment of patients with diaphyseal forearm fractures and their consequences.