Treatment of fractures

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 1

Traffic accident, open multifragmental fracture of left shin bone with presence of chronical osteomyelitis

Resection bone fragments of middle third of shin-bone over 24 cm

Polylocal osteosynthesis with Ilizarov technique

Builded shin-bone defect

Structural change of stretching reclaims and consolidation of attached fragments of shin-bone in Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 2

Open comminuted fracture of shin-bone

Condition of shin-bones after intramedullary osteosynthesis with presence of chronical osteomyelitis

Resection of lower third of shin-bone over 8 cm and osteotomy upper third of shin-bone in Ilizarov apparatus

Building of shin-bone defect

Builded shin-bone defect

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 3

Open multifragmental fracture of upper third of shin-bone with presence of chronical osteomyelitis

Fistulogram

Bilocal osteosynthesis with Ilizarov technique

Building of shin-bone defect

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 4

Condition of shin-bone after osteosynthesis with help of plate with presence of chronical osteomyelitis

Resection of middle third of shi-bone, polylocal osteosynthesis with Ilizarov technique

Building of shin-bone defect

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 5

Spiral fracture of lower third of shin-bone

Condition of shin-bone after transosseous osteosynthesis with help of Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 6

Multifragmental fracture of lower third of shin-bone

Condition of shin-bone after transosseous osteosynthesis with help of Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 7

Double comminuted fracture of shin-bone

Condition of shin-bone after transosseous osteosynthesis with help of Ilizarov apparatus

Condition of shin-bone after Ilizarov appratus removal

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 8

Chronical osteomyelitis of shin-bone after intramedullary osteosynthesis

Resection of lower third of shin-bone, bilocal osteosynthesis with help of Ilizarov apparatus

Shin-bone lengthening

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 9

Multifragmental fracture of shin-bone proximal ending with presence of chronical osteomyelitis

Fistulogram after complications appearance

Transosseous osteosynthesis with help of Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 10

Valgus of lower third of shin-bone with limb shortening

Wedge-shaped resection of lower third of shin-bone, transosseous osteosynthesis with help of Ilizarov apparatus and osteotomy of shin-bone for following limb lingthening

Shine-bone lengthening

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 11

Double fracture of shin-bone

Osteosynthesis with help of Ilizarov apparatus

Condition after Ilizarov apparatus removal

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 12

Oblique fracture of lower third of shin-bone in plaster cast

Osteosynthesis with help of rod-pin apparatus from tool kit of Ilizarov apparatus

Clinical test after 2 months

Condition after rod-pin apparatus removal

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 13

Defect of shin-bone with presence of chronical osteomyelitis

Polylocal osteosynthesis of shin-bone with help of Ilizarov apparatus

Building of shin-bone defect

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 14

Double fracture of shin-bone on extension

Osteosynthesis of shin-bone with help of Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 15

Fracture of middle third of shin-bone with angulation

Osteosynthesis of shin-bone with help of Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 16

Comminuted fracture of lower third of shin-bone

steosynthesis of shin-bone with help of Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 17

Open comminuted fracture of lower third of shin-bone

Osteosynthesis of shin-bone with help of Ilizarov apparatus (56 days)

Clinical test

Condition of shin-bone after Ilizarov apparatus removal

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 18

Spiral fracture of lower third of shin-bone and fracture of lower third of splint-bone

Osteosynthesis with help of rod-pin apparatus from tool kit of Ilizarov apparatus

Clinical test

Condition of shin-bone after apparatus removal

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 1

Chronical posttraumatic osteomyelitis of lower third of thigh-bone with defect of bone tissue

Fistulogram

Resection of lower third of thigh-bone with one-stage wedge-shaped junction and shortening of thigh-bone, transosseous osteosynthesis of thigh-bone with help of rod-pin apparatus, corticotomy of upper third of thigh-bone

Thigh-bone lengthening

Consolidation of lower third of thigh-bone in apparatus

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 2

Condition of lower third of thigh-bone after osteosynthesis with help of plate, presence of chronical osteomyelitis

Resection of lower third of thigh-bone over 18 cm, transosseous osteosynthesis of thigh-bone with help of rod-pin apparatus, corticotomy of upper third of thigh-bone with aim of building of defect

Treatment process, apparatus of external fixation

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 3

Thigh-bone deformation

Condition after osteosynthesis with help of plate with presence of chronical osteomyelitis

Fistulogram

Condition after plate removal, transosseous osteosynthesis of thigh-bone with help of rod-pin apparatus

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 4

Comminuted fracture of upper third of thigh-bone, osteosynthesis with help of plate

Reosteosynthesis

Fistulogram after plate removal and resection of thigh-bone over 15 cm

Transosseous osteosynthesis of thigh-bone with help Ilizarov apparatus

Mono-local osteosynthesis with Ilizarov method

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 5

Displaced fracture of lower third of thigh-bone

Closed osteosynthesis of thigh-bone with help of rod-pin apparatus, treatment time - 58 days

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 6

Malunion of thigh-bone in child

Closed osteosynthesis of thigh-bone with help of Ilizarov apparatus

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 7

Displaced multifragmental fracture of proximal ending of thigh-bone

Osteosynthesis of thigh-bone with help of Ilizarov apparatus, treatment time - 60 days

Result of treatment after Ilizarov appratus removal

Result of treatment

Building of shin-bone defect

Posttraumatic defect of middle third of thigh-bone with shortening

Transosseous osteosynthesis of thigh-bone with help of rod-pin apparatus, osteotomy of thigh-bone on the top of deformation

Stretching with simultaneous correction of deformation

In process of treatment

Result of treatment

3. Transcondylar fractures of humeral bone in children - Patient 1

Displaced fracture of humeral bone

Osteosynthesis with help of apparatus of external fixation

Result of treatment

3. Transcondylar fractures of humeral bone in children - Patient 2

Displaced transcondylar fracture of humeral bone

Osteosynthesis with help of apparatus of external fixation

Result of treatment

3. Transcondylar fractures of humeral bone in children - Patient 3

Displaced transcondylar fracture of humeral bone

Osteosynthesis with help of apparatus of external fixation

Result of treatment

4. Multifragmental fractures of distal radioulnar joint - Patient 1

Displaced comminuted transcondylar fracture of humeral bone

Osteosynthesis with Ilizarov technique

condition after Ilizarov apparatus removal

Result of treatment

4. Multifragmental fractures of distal radioulnar joint - Patient 2

Displaced comminuted transcondylar fracture of humeral bone

Osteosynthesis with Ilizarov technique

Result of treatment

4. Multifragmental fractures of distal radioulnar joint - Patient 3

Displaced comminuted transcondylar fracture of humeral bone

Osteosynthesis with Ilizarov technique

Result of treatment

4. Multifragmental fractures of distal radioulnar joint - Patient 4

Displaced comminuted transcondylar fracture of humeral bone

Osteosynthesis with Ilizarov technique

Result of treatment

5. False joints treatment - Patient 1

False joint of middle third of thigh-bone after intramedullary osteosynthesis

Transosseous osteosynthesis of thigh-bone with help of Ilizarov apparatus, period of treatment - 3 months

Result of treatment

5. False joints treatment - Patient 2

False joint of lower third of thigh-bone

Transosseous osteosynthesis of thigh-bone with help of external fixation apparatus

Result of treatment

5. False joints treatment - Patient 3

False joint of middle third of shin-bone

Transosseous osteosynthesis of shin-bone with help of external fixation apparatus from tool kit of Ilizarov appratus

Result of treatment

5. False joints treatment - Patient 4

False joints of forearm bones after osteosynthesis

Transosseous osteosynthesis with help of external fixation apparatus

Result of treatment

5. False joints treatment - Patient 5

False joint of lower third of shin-bone, condition after conservative treatment

Osteosynthesis of shin-bone with help of Ilizarov apparatus

Clinical test

Result of treatment

6. Inborn shortening of limbs Patient 1

Inborn shortening of thigh-bone

Transosseous osteosynthesis of thigh-bone with corticotomy, lengthening and correction of valgus deformation

Result of treatment

7. Inborn false joints - Patient 1

Inborn false joint with neurofibromatosis (Child 6 years old)

Resection of false joint, osteosynthesis with help of Ilizarov apparatus, osteotomy of upper third of shin-bone

After tibia lengthening

After Ilizarov apparatus removal

Result of the treatment

7. Inborn false joints - Patient 2

Inborn false joint of left shin-bone

Osteosynthesis with help of Ilizarov apparatus and tibia lengthening

During tibia lengthening

Result of the treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 1

Traffic accident, open multifragmental fracture of left shin bone with presence of chronical osteomyelitis

Resection bone fragments of middle third of shin-bone over 24 cm

Polylocal osteosynthesis with Ilizarov technique

Builded shin-bone defect

Structural change of stretching reclaims and consolidation of attached fragments of shin-bone in Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 2

Open comminuted fracture of shin-bone

Condition of shin-bones after intramedullary osteosynthesis with presence of chronical osteomyelitis

Resection of lower third of shin-bone over 8 cm and osteotomy upper third of shin-bone in Ilizarov apparatus

Building of shin-bone defect

Builded shin-bone defect

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 3

Open multifragmental fracture of upper third of shin-bone with presence of chronical osteomyelitis

Fistulogram

Bilocal osteosynthesis with Ilizarov technique

Building of shin-bone defect

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 4

Condition of shin-bone after osteosynthesis with help of plate with presence of chronical osteomyelitis

Resection of middle third of shi-bone, polylocal osteosynthesis with Ilizarov technique

Building of shin-bone defect

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 5

Spiral fracture of lower third of shin-bone

Condition of shin-bone after transosseous osteosynthesis with help of Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 6

Multifragmental fracture of lower third of shin-bone

Condition of shin-bone after transosseous osteosynthesis with help of Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 7

Double comminuted fracture of shin-bone

Condition of shin-bone after transosseous osteosynthesis with help of Ilizarov apparatus

Condition of shin-bone after Ilizarov appratus removal

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 8

Chronical osteomyelitis of shin-bone after intramedullary osteosynthesis

Resection of lower third of shin-bone, bilocal osteosynthesis with help of Ilizarov apparatus

Shin-bone lengthening

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 9

Multifragmental fracture of shin-bone proximal ending with presence of chronical osteomyelitis

Fistulogram after complications appearance

Transosseous osteosynthesis with help of Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 10

Valgus of lower third of shin-bone with limb shortening

Wedge-shaped resection of lower third of shin-bone, transosseous osteosynthesis with help of Ilizarov apparatus and osteotomy of shin-bone for following limb lingthening

Shine-bone lengthening

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 11

Double fracture of shin-bone

Osteosynthesis with help of Ilizarov apparatus

Condition after Ilizarov apparatus removal

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 12

Oblique fracture of lower third of shin-bone in plaster cast

Osteosynthesis with help of rod-pin apparatus from tool kit of Ilizarov apparatus

Clinical test after 2 months

Condition after rod-pin apparatus removal

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 13

Defect of shin-bone with presence of chronical osteomyelitis

Polylocal osteosynthesis of shin-bone with help of Ilizarov apparatus

Building of shin-bone defect

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 14

Double fracture of shin-bone on extension

Osteosynthesis of shin-bone with help of Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 15

Fracture of middle third of shin-bone with angulation

Osteosynthesis of shin-bone with help of Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 16

Comminuted fracture of lower third of shin-bone

steosynthesis of shin-bone with help of Ilizarov apparatus

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 17

Open comminuted fracture of lower third of shin-bone

Osteosynthesis of shin-bone with help of Ilizarov apparatus (56 days)

Clinical test

Condition of shin-bone after Ilizarov apparatus removal

Result of treatment

1. Building of shin-bone defects with presence of chronical osteomyelitis - Patient 18

Spiral fracture of lower third of shin-bone and fracture of lower third of splint-bone

Osteosynthesis with help of rod-pin apparatus from tool kit of Ilizarov apparatus

Clinical test

Condition of shin-bone after apparatus removal

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 1

Chronical posttraumatic osteomyelitis of lower third of thigh-bone with defect of bone tissue

Fistulogram

Thigh-bone lengthening

Consolidation of lower third of thigh-bone in apparatus

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 2

Condition of lower third of thigh-bone after osteosynthesis with help of plate, presence of chronical osteomyelitis

Resection of lower third of thigh-bone over 18 cm, transosseous osteosynthesis of thigh-bone with help of rod-pin apparatus, corticotomy of upper third of thigh-bone with aim of building of defect

Treatment process, apparatus of external fixation

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 3

Thigh-bone deformation

Condition after osteosynthesis with help of plate with presence of chronical osteomyelitis

Fistulogram

Condition after plate removal, transosseous osteosynthesis of thigh-bone with help of rod-pin apparatus

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 4

Comminuted fracture of upper third of thigh-bone, osteosynthesis with help of plate

Reosteosynthesis

Fistulogram after plate removal and resection of thigh-bone over 15 cm

Transosseous osteosynthesis of thigh-bone with help Ilizarov apparatus

Mono-local osteosynthesis with Ilizarov method

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 5

Displaced fracture of lower third of thigh-bone

Closed osteosynthesis of thigh-bone with help of rod-pin apparatus, treatment time - 58 days

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 6

Malunion of thigh-bone in child

Closed osteosynthesis of thigh-bone with help of Ilizarov apparatus

Result of treatment

2. Building of thigh-bone defects with presence of chronical osteomyelitis - Patient 7

Displaced multifragmental fracture of proximal ending of thigh-bone

Osteosynthesis of thigh-bone with help of Ilizarov apparatus, treatment time - 60 days

Result of treatment after Ilizarov appratus removal

Result of treatment

Building of shin-bone defect

Posttraumatic defect of middle third of thigh-bone with shortening

Transosseous osteosynthesis of thigh-bone with help of rod-pin apparatus, osteotomy of thigh-bone on the top of deformation

Stretching with simultaneous correction of deformation

In process of treatment

Result of treatment

3. Transcondylar fractures of humeral bone in children - Patient 1

Displaced fracture of humeral bone

Osteosynthesis with help of apparatus of external fixation

Result of treatment

3. Transcondylar fractures of humeral bone in children - Patient 2

Displaced transcondylar fracture of humeral bone

Osteosynthesis with help of apparatus of external fixation

Result of treatment

3. Transcondylar fractures of humeral bone in children - Patient 3

Displaced transcondylar fracture of humeral bone

Osteosynthesis with help of apparatus of external fixation

Result of treatment

4. Multifragmental fractures of distal radioulnar joint - Patient 1

Displaced comminuted transcondylar fracture of humeral bone

Osteosynthesis with Ilizarov technique

condition after Ilizarov apparatus removal

Result of treatment

4. Multifragmental fractures of distal radioulnar joint - Patient 2

Displaced comminuted transcondylar fracture of humeral bone

Osteosynthesis with Ilizarov technique

Result of treatment

4. Multifragmental fractures of distal radioulnar joint - Patient 3

Displaced comminuted transcondylar fracture of humeral bone

Osteosynthesis with Ilizarov technique

Result of treatment

4. Multifragmental fractures of distal radioulnar joint - Patient 4

Displaced comminuted transcondylar fracture of humeral bone

Osteosynthesis with Ilizarov technique

Result of treatment

5. False joints treatment - Patient 1

False joint of middle third of thigh-bone after intramedullary osteosynthesis

Transosseous osteosynthesis of thigh-bone with help of Ilizarov apparatus, period of treatment - 3 months

Result of treatment

5. False joints treatment - Patient 2

False joint of lower third of thigh-bone

Transosseous osteosynthesis of thigh-bone with help of external fixation apparatus

Result of treatment

5. False joints treatment - Patient 3

False joint of middle third of shin-bone

Transosseous osteosynthesis of shin-bone with help of external fixation apparatus from tool kit of Ilizarov appratus

Result of treatment

5. False joints treatment - Patient 4

False joints of forearm bones after osteosynthesis

Transosseous osteosynthesis with help of external fixation apparatus

Result of treatment

5. False joints treatment - Patient 5

False joint of lower third of shin-bone, condition after conservative treatment

Osteosynthesis of shin-bone with help of Ilizarov apparatus

Clinical test

Result of treatment

6. Inborn shortening of limbs Patient 1

Inborn shortening of thigh-bone

Transosseous osteosynthesis of thigh-bone with corticotomy, lengthening and correction of valgus deformation

Result of treatment

7. Inborn false joints - Patient 1

Inborn false joint with neurofibromatosis (Child 6 years old)

Resection of false joint, osteosynthesis with help of Ilizarov apparatus, osteotomy of upper third of shin-bone

After tibia lengthening

After Ilizarov apparatus removal

Result of the treatment

7. Inborn false joints - Patient 2

Inborn false joint of left shin-bone

Osteosynthesis with help of Ilizarov apparatus and tibia lengthening

During tibia lengthening

Result of the treatment

ヂステン整形外科病院

患者は　病院でくつろいたと感じます。3階の建物森林の近くに建てられました。病院で 4ルクス病室、６ファーストクラス病室と2セカンドクラス病室があります。私達に患者の健康調子は一番大切なものですから病院で滞在間に一日中患者は　ヴィタリユ　ヴェクリチ　博士の　プロ監督の下　に　います。全部病室で電話とインタネートがあります。

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