The use of contact low-frequency ultrasonic exposure under conditions of transosseous osteosynthesis at the treatment of open tibial fractures
Abstract
Abnormality of reparative regeneration of bone tissue at open fractures treatment is an urgent problem. One of the factors of bone formation is a low-frequency ultrasound. Objective: to improve the results of treatment of open fractures of long bones by combining extrafocal transosseous osteosynthesis and contact ultrasonic treatment. Materials and Methods: The study was conducted on 18 patients with open fractures of the tibia bone of type 42 (43) A1-2-3, B1-2-3 (by classification AO-ASIF), II and type III by Gustilo and Anderson classification. The surgical treatment was performed by lower lecture osteosynthesis with the device of external fixation. Therewith the patients of the main group received contact ultrasound exposure. Results. The subsidence of injured limb swelling in the main group patients has been observed in the earlier stages (p ≤ 0.05), that creates favorable conditions for wound healing (healing by the first intention was revealed in all patients of the main group and in 37 % of the control group patients). As well as the pain relief has been revealed in earlier stages (p ≤ 0.05). Formed callus has been defined by greater density and higher content of calcium (p ≤ 0.05). Conclusion - the impact of low-frequency ultrasound improves the results of treatment of open fractures.
Key words
ReferencesReznik L.B. – doctor of medical sciences, professor, head of the department of traumatology and orthopedics, e-mail: omsktravma@mail.ru
Rozhkov K.Yu. – graduate student of the department of traumatology and orthopedics, e-mail: konsroj@yandex.ru
Dzyuba H.G. – candidate of medical sciences, associate professor of the department of traumatology and orthopedics, e-mail: germanort@mail.ru
Penkov E.V. – head of the department of traumatology, e-mail: penkoff@list.ru
Nikitenko S.A. – doctor radiologist, e-mail: 79139684444@yandex.ru
Vozhova O.S. – doctor of functional diagnostics, neurologist
Karavaeva V.A. – head of the department of laboratory diagnostics
Kotov D.V. – doctor traumatologist – orthopedist, e-mail: egkin.kot@mail.ru
Eltsova A.A. – graduate student of the chair for diagnosis of internal non-communicable diseases
