EFFEKTINOST USE BIOACTIVE AND BIOINERT IMPLANT TREATMENT AT LONG BONE FACTURES

Purpose. Implement for osteosynthesis of fractures of long bones implants with a bioactive calcium phosphate coating and make a comparative assessment of the clinical effectiveness bioinertymi materials. Compare characteristics of medical implants with oxide and calcium-phosphate coatings for surgical treatment of fractures of the humerus to implement them in clinical practice. Materials and methods. The work is based on an analysis of clinical findings and surgical treatment of 1265 patients, of both sexes, aged 37,1±6,5 years, with closed fractures of the femur, tibia and humerus. Bioinert plates were used in 672 patients, bioactive - at 593. The results of treatment were evaluated in terms of 2, 4, 6 months on criteria Muller SA (1999), Constant CR, Murley AHG (1987). The results of the study. The osteosynthesis bioinert consolidation structures obtained in 97.7 % of patients, good results were seen in 61,2 %. In 2,3 % of cases of fracture healing does not come, formed a false joint. In the group of patients who are treated with the use of titanium implants with calcium phosphate coating fracture healing received from 99,3 % of patients, excellent and good results were seen in 75,2 %. The use of bioactive plates gave significantly more good clinical response, compared with bioinert implants, reducing the level of poor results in a formation of contractures and pseudarthrosis. There was a significant decrease in neurovascular disorders, pain, improve mobility of the joints.

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