[Osteosynthesis of crural bone fractures using bone plates with pegs]

Abstract

A metal plate with pegs for osteosynthesis was designed and introduced into practice for the treatment of diaphyseal fractures of the leg bones. Studies for appraising the tension-deformity condition proved that installation of 20 cone-shaped pegs on the inner surface of the plate increases the stability of fixation 3.6-fold. Besides, the cone-shaped pegs facilitate maintenance of intactness of the vessels of the periosteum and soft tissues as a result of which the conditions for healing of the fractures improve. Operations were carried out on 43 patients, in 41 with good outcomes. External immobilization was not applied in the postoperative period, early restorative treatment was conducted.