[Stable-functional osteosynthesis of the femur]

Abstract

The article deals with experience in the surgical treatment of 405 patients with closed and open fractures of the femur. The method of choice in operative management of fractures was stably-functional osteosynthesis--mechanically secure fixation providing the possibility of excluding immobilization in the postoperative period. Stable fixation and early activity promoted timely consolidation of the fractures with simultaneous restoration of a normal range of movements and reduction of the terms of treatment due to coincidence of the periods of consolidation and rehabilitation. Depending on the level and character of the fractures, straight, angular, and hooked plates, Kuntscher's and Smith-Petersen nails, and spongy ++ screws were used for stably-functional osteosynthesis.