Wrist Bones Distal From the End their Fractures from the Medicine Next to the Surface Coming Complications and Unsatisfactory Results Analysis

Abstract

Almost all the practices studied have shown that treatment usually involves a combination of methods or a series of methods that alternate with each other, with one of them taking the lead in the treatment. Thus, for many years, the researcher Barton has emphasized the advantage of open reduction and internal fixation of fractures of the distal end of the carpal bones. However, a number of traumatologists recommend treatment with external fixation devices of various designs for Smith or Colles fractures. However, there is no complete consensus on this issue, and a clear algorithm for treating such patients has not yet been established. The authors Semenkin O.M. and Izmalkov S.N. note that intra-articular fractures, excessive curvature of the articular surface of the carpal bone, its thickening, and bending of the hand towards the forearm undoubtedly have a negative effect on the outcome of treatment. Modern medical research is developing in accordance with minimally invasive surgical practices, and thus, in the literature, reports on the use of arthroscopy for the treatment of fractures of the ulnar nerve have been reported in several publications, but we know that this treatment method mainly applies to type A fractures. As for type B fractures, in which the bones of the forearm are broken at the distal end, there are still only a few practical studies describing the tactics of using this method, and some publications have left information. Today, the most popular and widespread method of fixation of fractures of the tibial plateau, both in Russia and abroad, is open reduction and supraosseous osteosynthesis, which is performed using bone-bearing metal plates (implants) with angular stability. According to most researchers, in most cases, even in type C fractures, osteosynthesis with plates provides stability of the fracture fragments. It has been reported in the literature that bone-bearing angle-stabilized plates can provide stability of the fracture fragments even in cases of osteoporosis of the bones, and according to the authors, this type of procedure allows for early rehabilitation of movements in the joint where the surgical procedure was performed without the use of additional external immobilization [1.3.5.7.8].