Indications for transosseous osteosynthesis and the limits of its use for fractures of long bones in children

The results of treatment of 3067 children with long bone fractures were analyzed. The method of transosseous osteosynthesis was used in 114 children (116 fractures). The frequency of its use was, depending on the type and location of the fracture, from 0.9 to 21%. On the basis of a comprehensive study involving radiography, scintigraphy, polarography, echoosteometry, thermography, indications for the use of compression-distraction osteosynthesis in children have been developed and substantiated: the method is indicated for fractures of long bones with a complicated course - improperly fused fractures with unacceptable displacements, fractures with circulatory disorders and bone formation in the damaged area, multiple and difficult to reposition fractures. The choice of the type of apparatus was carried out individually