Biomechanical evidence-based transosseous osteosynthesis in treatment of humerus fractures complicated by chronic osteomyelitis and consequences

Aim. To study the results of treatment of patients with fractures of the humerus and their consequences, including those complicated by chronic osteomyelitis, by the method of biomechanically grounded transosseous osteosynthesis. Materials and methods. A retrospective analysis of the results of treatment of fractures and pseudarthrosis of the humerus, including those complicated by chronic osteomyelitis, was carried out by the method of biomechanically substantiated transosseous osteosynthesis in 74 patients who were in the N.I. N.N. Priorov in the period from 2011 to 2019. Osteosynthesis with a rod-based apparatus was performed in 36 (48.6%) patients, with a spoke-rod in 38 (51.4%) patients. Results. Complete consolidation of bone fragments of the humerus and relief of the purulent-inflammatory process were achieved in all cases studied. Excellent treatment results were achieved in 25 (34%) cases, good results were obtained in 44 (60%) patients, satisfactory results were stated in 4 (6%) patients. No unsatisfactory outcomes were registered. Conclusion. The use of biomechanically based transosseous osteosynthesis in the treatment of fractures of the humerus and their consequences, including those complicated by chronic osteomyelitis, provided up to 94% of excellent and good results.