Osteosynthesis (treatment of bone fractures)

Osteosynthesis is an effective method of treating complex fractures. It consists in fixing bone fragments in an anatomically correct position. For this purpose, special metal structures are used — external or internal. Plates, rods, needles, screws and other implants allow the bone fragments to be fixed and ensure the fusion in the correct position.

What is osteosynthesis and when is it needed?

Metal osteosynthesis is an operation in which an orthopedic surgeon and traumatologist folds fragments of damaged bones and fixes them in the correct position. Further treatment consists in stimulating natural regenerative processes until complete fusion of bone fragments with each other.

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This technique is used in difficult cases when gypsum fixation is not enough. It is used to treat these types of fractures.

1. Offset. Significant displacement can lead to the impossibility of natural fusion or to deformation of the limbs. Such damage requires the use of a special retainer.
2. Multi-threaded. The presence of many fragments of broken bone makes healing difficult. Special implants will retain bone fragments, minimizing the risk of complications, such as non-fusion.
3. Intra-articular. In case of joint damage, the accuracy of surgery is critical — osteosynthesis in Lviv at Mashtaler Ortho&Trauma Clinic provides just such an approach. Improper splicing can lead to arthrosis and reduced mobility, worsening quality of life. Proper alignment of the joint surface and reliable fixation prevents this problem and helps to maintain a habitual way of life.
4. Open. Damage to soft tissues and exposure of debris make recovery much more difficult. Surgical connection of damaged bones is one of the most effective methods of treating complex fractures. It is carried out after stabilization and rehabilitation of the wound to reduce the risks of infection.

Contraindications to this procedure

Surgery is not performed in a few cases.

1. The general serious condition of the patient is exacerbation of chronic diseases, heart failure in the stage of decompensation, autoimmune diseases in the acute stage, etc.
2. Infection of tissues in the fracture zone — metal structures can significantly complicate treatment. Before their introduction, it is necessary to cure the infection, as well as eliminate inflammation and other symptoms.

If patients' bones are well fixed and fused without implants, orthopedic traumatologists may prefer traditional plaster. It is worth remembering that the surgical method is invasive - it can cause individual discomfort and increase the duration of rehabilitation.

How does osteosynthesis surgery go?

Fracture osteosynthesis is performed under regional or general anesthesia. First, the surgeon makes an incision of the skin and soft tissues to access the fragments. To assess the overall picture, he uses X-ray, MRI or CT images.

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Bone fragments are manually installed in the right places. After performing an open reposition, they are fixed with metal structures.

1. Plates screwed with screws to the fragments. They are suitable for compression of large bones of the limbs - hips, lower legs, forearms.
2. Rods are introduced into the tubular bones. They are additionally fixed with screws from above and below from the damaged part.
3. Knitting needles, screws or circlages hold the small bones of the palms or feet. They are suitable for the treatment of fractures of high complexity due to the possibility of choosing an individual fixation scheme.

During the operation, doctors use X-ray control, which allows you to make sure that the fragments are correctly installed. After the procedure is completed, the incision is sewn and a bandage is applied. If necessary, the limb can be additionally fixed with a plaster or orthosis, although more often this is not necessary.

Recovery after osteosynthesis

After the operation, the patient should be in the hospital under the supervision of a doctor for several hours to several days. At this time, he may be prescribed additional treatment, such as antibiotics to prevent infections after open fractures.

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By choosing to enroll online for bone osteosynthesis at Mashtaler Ortho&Trauma Clinic, you will also be able to undergo a comprehensive rehabilitation program.

What does the program consist of?

1. Early activation. In the absence of contraindications, the patient can begin to move the damaged limb the day after surgery. This approach has proven itself well in traumatology - it provides a gradual restoration of mobility.
2. Physical therapy. Specially selected exercises strengthen muscles, increase the elasticity of ligaments and ensure the proper functioning of the joints.
3. Hardware procedures. Our clinic offers high-intensity laser therapy and focused shock wave therapy, which have a positive effect on the condition of tissues, accelerate healing and help prevent complications.

Usually complete fusion of bone tissue occurs within 6—12 weeks. The total duration of the rehabilitation program reaches 6—12 months. Metal implants can remain in the body throughout life. If necessary, their removal is carried out after 1-2 years.

Osteosynthesis in Mashtaler Ortho&Trauma — modern approaches to fracture treatment

Our clinic offers an integrated approach in traumatology and orthopedics. We develop an individual treatment program that will be as effective as possible in your case. This allows you to get the best results with minimal risks of complications.

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By contacting us, you get a number of advantages.

1. Application of modern techniques. We perform both external osteosynthesis and internal — extramedullary osteosynthesis (bony) and intramedullary osteosynthesis (internal periosteal). This ensures fast correct splicing of different types of bones.
2. Use of quality implants. Our specialists install modern designs that have high biocompatibility and integrate well into body tissues.
3. Minimizing side effects. We design the surgery program in such a way as to minimize the size of the incisions and damage to the surrounding tissues. This speeds up recovery and reduces aesthetic effects.
4. Full support. Our clinic provides support to patients at all stages — from consultation and diagnosis to surgery and rehabilitation. By contacting us, you will be under the supervision of specialists of the highest level.

How to sign up for a consultation with us?

You can contact us by any convenient method:

• use the online registration form on the site;
• call: +38 067 133 86 71;
• write to email info@mashtaler.com.uaor in private messages on social networks.

Cost of fracture osteosynthesis surgery in our clinic

The cost of treating bone fractures is determined individually in each case. It will depend on the complexity of the case and the condition of the patient's body. Using the table below, you can get acquainted with the prices for popular services of the clinic.

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