Jornal de Trauma e Tratamento

Dependence of the Sizes of Periostal Corn from Treatment Mode, Age of Patients and Axial Load on the Limbs

Abstract

Schurov VA and Melnikova LV

It was established that the periosteal callus appears regularly after the transfer of patients to the outpatient treatment mode, its dimensions depend on the stiffness of fixation of the fragments (micromotion more than 70 μm per 10 kg of load), the duration of the fixation period and the age of the patients. The appearance of periosteal callus is a manifestation of the compensatory response of the body, contributing to the additional fixation of bone fragments and the stabilization of the age-related increase in the duration of the treatment period after 45 years. As the age of the corns of the humerus increases, the duration of the fixation period decreases. The purpose of the study was to find out what caused the appearance of periosteal corn and an increase in the length of treatment according to Ilizarov for patients with fractures of limbs when they are transferred to an outpatient regimen.

Analyzed data from the study of the duration of the fixation period, micromotion of bone fragments during loading of the limb and the size of the periosteal corn in adult patients with closed fractures of the tibia during the Ilizarov treatment in the hospital and clinic (respectively 99 and 37 people), as well as in patients with diaphyseal fractures shoulder (38 people). It was established that the periosteal callus appears regularly after the transfer of patients to the outpatient treatment mode, its dimensions depend on the stiffness of fixation of the fragments (micromotion more than 70 μm per 10 kg of load), the duration of the fixation period and the age of the patients. The appearance of periosteal callus is a manifestation of the compensatory response of the body, contributing to the additional fixation of bone fragments and the stabilization of the age-related increase in the duration of the treatment period after 45 years. As the age of the corns of the humerus increases, the duration of the fixation period decreases.