European Journal of Molecular & Clinical Medicine

The results of locked intramedullary osteosynthesis in 48 patients with pseudarthrosis and nonunion of the tibia, from 6 months to 4 years, have been observed. In 27 cases the patients had been previously operated by means of external fixation with Ilizarov apparatus, and with plates. We achieved union in 44 patients (91,6%) at 10 - 1,3 months, including 4 from 6 patients with bone defects and osteomyelitis of the tibia with remission. The results of treatment allow the application of locked intramedullary osteosynthesis in complicated pseudarthrosis.

In recent years in our country many publications and monographs are devoted to modern methods of expeditious treatment of this group of patients. Despite a large number of the offered methods, big specific weight make not accrete changes, false joints and an vascular necrosis of a head of a femur. Unfortunately, and today patients with fractures of a neck of a femur often continue to treat a conservative, so-called "functional" method mortality at which from accompanying pathology later after a change can reach 6 months 80%.