Rus Articles Journal

What is an osteosynthesis?

Probably, will be a little on light of adults at whom never in life was injuries and a fracture of bones. Feeling of helplessness after a change when the plaster bandage on a hand does not allow to put on a jacket and to take a spoon during food, and the broken leg for a long time confines to the bed, - is not comparable with anything. Especially for the person active, got used to be the owner of the life.

The accelerated treatment of changes and their consequences is quite possible when using methods of internal fixing of bones screws, cores or plates from high-strength steel. Such way of treatment is called an internal osteosynthesis. Arnold Ivanovich Seppo devoted many years to development of theoretical bases of a metalosteosynthesis. The traumatologic clinic in Tallinn is called by his name.

Other direction is Gabriel Abramovich Ilizarov`s school. Its world famous device is used to an external osteosynthesis and too allows to accelerate merging of otlomk of a bone several times. In the life Arnold Seppo and Gabriel Ilizarov did not get acquainted, but it is known that two Soviet doctors attentively studied scientific works of each other. In what a secret of their success? They were devotees for truth, for the sake of the patients. Many think that the best-known orthopedists and traumatologists work in New - York, Paris, Rome or Berlin. At all not. They worked in the USSR and left behind brilliant schools. I do not know how to explain it, but the fact remains: in not free country outstanding discoveries were made.

In general, understand expeditious connection of otlomk of bones at changes as an osteosynthesis. The main thing is the exact repozition and reliable fixing of fragments of the broken bone. At the maximum rapprochement and stable fixing of otlomk, i.e. in the conditions of a compression, there is primary bone merging. At mobility of otlomk it considerably is late and passes through a stage fibrozno - a cartilaginous callosity.

The nature managed to create very strong material which we call a bone. Its durability belongs to steel durability as 1 to 10. The short segment of a tibial bone can sustain car weight. But the bone is more similar to glass, than to rubber. At deformation of a bone approximately at 2% of initial length, there is its change. And then arises critical illness .

Quarter of the century back, being in business trip in Tallinn, I observed classical operation on Seppo`s method. It was seen off by the chief physician of clinic of that time Rhine of Koch. The woman of fifty years had a femur neck fracture. Operation took place extremely quickly: only twenty minutes. During this time doctor Kocha with the assistant entered a tryokhplechny clamp of Seppo into a bone, checked his situation on the monitor of X-ray television installation and finished operation by suture. The technique was fulfilled to the smallest details. At the expense of it is quickly and qualitatively. But the main thing - use of a clamp of Seppo. Without it treatment would not be so effective. And so the patient for day, the fifth after operation, started walking with partial load of a sore leg. All hospitalization of similar patients in Seppo`s clinic took 9 - 11 days, it is no more!

A symbol of traumatology and orthopedics is the image of the bent yablonka attached to a prop. But Arnorld Ivanovich Seppo and his pupils adhered to the principle not just to dolly up the patient that though as - nibud moved, and tried to obtain absolute recovery and even beautiful gait.

When twenty years later after that memorable business trip I had a hip neck fracture, to the Tallinn clinic was not to get any more. There was no Soviet Union and Rhine Koch ceased to do the unique operations. It was necessary to be treated in Moscow. Beautiful gait at me remained, and here treatment took several months.