Asociaţia chirurgilor “Nicolae Anestiadi” din Republica Moldova
Abstract
State University of Medicine and Pharmacy ”Nicolae Testemițanu”, Republic of Moldova, Clinical Hospital of Orthopedics and Traumatology, Chișinău, Republic of Moldova, Al VIII-lea Congres Naţional de Ortopedie și Traumatologie cu participare internaţională 12-14 octombrie 2016Objectives of study
During surgical interventions on osteoarticular apparatus appear difficult cases when highly professional orthopedic doctors
are facing unusual tactical and technical hardships, unclear safety prognosis of a rationally planned treatment. As usually,
surgeons tend to choose the most appropriate method in given circumstances, and even invent new surgical procedures, but
alloplasty still remains a saving method.
Material and methods
According to our experience, alloplasty seemed to be necessary during following operations: removing by resection of
tumors and pseudo tumors, bone defects and cervico-cephalic endoprosthesis in 3rd age patients with femoral neck fracture
in which the intramedullary channel is enlarged.
We have proposed a stable fixation of prosthetic rod in channel by application of a cortical graft in cases of purulent
complications, bone defects, after sequestrectomy, when the remaining defect is too large and may be substituted by allograft.
Results
The results were confirmed in 200 patients with these pathologies, operated in our clinic. Alloplastic grafting contributed
favorably to fix, restore, and maintain the integrity of the affected bone, substitution of remaining defect and creation of
prodigious medical and biological conditions in local osteogenesis and their perfect integration.
Conclusions
In selection of the rational treatment in difficult situations, we were based on our experience in osteoarticular alloplasty
during last 50 years. Positive results were obtained in 95.2% of cases. Retrospective analysis of the results of treatment using
given method shows the absence of better alternative regenerative treatment
