Osteosynthesis in Dnipro

Osteosynthesis or metal osteosynthesis is a method of surgical treatment in orthopedics for bone fractures, when a doctor uses metal plates, knitting needles, screws, nails and other elements to fix bone fragments in the correct position, allowing them to heal. This method helps speed up the bone healing process and shorten the recovery period after the surgery. Osteosynthesis is also used to correct bone deformities and improve the functionality of the musculoskeletal system.

Indications for a bone osteosynthesis surgery

An orthopedic doctor may prescribe an osteosynthesis in the following cases:

  • bone fractures that cannot heal without surgical treatment,
  • fractures of bones in the joint area, which can lead to disruption of its function,
  • bone fractures that cause deformity,
  • complex fractures with sharp bone fragments that can damage surrounding tissues,
  • fractures healed improperly,
  • congenital bone deformities,
  • changes in bones due to diseases and injuries,
  • different limb lengths,
  • periarticular or intraarticular fractures in children,
  • unstable fractures with the possibility of re-displacement.

Contraindications to osteosynthesis

Among the contraindications to osteosynthesis are:

  • infections in the soft tissues in the area of ​​the fracture,
  • blood clotting diseases,
  • osteoporosis,
  • epileptic seizures and convulsions,
  • diseases of the central nervous system,
  • lack of blood circulation in the area of ​​surgery,
  • allergic reactions to materials used during metal osteosynthesis,
  • extensive open injuries.

The orthopedic surgeon will tell you in detail about all contraindications during a consultation when choosing a treatment method for a patient.

Types of a bone osteosynthesis in Dnipro

In their practice, orthopedic doctors use different types of metal osteosynthesis depending on the indications for a surgery:

  • An internal osteosynthesis or an immersion osteosynthesis, when bones are fixed inside the patient’s body using implants such as plates, screws, pins, and other metal structures. This surgery can be of two types:
    • Extramedullary osteosynthesis is a method of placing plates over the bone and securing them with screws.
    • Intramedullary osteosynthesis is a technique for inserting pins into bone fragments to connect them.
  • External osteosynthesis or external fixation osteosynthesis (osteosynthesis with an external fixation device), when metal wires pass through the fracture site, creating strong compression on the fragments, and are fixed from the outside.

The surgeon can also use a combination of these types of osteosynthesis.

Methods for diagnosing indications for an osteosynthesis at the N1 Clinic in Dnipro

During a consultation, an orthopedic surgeon examines a patient and obtains a medical history. After this, the patient needs to take x-rays, and if they are not enough, the doctor may refer for a CT or MRI examination.

After checking the result of all the findings, the orthopedic doctor may prescribe treatment with metal osteosynthesis to the patient. In this case, they must undergo a set of preoperative tests in the clinic.

Stages of preparation and performance of an osteosynthesis surgery in Dnipro

An important stage in preparing for a surgery is a consultation with an anesthesiologist, who will tell about all the features of anesthesia and answer any questions the patient may have.

The surgery itself takes place in two stages:

  • Installation of metal structures. During this surgery, the orthopedic surgeon installs all the necessary fixing metal structures to solve the problem faced by the patient.
  • Removal of metal structures. Once the bone has fused directly or a callus has formed as a result of fusion, the surgeon removes the anchors.

The time between the first and second surgeries depends on the location and complexity of the fracture, but generally takes from 2 to 7 months. Sometimes the metal structure is not removed.  This decision is made by the orthopedic surgeon, taking into account the surgical technique, the recovery process, the patient’s age, and the patient’s individual feelings about the presence of the implant in the body.

The process of an osteosynthesis surgery at N1 Clinic

The surgery process largely depends on the type of fixation:

  • Fixation with plates. The surgeon makes incisions in the damaged area to gain access to the bone. The doctor correctly aligns the fragments, installs a plate, drills holes and installs screws in them for fastening. The wound is sutured, and a cast is applied to the limb.
  • Fixation with wire. The technique is used for fusion of tubular bones and fixation of bone grafts. During the surgery, the surgeon removes scar tissue and match bone fragments. To wind the structure, the doctor cuts the periosteum along the line of the wire suture and makes special notches on the bone.
  • Fixation with knitting needles. This fixation is used to treat fractures in children, fractures of small tubular bones, and femoral neck fractures. To ensure proper fit of the bone fragments, the surgeon installs a rod into the bone cavity along the fracture line.

The period and process of rehabilitation after an osteosynthesis

After the operation, the patient remains in the hospital for several days, which depends on the complexity of the problem and the doctor’s orders.

To speed up recovery, the doctor selects a rehabilitation program that includes physical therapy, massage, exercises to strengthen muscles and restore range of motion.

Complete fusion may take from 2 to 7 months.

Advantages of performing an osteosynthesis surgery at N1 Clinic in Dnipro

At N1 Clinic, metal osteosynthesis is performed by an orthopedic surgeon with more than 20 years of experience. The surgery is performed in a modern operating room, where high sterility is guaranteed, and only certified materials are used for bone fixation. The cost of the surgery includes all necessary medication and medical support.

Our hospital has comfortable rooms with everything you need and 3 meals a day.

An important advantage of osteosynthesis in our clinic, which affects the speed of recovery and return to activity, is rehabilitation procedures that begin immediately after the end of anesthesia.