False joint: diagnosis and treatment
False joint – a pathology that occurs in 2-3% of cases. It is accompanied by pain and long treatment. But patients with such a diagnosis can always count on a complete recovery. Although the treatment technique differs in each individual case.
False joint (pseudoarthrosis) is a pathology that has many classifications. In particular, according to the nature of occurrence, it is congenital and acquired.
Clinical signs of pseudarthrosis are expressed rather brightly even for a person without medical education. Therefore, it is enough for a doctor to conduct a routine examination or palpation and to collect a history to make a diagnosis.
Further research is needed for treatment. X-ray examination is necessary to visualize the location where the false joint is located. It is carried out in two mutually perpendicular, sometimes with the addition of oblique projections. In some cases, tomography is required.
Treatment of pseudoarthrosis
The most effective method of treating a false joint is surgical intervention. In some cases it is possible to conservative treatment, but usually its effectiveness is not expected. The start of therapy can be done by physiotherapy. Such treatment is aimed at stimulating osteogenesis. This can be mud treatment, physiotherapy or gymnastics.
In order for the treatment to be correct and beneficial, the physician selects the therapy for each individual case. It takes into account how the fracture has long been, its complexity and age of the patient. The treatment time for each patient may vary, but it will be better to tune in for a long period of time.
In the treatment of pseudoarthritis, the following methods may be used:
Sustained osteosynthesis. The method involves the use of metal elements to bring bone fragments closer together and fix. To do this, an incision is made at the site of damage, the bones are connected using a plate. Gypsum is not used at this time. The method involves reliable and durable fixation.
Bone plastics. Used for atrophic disturbances and, unless sustained osteosynthesis is performed. Bony plastic does not apply if there are purulent or inflammatory formations. If the purulent process has stopped, then you have to wait 8 months and only after this time is allowed to conduct plastics.
Compression-distraction osteosynthesis. It is recommended that a surgical intervention be performed on this method if there is a trauma of the shoulder or tibia. The operation involves bringing together and pressing the fragments of the bone. It uses hardware fusion and special technology that allows you to lengthen the bone. Together with this method, devices are used to fix the fractures. The most common of these are the devices of Kalnberz and Ilizarov.