Complications of intramedullar blocking osteosynthesis

Abstract

The complications of intramedullary blocking osteosynthesis of diaphyseal fractures of the limb bones due to tactical errors, as well as ways of preventing them, have been identified and summarized. Typical tactical errors of intramedullary blocking osteosynthesis were: application of the method against indications, violation of the osteosynthesis technology and the use of inadequate «author’s» techniques, introduction of own intraoperative “corrections” and change of course of the surgical intervention, excessive reaming of the medullary canal, significant intraoperative trauma of bone fragments and soft tissues, the wrong type of blocking or untimely dynamization, lack of continuity in medical rehabilitation. The most negative impact on the anatomical restoration of the bone and the functional restoration of the limb has the reaming of the medullary canal, performed without appropriate indications and with technical errors.