The aim of the study was to investigate effectiveness of early rehabilitation after two types of osteosynthesis on the functional results of surgical treatment of patients with extra-articular fractures on the distal part of the humerus. In the period of 4 to 6 months after the operation (an average of 3.5 months), 47 patients in two clinical groups were examined. 26 patients (the comparison group) underwent surgical treatment by the method of bone fixation with plates and screws. 21 patients (the study group) have been treated with transosseous osteosynthesis. Postoperative management in the comparison group was of a traditional nature. In the study group, methodological principles of rehabilitation have been developed, such as early onset, continuity and complex nature. The analysis of observations of patients with injuries of this localization showed that it is possible to improve the results of treatment by functionally oriented management of patients in the postoperative period. Transosseous osteosynthesis in the study group allowed achieving the predominance of positive treatment results (86% vs. 77%) and becoming an effective means of preventing and eliminating elbow joint contractures in the early postoperative period (125±12.1° vs. 97.7±9.7°).

EARLY REHABILITATION OF PATIENTS AFTER SURGICAL INTERVENTIONS ON THE DISTAL HUMERUS

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