Clinical case of our colleagues from the State Clinical Hospital Named after Botkin (Moscow)

Dear colleagues!
27 traumatology department of the State Clinical Hospital Named after Botkin has been widely known for many years for its unique capabilities in the treatment of patients with fractures of the pelvic bones. The doctors of the department led by the head of department Dr. Donchenko S.V. are constantly improving their surgical skills and strive to use the most effective and modern methods of treatment.

A little over 2 years ago our surgeons visited the Sklifosovsky Clinical and Research Institute for Emergency Care and mastered the new unique minimally invasive method of osteosynthesis of pubic bones with the interlocking nail that was developed by Russian orthopedic surgeons. Sincerest thanks and warm regards to Dr. Zadneprovskiy N.N. for the provided masterclass. 🤝
This method has proved its effectiveness and has firmly established itself in our clinical practice. 👍 It provides the reliable and stable fixation of pubic bone fractures while demanding only couple of small skin incisions. The design of the implant allows surgeon to use it as a reposition tool for displaced fragments of the bones.

Let us take a look at one case where this technique was used in combination with the osteosynthesis of posterior pelvic ring.

Female patient N. 34 years old. Received several severe injuries as a result of a traffic collision (motorbike driver). The first stages of medical care were provided in the hospital near the place of accident (about в 1000 km from Moscow). The patient underwent splenectomy. After stabilisation of vital functions, she has been transferred for further treatment to the State Clinical Hospital Named after Botkin (Moscow).

In order of stabilization of the posterior pelvic semi-ring the osteosynthesis of sacrum with a reconstruction plate and canulated screw was performed. The anterior semi-ring was fixed with the help of 2 interlocking nails for pubic bones.

The patient, who had been bedridden prior to the operation, was able to sit in the bed on the very next day after the operation and walk with crutches for a considerable distance (for about 100 meters continuously) on the second day without experiencing any pain.