Abstract
The article presents the problem of treatment of children with diaphyseal fractures of the shinbones and the range of current medical technologies used in this contingent of patients. The views of supporters of conservative methods of treatment and supporters promoting new technologies in pediatric traumatology, in particular, as osteosynthesis osteosynthesis with flexible titanium rods, are considered. Effective minimally invasive methods of closed reposition in children with unstable diaphyseal fractures of the tibia are substantiated. The purpose of the study: to evaluate the results of the use of minimally invasive technologies for the treatment of diaphyseal fractures of the tibia in children using the TEN osteosynthesis method. Material and methods. During the period 2020 – 2022, 157 children with fractures of the lower leg bones of various localization were hospitalized. Boys - 109(69.4%) and 48 (30.6%) - girls. Results. The results of treatment of children were tracked and studied in 90(50,7%) patients in the period from 6 months to 1 year after injury. Anatomical and functional results were evaluated according to the modified scheme of G.A. Bairov. In 96.7%, excellent and good outcomes were obtained. Conclusions. C urrently, the use of osteosynthesis with flexible TEN rods for diaphyseal fractures of the lower leg bones in children provides favorable conditions for the formation of callus and allows achieving full-fledged consolidation in normal age periods.