Diaphyseal fractures of the femur are rather common. In the treatment of fractures of the femur various methods of osteosynthesis can be used: intramedullary, of plate, transosseus. In our country external fixation using external fixation devices has traditionally been popular. Objective. The analysis of the frequency of use of transosseous osteosynthesis in the treatment of fractures of the femur and the identification of the most common indications for the use of the method in the present practice. Materials and Methods. The analysis of the structure of external fixation in fractures of the femur, on the experience of treatment of 126 patients with diaphyseal fractures of the femur. Results. The results of the study revealed that the structure of the osteosynthesis of fractures of the femur transosseous osteosynthesis with the use of external fixation devices is not considered to be common and is used as an alternative method of treatment. Conclusion. The treatment of fractures of the femur using transosseous osteosynthesis is currently used mostly for open, comminuted fractures and revision osteosynthesis, as well as a high risk of infectious complications in the zone of fracture, due to complexity of the method, the lowest strength of fixation and a relatively high percentage of non-specific complications.
Ямщиков О.Н., Марков Д.А., Емельянов С.А. Application of external fixation devices for fractures of the femur in modern practice // Saratov Journal of Medical Scientific Research, Vol. 10, Issue 4, 2014, pp. 645-648

The aim of the given study is improvement of surgical treatment results of diaphysial fractures of forearm bones using suggested methods. The analysis of the treatment results of 120 patients with diaphysial fractures of forearm bones has been carried out. Methods of surgical treatment of diaphysial fractures of forearm bones using bar and spoke-bar apparatuses for external fixation have been applied to 60 patients. The results of the research have shown the significant decrease in postoperative complications and shortening of period patients stay in hospital. This allows to obtain good anatomical and functional results
V.P. Morozov, I.V. Voronin Surgical Treatment Of Diaphysial Fractures Of Forearm Bones By Apparatus For External Fixation // Saratov Journal of Medical Scientific Research, Vol. 5, Issue 4, 2009, pp. 597-598

For treatment of hand multitrauma including proximal phalanx fracture of finger with damaging of tendons of flexors muscles, we successfully used mini devices for external fixation. After stabilization of bone fragments tendinous palsy carried out. Measuring of transplant right length is very important for future good functional results
O.V. Beidik, A.V. Zaretskov, M.A. Shcerbakov, K.K. Levchenko Surgical Treatment of Patients with Multitrauma of Hand Fingers // Saratov Journal of Medical Scientific Research, Vol. 5, Issue 3, 2009, pp. 407-409

The article presents the methodofsurgicaltreatment ofdeformation of lower extremities by means ofpivottransosseous osteosynthesis. It provides greater inflexibility of fixation and decrease in complications
X.M.F. Sakkalla, O.V. Beidik, T.N. Lukpanova, K.K. Levchenko, S.A. Nemaljaev TREATMENT OF DEFORMATIONS OF LOWER EXTREMITIES BY MEANS OF PIVOT TRANSOSSEOUS OSTEOSYNTHESIS // Saratov Journal of Medical Scientific Research, Vol. 4, Issue 4, 2008, pp. 91-96

The apparatus and the technique of osteosynthesis ofdiaphyseal fractures of shin bones are presented in the article. The technique combines the possibility of bone fracture fragments position control at compression and reduction in process of cyclic loads. This treatment technique provides the optimization of reparative osteogenesis conditions, earlier restored support-motor functions of an injured limb and prevents contamination of tissues which surround transosseous elements. The constructive solutions of pin-related osteosynthesis presented in the article are adapted in topographical anatomy aspect according to the location of fractures. The technique has been applied to 124 patients with diaphyseal shin bone fractures. Positive outcomes have been recieved in 99,6% of clinical observations.
A.G.Rusanov, V.V. Stadnikov ALTERNATIVE TO THE TECHNIQUE OF TRANSOSSEOUS OSTEOSYNTHESIS OF SHIN BONE FRACTURES // Saratov Journal of Medical Scientific Research, Vol. 4, Issue 4, 2008, pp. 88-91

The article presents the results of treatment of 118 patients with diaphyseal fractures of humeral bone and elements of technology of newly developed methods of humeral fracture treatment
K.A. Grazhdanov, A.P. Barabash, S.P. Skripkin NEW TECHNOLOGY OF DIAPHYSEAL HUMERAL FRACTURES TREATMENT // Saratov Journal of Medical Scientific Research, Vol. 4, Issue 4, 2008, pp. 78-83

The authors of the article suggest way of surgical treatment of patella fracture by means of external fixation. Such approach provides reduction ofrehabilitation period and reduces risk of complications
K.K. Levchenko, O.V. Beidik, M.B. Litvak, T.N. Lukpanova, D.A. Markov ЛЕЧЕНИЕ ПЕРЕЛОМОВ НАДКОЛЕННИКА С ИСПОЛЬЗОВАНИЕМ АППАРАТОВ ВНЕШНЕЙ ФИКСАЦИИ // Saratov Journal of Medical Scientific Research, Vol. 4, Issue 3, 2008, pp. 95-96

The authors of article suggest the way of treatment limbs fracture of the using to spoke-shank device for external fixation. Such approach allows to reduce risk ofdevelopmentofcomplications anddystrophic degenerative jointchanges.
O.V. Beidik, T.N. Lukpanova, D.V. Mandrov, M.B. Litvak, S.A. Nemalyaev, V.В. Borodulin, A.A. Steklov, M.A. Shcherbakov METHODS OF OSTEOSYNTHESIS OF ARTICULAR FRACTURES INFLUENCE OVER DEVELOPMENT OF DYSTROPHIC DEGENERATIVE JOINT CHANGES // Saratov Journal of Medical Scientific Research, Vol. 4, Issue 3, 2008, pp. 90-94

The authors of the article suggest way of surgical treatment of forearm fracture using pivot external fixation, which provides great inflexibility of fixation and reduction of complications.
K.K. Levchenko, O.V. Beidik, Kh. S. Karnaev, T.N. Lukpanova, E.I. Scholomova EXTERNAL FIXATION OF FOREARM SHAFT FRACTURE // Saratov Journal of Medical Scientific Research, Vol. 4, Issue 2, 2008, pp. 105-109

Advantages of an osteosynthesis of a femur diaphysis fractures by apparatus of external fixation rod type and intramedullar spokes are discussed. Computer modelling on the basis of methods of mechanics of a deformable firm body for spoke and rod apparatus of external bracing is lead.
O.V. Beydik, D.A. Markov, D.V. Afanasev TREATMENT OF LONG TUBULAR BONE FRACTURES BY APPARATUS OF EXTERNAL FIXATION AND INTRAMEDULLARY INFLUENCE OF PHYSICAL AGENTS // Saratov Journal of Medical Scientific Research, Vol. 3, Issue 3, 2007, pp. 76-79