[A hinged fracture reduction device--a stage in the technical development of the transosseous fixation method].

The author discusses the achievements of contemporary traumatology in the treatment of intraarticular fractures by the method of perosseous osteosynthesis with external fixation apparatuses. The best functional effect was achieved by the application of hinged distraction apparatuses of Volkov-Oganesyan and other equipment with hinged devices. The results of treatment of 160 patients with severe open and closed intraarticular fractures testified to the advantage of the new hinged apparatuses according to biomechanics of the joints. The constructions of the author's apparatuses allow for strong fixation of the fragments, permit to make early motions within the injured joint and give good functional results both in fresh injuries and in the consequences of injuries (ankyloses, contractures of the joints, defects and false joints of the bones).