Effectiveness of the Lace Method in Osteosynthesis for Hand Fractures in the Kyrgyz Republic

Abstract

Introduction: Hand fracture management remains complex, with treatment approaches varying based on fracture
type, patient characteristics, and healthcare system constraints. Objectives: This retrospective study aimed to
determine the effectiveness of the lace method of osteosynthesis in the Kyrgyz Republic and the anesthetic aspects
of this method. Materials and Methods: Patients aged 3–71 years with confirmed wrist fractures were divided
into two groups: Group 1 (n = 90) underwent cord osteosynthesis, while Group 2 (n = 34) received standard
osteosynthesis treatment. The study compared general and administrative indicators of medical care quality
between the groups. Results: Domestic injuries were prevalent in all groups and categories, while work injuries
had a more stable distribution. Conductor cells accounted for the majority of anesthesia types in both groups
(42.20% in Group 1 and 50.00% in Group 2). Group 1 had a higher percentage of local and general anesthesia,
whereas Group 2 had a higher content of conductive anesthesia. The age distribution differed between the
groups, with Group 1 primarily composed of children of primary and secondary school age, while Group 2 had a
higher proportion of adults aged 18–50 years. Conclusion: The findings suggest differences in the composition
of anesthesia used and age distribution between the two groups, which may have implications for treatment
outcomes and functional activity. Further research is needed to establish standardized guidelines for hand fracture
management and to evaluate the effectiveness of the lace method of osteosynthesis in various patient populations.