OPTIMISATION OF COMPLEX TREATMENT OF DAMAGES OF A SKELETON AT PATIENTS WITH A POLYTRAUMA
OPTIMISATION OF COMPLEX TREATMENT OF DAMAGES OF A SKELETON AT PATIENTS WITH A POLYTRAUMA
Sirodzhov K.Kh., Rahimov A.T.
The department of Traumatology and Orthopedics TIPGPMP
The unsatisfactory results of complex treatment of skeletal injuries and injury outcomes in patients polytrauma testify to the social and economic importance. The paper analyzes the results of studying the peculiarities of the structure of multiple and associated injuries skeleton, ways to optimize the treatment of fractures on the basis of orthopedic «Damage control» of 30 trauma patients. In the structure of combined trauma of the skeleton in the 81,7% of cases, there were fractures of long bones, 36,3% — fractures of other departments, 21,3% — pelvic bones, in 5,3% of cases — fracture of the spine. Fractures of the long bones in 78,4% of cases were of indoor and 21,6% of cases — the open character. Methods of early reposition fractures in the study group used in 30,4% of the observations, delayed — 15,7%, and later — in 9,5% of cases. In the control group received digital values amounted to, respectively, of 15,4%, 11,4 per cent to 17,3 per cent. Fractures of long bones of victims of the main group in 51,8% of the observations used for conservative treatment, 48,2% — by various methods of osteosynthesis with the use of stable forms (36,5%) and methods of osteosynthesis with additional external immobilization (11,7%).
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Information about the authors:
Sirojov Kutbuddin Hasanovich — the chair of department of traumatology and orthopaedy TIPGPMP; Tel: (992) 935290963; e-mail: sirodzhovk93529s@mail.ru
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