Tag Archives: complications

ADVANTAGE OF ROD OSTEOSYNTHESIS IN PATIENTS WITH COMPLEX OPEN FRACTURES OF FEMORAL BONE

Sirodzhov K.H., Isupov Sh.A., Holov D.I., Boymurodov A.N.

ADVANTAGE OF ROD OSTEOSYNTHESIS IN PATIENTS WITH COMPLEX OPEN FRACTURES OF FEMORAL BONE

Department of Traumatology and Orthopedics of the State Educational Establishment «Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan»

Aim.Optimization of surgical treatment of open fractures of the femur with concomitant injury.

Materials and methods. The results of diagnosis and treatment of 87 patients with combined open fractures of the femur were analyzed. Patients were divided into2 groups: the main group resorted to early stable fixation of long bone fractures external fixation device (EFD) on the first day. In the control group osteosynthesis produced in delayed and planned manner.

Research methods: radiography, computed tomography, ultrasound examination of organs, clinical and laboratory research. To determine the severity of injuries and status of patients, the degree of shock, blood loss volume and other vital violations the objective point scale assessments were used.

Results. Stabilization of fractures of the femur EFD conducted in all cases amid continuing anti shock measures or after appropriate infusion-transfusion therapy and improve the overall condition of the victims. By using of optimized surgical treatment of open fractures of the femur at combined injury good results established respectively in 27 (29,9%) and 18 (20,7%), satisfactory – in 11 (12,6%) and 19 (21,8%) and unsatisfactory – in 3 (3,4%) and 9 (10,3%) patients.

Conclusion. Considering the low traumatism and how antishockeventt, early osteosynthesis of open fractures of the femoral EFD performed independently from the severity of the victim, making the patient transportable. This method helps to normalize the function of important organs, reducing early-threatening complications and verticalization of the patient.

ADVANTAGE OF THE ROD OSTEOSYNTHESIS AT PATIENTS WITH THE COMBINED AND MULTIPLE FRACTURES OF THE MUSCULOSKELETAL DEVICE

Aim. Surgical results improvement of musculo-skeletal system fractures in polytrauma acuity.

RESULTS OF TREATMENT OF PATIENTS ON THE BASIS OF ORTHOPEDIC DAMAGE CONTROL

Aim. Improvement of results of diagnostics and treatment of the sharp period of a polytrauma by an estimation of
metabolic activity of lungs and application orthopedic damage control at patients with the combined a trauma.

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%).