PRINCIPLES FOR CORRECTION OF BONE STRUCTURE DAMAGES IN POLYTRAUMA

A S Denisov; N B Schekolova; V G Kozyukov; D A Tikhomirov; Ya V Nenakhova; N S Zubareva

doi:10.17816/pmj32524-29

Perm Medical Journal ›› 2015, Vol. 32 ›› Issue (5) :24 -29. DOI: 10.17816/pmj32524-29

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PRINCIPLES FOR CORRECTION OF BONE STRUCTURE DAMAGES IN POLYTRAUMA

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Abstract

Aim. To detail the surgical techniques used for fractures in sufferers with polytrauma during different periods of traumatic disease. Materials and methods. Treatment of fractures in 800 sufferers with associated and multiple injuries of locomotor system were analyzed. There were 600 (75 %) men and 200 (25 %) women among the sufferers. The mean age was 43,5 years. The automobile traumatism (56 %) was dominating. Results. When correcting the bone structure injuries in polytrauma, preference was given to low-traumatic interventions (from mini access, with maximum limited blood loss), which provided a reliable operative stabilization of fragments with the possibility of avoiding additional external fixation and allowed early start of functional management. Reposition and osteosynthesis in case of bone structure injuries, when patient’s general well-being was adequate, were performed prior to toxicosis peak or were delayed till the end of early or late period of traumatic disease. Medial cervical hip fractures, when osteosynthesis was rational only during the acute period, were excluded. Conclusions. When correcting bone structure damages in patients with polytrauma, operative aids slightly differ from those used in isolated injuries.

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Polytrauma / fractures / surgical treatment

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A S Denisov, N B Schekolova, V G Kozyukov, D A Tikhomirov, Ya V Nenakhova, N S Zubareva. PRINCIPLES FOR CORRECTION OF BONE STRUCTURE DAMAGES IN POLYTRAUMA. Perm Medical Journal, 2015, 32(5): 24-29 DOI:10.17816/pmj32524-29

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