Surgical prevention of purulent complications in open long bone fractures

Abstract

Thirty three patients with open diaphysial fractures of II-III severity degree (according to Baylik’s classification) are presented. All patients were subjected to primary debridement, stable submersed or extrafocal osteosynthesis. Active combined drainage of fracture zone and soft tissue wound by the authors’ technique was included in the treatment. Application expediency of that method was grounded. Hemorheological examinations allowed to work out tactics of local and general use of rheological and inticoagulant medicines for the improvement of microcirculation in injured tissues. Authors’ complex of treatment gave the possibility to achieve good results in 87.7% of cases.

Keywords

surgical aspects of prevention of purulent complications / purulent complications / open fractures of long bones

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