Application of intramedullary blocked osteosynthesis for treatment of patients with open fractures of the shin and femur in combined injuries

Application of intramedullary blocked osteosynthesis for treatment of patients with open fractures of the shin and femur in combined injuries

Actual problems of using intramedullary blocked osteosynthesis for open fractures of the shinbones and femoral bones in patients with combined injuries are considered. The most optimal terms of operative treatment were established depending on the severity of the injuries by ISS scale and on classif...

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Bibliographic Details
Published in:Vestnik hirurgii im. I.I. Grekova Vol. 171; no. 4; pp. 49 - 54
Main Authors: Dulaev, A K, Tsed, A N, Bobrin, M I, Refitskiĭ, Iu V, Khodin, A I, Dzhusoev, I G, Chikin, A E
Format: Journal Article
Language:Russian
Published: Russia (Federation) 2012
Subjects:
Adolescent
Adult
Aged
Female
Femoral Fractures - diagnostic imaging
Femoral Fractures - surgery
Femur - diagnostic imaging
Femur - injuries
Femur - surgery
Follow-Up Studies
Fracture Fixation, Intramedullary - methods
Fracture Healing
Fractures, Open - diagnostic imaging
Fractures, Open - surgery
Humans
Male
Middle Aged
Multiple Trauma
Radiography
Tibia - diagnostic imaging
Tibia - injuries
Tibia - surgery
Tibial Fractures - diagnostic imaging
Tibial Fractures - surgery
Time Factors
Treatment Outcome
Young Adult
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Summary:Actual problems of using intramedullary blocked osteosynthesis for open fractures of the shinbones and femoral bones in patients with combined injuries are considered. The most optimal terms of operative treatment were established depending on the severity of the injuries by ISS scale and on classification of injuries of the soft tissues by Gastillo-Andersen. The schemes of antibacterial prophylactics of infectious complications are proposed both during operation and at the postoperative period. Under consideration are the questions of intraoperative boring of the bone marrow canal of the shinbones and femoral bones in severe combined injuries.
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ISSN:0042-4625