Peculiarities of tactics in multistage surgical treatment of open fractures
Objective. Using comparison of application results of classic tactics vs tactics in multistage surgical treatment for OF, to discuss the issues of choice of the OF fixation method and possibilities of early closure of extensive wounds and defects of soft tissues.
Маterials and methods. Results of treatment for OF of the upper and lower extremities bones in Orthopedic-Traumatological Centre of Кiev Regional Clinical Hospital in 2008 - 2016 yrs period in 286 patients were analyzed. Classic methods and tactics of multistage surgical treatment were used.
Results. Results of surgical treatment of OF of the upper and lower extremities bones, using the Neer-Grantham-Shelton score scale, were estimated. Good results were obtained in 54.84% patients of Group I and in 80.28% patients of Group II.
Conclusion. Success of treatment of OF depends upon early admittance to hospital, early radical surgical processing performance, achievement of stable fixation of fractured bone, rational application of antibiotics, and correction of immunological status. The problems of choice of the OF fixation method and the early closure of the wound performance are the most unequivocal and unsolvable.
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