Peculiarities of tactics in multistage surgical treatment of open fractures

Keywords: open fracture; оpen fracture of the shin bones; change of the fixation method; аpparatus of external fixation

Abstract

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.

Author Biographies

M. L. Ankin, Kiev Regional Clinical Hospital

Mykola Ankin - MD, professor,
Head of the Department ofOrthopedicsandTraumatology №2
Shupyk National Medical Academy of Postgraduate Education,
Chief Medical Officer of Municipal Institution of Kyiv Regional Council “Kyiv Regional Clinical Hospital”
e-mail: m.ankin@ukr.net
ORCID: http://orcid.org/ 0000-0001-9795-0931

Т. М. Petryk, Kiev Regional Clinical Hospital

TarasPetryk - PhD,
Head of the Orthopedics and Traumatologyy Center of Kyiv Regional Council “Kyiv Regional Clinical Hospital”
тел. 067-749-15-72,
e-mail: petryktaras.m.d@gmail.com
ORCID:http://orcid.org/ 0000-0002-5319-3921

V. O. Ladyka, Shupyk National Medical Academy of Postgraduate Education

Viktoriia Ladyka –
assistant of the Department ofOrthopedicsandTraumatology №2
Shupyk National Medical Academy of Postgraduate Education
тел. 063-495-74-08,
e-mail: Ladika084@gmail.com
ORCID:http://orcid.org/ 0000-0002-3796-428х

References

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2. Shibaev E, Ivanov P, Vlasov A, Kisel' D, Lazarev M, Nevedrov A, et al. Vosstanovlenie pokrovnyh tkanej u postradavshih s tjazhelymi otkrytymi perelomami kostej goleni. Zhurnal im. N. V. Sklifosovskogo «Neotlozhnaja medicinskaja pomoshh'». 2016;4(1):30-6. [In Russian].

3. Gustilo R, Anderson J. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. JBJS.1976;58(4):453-8.

4. Wirth C, Mutschler W, Kohn D, Pohlemann T. Praxis der Orthopädie und Unfallchirurgie. Georg ThiemeVerlag. 2013:1-1139.
Published
2018-03-03
How to Cite
Ankin, M. L., PetrykТ. М., & Ladyka, V. O. (2018). Peculiarities of tactics in multistage surgical treatment of open fractures. Klinicheskaia Khirurgiia, 85(3), 57-61. https://doi.org/10.26779/2522-1396.2018.03.57
Section
General Problems of Surgery