Introduction. With the new organizational system, victims with severe concomitant trauma (TCT) and political injuries are allocated to a separate stream upon admission to the hospital, undergo damage diagnostics in the anti-shock ward, after which they are sent either to the anti-shock operating room when indications for an emergency operation are established or to the intensive care unit and intensive care for prolonged diagnosis and intensive care.
Materials and methods. The analysis of the methods of treatment of 413 patients with fractures of long bones with severe concomitant trauma (TCT) and polytrauma, who received treatment using the strategy of "Differentiated early trauma care" and in relation to the treatment of fractures of long tubular bones with TCT and polytrauma of three tactics: 1 ) tactics of early (within 24 hours from the moment of injury) full volume of trauma care "Early total care" (ETC); 2) tactics of programmed multistage surgical treatment of fractures of the DTC "Damage control orthopedics" (DCO); 3) tactics of early individualized volume of trauma care "Early appropriate care" (EAC).
Results. In the present study, 189 victims approached the third stage of DCO tactics: of all 413 patients studied with TST and polytrauma of the main array, 158 were performed ETC, 66 victims died - 189 remained. Of these 189 victims, the third stage of DCO tactics was performed by 116 (61.4%), and in 73 patients (38.6%) the third stage of DCO tactics was not performed due to a serious condition or long-term infectious complications. Long-term results of treatment were assessed as positive
Temporary External Fixation for Forearm Fractures in Damage Control Orthopedics Procedures: Use of a Simplified Frame
