scholarly journals SYSTEM-FORMING FACTORS OF SURGICAL TREATMENT OF PATIENTS WITH LONG-BONE FRACTURES IN MUNICIPAL MULTI-FIELD EMERGENCY HOSPITAL OF THE MODERN RUSSIAN MEGALOPOLIS

2012 ◽  
pp. 48-48
Author(s):  
I.G. Belenkiy ◽  
D.I. Kutyanov
Keyword(s):  
Surgical Treatment ◽  
Bone Fractures ◽  
Long Bone ◽  
Emergency Hospital ◽  
Long Bone Fractures ◽  
Modern Russian

scholarly journals Surgical Treatment of Long Bone Fractures of Lower Extremities Using Locking Compression Plate

2005 ◽  
Vol 54 (4) ◽  
pp. 746-750 ◽  
Author(s):  
Takuya Ikuta ◽  
Futoshi Kuga ◽  
Yosuke Asahara ◽  
Kazunobu Arakaki ◽  
Chikara Deguchi
Keyword(s):  
Surgical Treatment ◽  
Bone Fractures ◽  
Lower Extremities ◽  
Locking Compression Plate ◽  
Long Bone ◽  
Long Bone Fractures ◽  
Compression Plate

Practical Application of Concept "Damage Control" in Treatment of Long Bone Extremity Fractures in Patients with Poly­trauma

2005 ◽  
Vol 12 (1) ◽  
pp. 3
Author(s):  
V. A Sokolov ◽  
E. I Baylik ◽  
P. A Ivanov ◽  
D. A Garaev
Keyword(s):  
Surgical Treatment ◽  
Bone Fractures ◽  
Damage Control ◽  
Long Bone ◽  
Critical Conditions ◽  
Individual Response ◽  
Surgical Interventions ◽  
Trauma Severity ◽  
Long Bone Fractures ◽  
Surgical Methods

On the base of experience in treatment of 646 patients with polytrauma (1995—2004) the necessity to use damage control was for the treatment of long bone fractures was proved. The principle of damage control assumes subdivision of surgical treatment of patients with severe polytrauma into two steps. At the I st step only minimum traumatic procedures were performed. At the 2 nd step major surgical interventions were performed. According to trauma severity and individual response all patients were divided into four groups: stable, borderline, unstable and critical. In patients with stable and borderline conditions major surgical procedures did not result in aggravation of patient's state, therefore one-step surgical treatment was used. In patients with unstable and critical conditions no surgical methods of fixation of long bone fractures were applied at the I st step. In the last two groups definitive fracture fixation were performed at the 2' d step within 4—14 days after injury. The application of damage control allows improving the results of treatment, reducing the rate of complication and lethal outcomes in patients with severe polytrauma.

Long bone fractures in children and adolescents treated surgically in West Pomeranian Voivodeship in 2005-2014

2017 ◽  
Vol 7 (1) ◽  
pp. 63-68
Author(s):  
A. Kamiński ◽  
M. Dzik ◽  
M. Kołban ◽  
A. Szwed ◽  
T. Bilnicki
Keyword(s):  
Surgical Treatment ◽  
Children And Adolescents ◽  
Bone Fractures ◽  
Test Group ◽  
Treatment Method ◽  
Long Bone ◽  
Long Bone Fractures ◽  
Fractures In Children ◽  
Tension Bands ◽  
K Wires

bone fractures in children is a problem that has been recently addressed with growing attention. The unique specifics of fractures in the developmental age compared with fractures in adult patients requires an appropriate approach. Disregarding the issue may lead to long-lasting complications, including severe skeletal deformities. Methods: The analysis included 821 children (575 boys, 246 girls) admitted to the hospital with long bone fractures. Data were obtained from medical records from between 2005 and 2014. Results: Long bone fractures were the cause of hospitalizations in 64.9% of cases during the spring-summer period. The average age was 12 years old. Fractures occurred more often in boys. The main cause of fractures in the test group was indirect trauma during sports activities (32%). Fractures of the distal meta and epiphysis of the radius bone were the most common result of trauma in children and adolescents (12.4 % of all fractures). A total of 32.1% of fractures of the upper limbs concerned the radius bone and 12% concerned the supracondylar humeral bone fractures. In lower limb fractures, the most common site was the distal part of the tibia bone (8.9% of all fractures). In surgical treatment, 399 (43.3%) K-wires were used. Plate stabilization was performed 225 times (24.5%), screw fixations 119 times (12.9%), FIN/ESIN fixations 141 times (15.3%), tension bands 11 times (1.2%), intramedullary nailing 19 times (2.1%), and external stabilizations 4 times (0.5%). Fracture healing complications were observed in 3 cases in patients with polytrauma. Conclusions: Risk of a long bone fracture grows with a child’s age. Fractures are more frequent in boys. We observed triple the number of fractures that needed surgery yearly from 2005 to 2014. The increase was linear. The choice of surgical treatment method depends on the fracture type, dislocation size, and the patient’s age.

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