Early primary ostheosynthesis in polytrauma of the locomotor apparatus

The goal of the research was to study the local and general complications of the osteosynthesis of long tubular bones on different stages of the traumatic disease in patients affected by polytrauma as well as to determine the priority of early and delayed osteosynthesis. The research was based on the data obtained from dynamic follow-up of 187 patients with polytrauma, including several deceased, who had been treated in three large clinics of Kutaisi during the period 2003-2013. 283 fractures of long tubular bones were reported. The patients were divided into 2 groups according to the timing of osteosynthesis. General and local complications on different stages of traumatic disease have been identified in each of the groups. The study of long-term outcome of the treatment included 51 patients. The general and local complications of polytrauma were mainly caused by incorrect selection of methods for osteosynthesis and immobilization. The period within 1-5 days after the trauma should be taken as an optimal timing for the osteosynthesis of tubular bones under general anesthesia and resuscitation support; aggressive traumatology should be considered as a strong anti-shock measure and as a reasonable intervention for preventing hypo-dynamic and hypostatic complications. Such an approach has proven to be a key in achieving desirable long-term results. Language: ru