The treatment tactics for femoral fractures in patients with polytrauma
The aim of this work consisted in increasing the effectiveness of treatment of femoral fractures in patients with polytrauma by using modern principles and little-invasive methods. There were following tasks of the study: the substantiation of the criteria of treatment method selection depending on fracture localization, displacement of fragments, soft-tissue component condition, injury of adjacent segments, as well as the assessment of treatment results in this group of patients. Treatment of 65 patients with polytrauma, femoral fractures of different localization for the period of 2006-2009 has been analyzed. Current tactical approaches, the advantages of using modern little-invasive techniques in treatment of patients with polytrauma have been demonstrated with clinical examples, and the algorithm of rendering care for the subjects injured has been formulated. The use of this approach provided the restoration of anatomic-and-functional values with minimal number of complications within short periods of in-patient treatment, and allowed to achieve positive results of treatment in 97 % of the subjects injured.