TREATMENT OF THE OPEN MALLEOLI FRACTURES IN THE MULTIPROFILE CITY HOSPITAL
The principles of the open intraarticular fractures management, including open malleoli fractures, are well known today. The most important part in open fractures care is made by multiprofile hospitals. However, practical realization of these principles in multiprofile city hospitals may be difficult because of different organizational and financial problems. We have analyzed documentation of the inpatient treatment of the patients with open malleoli fractures (duration of hospital care and rate of the local infection complications) in two multiprofile hospitals in Saint-Petersburg in 2006 – 2010 (31 patient) and 2011 – 2014 years (40 patients). We made this division because from the 2011 the hospitals received enough equipment for emergency external and internal fractures fixation and optimized open fractures treatment protocols. Investigation showed reliable shortening of the duration of hospital care and decreasing the rate of local infection complications after changing the general approach to open malleoli fractures treatment.