ADVANTAGES AND DANGERS OF EARLY OSTEOSYNTHESIS OF FEMUR IN POLYTRAUMA WITH CHEST INJUR
https://doi.org/10.23934/2223-9022-2017-6-3-238-245
Abstract
The review presents the results of experimental and clinical studies of the effect of early osteosynthesis in the femoral fracture on the development of systemic complications and the outcome of polytrauma with chest injuries. We explored the role of combination of thoracic injuries with a fracture of the femur, as well as its intramedullary osteosynthesis in the mechanisms of local and systemic inflammatory reaction formation, coagulopathy, fatty embolism and pulmonary embolism, respiratory failure. The concepts of “immediate total care” and “orthopedic damage control” are described with reference to fractures of the femur, combined with a chest trauma. The criteria for the relative safety of osteosynthesis of the femur in polytrauma with thoracic injuries are given.
About the Authors
Y. G. Shapkin
«Saratov State Medical University named after V.I. Razumovsky», Ministry of Health Care, Russian Federation, Saratov
Russian Federation
Russian Federation
P. A. Seliverstov
«Saratov State Medical University named after V.I. Razumovsky», Ministry of Health Care, Russian Federation, Saratov
Russian Federation
Cand. Med. Sci., Assistant of General Surgery Department, Saratov State Medical University named after V.I. Razumovsky
Russian Federation
Cand. Med. Sci., Assistant of General Surgery Department, Saratov State Medical University named after V.I. Razumovsky
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Review
For citations:
Shapkin Y.G., Seliverstov P.A. ADVANTAGES AND DANGERS OF EARLY OSTEOSYNTHESIS OF FEMUR IN POLYTRAUMA WITH CHEST INJUR. Russian Sklifosovsky Journal "Emergency Medical Care". 2017;6(3):238-245. (In Russ.) https://doi.org/10.23934/2223-9022-2017-6-3-238-245
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