The scopes for sequential osteosynthesis in treatment of the wounded with limb long bone gunshot fractures

Abstract

In article the treatment results comparative analysis of two groups of gun wounded patients with long bone gunshot fractures has shown. In first group the casualties were treated by external ostheosynthesis on medical evacuation stages (145 cases) and in second group the last ones were treated by sequential two sets ostheosynthesis (29 cases). The investigations have shown that sequential ostheosynthesis allows to get complete consolidation in most cases and reduce the probability of fracture malunions in comparison with external ostheosynthesis. The frequency of large joints contractures was approximately in two times less for upper extremity’s injures and in three times for lower extremity’s injures. The treatment terms have also significantly reduced: for about per 43 days (36%) for gunshot injures of arms (p≤0,01) and approximately per 36 days (19%) for gunshot injures of legs (p≤0,05).