Combination of craniocerebral and skeleton injurieis: diagnosis and management

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Abstract

The study is concerned with the outcomes of the treatment of 364 patients with combined trauma (craniocerebral injuries of different severity and fractures of skeleton bones [453]). Patients’ management and fracture fixation methods are presented. Primary osteosynthesis (during the first day after trauma) was done in 45.9% of victims and delayed osteosynthesis - in 54.1%. The following fixators were applied: plates (46.6% of victims), external fixation devices (36.6%), rods (9.9%), other types (6.9%). Early osteosynthesis (during the first three days after trauma) did not increase the lethality and complication rate. At follow up period of 12-18 months the long term results were studied in 98 of 364 patients. Good outcome was achieved in 79.6% of cases, satisfactory - in 17.3% and unsatisfactory in 3.1% of cases. The authors consider that primary and early osteosynthesis in patients with the combination of craniocerebral and skeleton injuries enable to improve the outcomes, reduce the lethality rate, shorten the duration of hospitalisation and promote early rehabilitation.

About the authors

L. N. Ankin

Kyiv scientific and practical center for emergency medical care; Kyiv Institute for Postgraduate Medical Education

Author for correspondence.
Email: info@eco-vector.com
Ukraine, Kyiv; Kyiv

N. E. Polishchuk

Kyiv scientific and practical center for emergency medical care; Kyiv Institute for Postgraduate Medical Education

Email: info@eco-vector.com
Ukraine, Kyiv; Kyiv

A. P. Treshchinsky

Kyiv scientific and practical center for emergency medical care; Kyiv Institute for Postgraduate Medical Education

Email: info@eco-vector.com
Ukraine, Kyiv; Kyiv

I. P. Shlapak

Kyiv scientific and practical center for emergency medical care; Kyiv Institute for Postgraduate Medical Education

Email: info@eco-vector.com
Ukraine, Kyiv; Kyiv

G. G. Roschin

Kyiv scientific and practical center for emergency medical care; Kyiv Institute for Postgraduate Medical Education

Email: info@eco-vector.com
Ukraine, Kyiv; Kyiv

A. Farmanolla

Kyiv scientific and practical center for emergency medical care; Kyiv Institute for Postgraduate Medical Education

Email: info@eco-vector.com
Ukraine, Kyiv; Kyiv

E. O. Babaev

Kyiv scientific and practical center for emergency medical care; Kyiv Institute for Postgraduate Medical Education

Email: info@eco-vector.com
Ukraine, Kyiv; Kyiv

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