Combination of craniocerebral and skeleton injurieis: diagnosis and management
- Authors: Ankin L.N.1,2, Polishchuk N.E.1,2, Treshchinsky A.P.1,2, Shlapak I.P.1,2, Roschin G.G.1,2, Farmanolla A.1,2, Babaev E.O.1,2
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Affiliations:
- Kyiv scientific and practical center for emergency medical care
- Kyiv Institute for Postgraduate Medical Education
- Issue: Vol 4, No 1 (1997)
- Pages: 15-18
- Section: Original study articles
- URL: https://journals.rcsi.science/0869-8678/article/view/105697
- DOI: https://doi.org/10.17816/vto105697
- ID: 105697
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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.
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##article.viewOnOriginalSite##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