Treatment of limb fractures in children with multiple and concomitant injuries

Experience in treatment of bone fractures in 105 patients with multiple and concomitant trauma­ta is presented. There were 228 limb bones fractures. In 64 patients (61 %) conservative treat­ment including closed reposition, plaster immobolization, skeletal traction was used. Forty one patients (39%) were treated surgically, mainly by extrafocal osteosynthesis with external rod fixatives elaborated in our clinic. In the majority of patients (72%)) osteosynthesis was performed within the period from 4 to 7 days after trauma. In patients with crus and femur fractures the surgical treatment efficacy (by 100 points scale) for femur fractures was 37.9%), for crus fractures - 48.2%). In cases of combination of shoulder and forearm fractures the surgical efficacy treatment was 41.8%o and 42.3%o, respectively. In patients with unilateral femur and crus fractures the efficacy of treatment using rod fixatives made up 47.2%o. Efficacy was higher in all cases of extrafocal osteosynthesis as compared with traditional methods of treatment.