Outcomes of treatment of open fractures of long bones of non-firearms origin

Under our supervision from 1976 to 1982, there were 206 patients with open injuries of long bones of non-firearms origin. Of these, an open hip fracture was in 29 (14.1%) patients, a leg fracture in 135 (65.5%), a humerus fracture in 10 (4.8%), forearm bones in 32 (15.6 %). The injuries that the patients had (according to the classification of A.V. Kaplan and O.N. Markova) were distributed as follows: ІА stage - in 33 (16%) victims, 1B - in 44 (21%), 2B - in 60 (30%), 2B-in 27 (13%), 3B-in 13 (6%), 3C- in 25 (12%), grade 4 in 4 (2%). As you can see, the patients we observed had mostly severe injuries. Before admission to the hospital, anti-shock measures were started in 22 patients, and primary surgical treatment was carried out in only 17 patients. In all other cases, the first medical aid was limited to the imposition of an aseptic dressing, the introduction of heart and painkillers, and transport immobilization.